What is laser blepharoplasty and how is it different from scalpel?
Blepharoplasty derives from the Greek words “blepharon” and “plasm” meaning eyelid repair. Baggy, droopy eyelids are a very noticeable sign of aging and can add years to our appearance. Blepharoplasty is a procedure to remove excess skin and fat from the upper and/or lower lids to provide a refreshed look and take years off the face. Using a laser instead of a scalpel allows this to be performed in a more controlled, bloodless fashion, affording excellent visibility of all important structures, extreme precision, and a high safety profile. Lasers work by heat vaporization instead of cold cutting, resulting in less bruising, swelling, pain, and scarring compared to scalpel surgery. Patients heal faster and look better sooner than with traditional blepharoplasty.
Why Choose Dr. Gupta?
Dr. Gupta is ultra-specialized with board certification in Ophthalmology as well as advanced fellowship training in eye plastic and cosmetic surgery. Because eyelid anatomy is complex and injury can result in visual impairment, her in-depth knowledge of the nerves, vessels, and muscles in and around the eyes and her expertise in performing over 6000 no-scalpel blepharoplasties over the last 20 years make her the most experienced, sought after, and obvious choice for a safe eyelid procedure. Her artistry and minimally invasive, office based, no-anesthesia technique afford a beautiful, natural result with minimal risk and down-time.
Why doesn’t every surgeon use a laser?
- Laser surgery requires additional training for the doctor and staff
- Laser blepharoplasty has a steep learning curve
- Lasers are very expensive to buy and maintain
- Most surgeons are in their comfort zone only with a scalpel
What to Expect:
The procedure is performed in her state-of-the-art office surgical suites under local anesthesia. There is no general anesthesia or intravenous sedation. The procedure takes about 60-90 minutes and patients walk out of the office without bandages or patches. Sutures self-dissolve in 5-7 days. Suture lines are minimally visible and easily concealed. Out of town patients may fly back after 2 days. Pain is minimal and easily managed with acetaminophen or other low dose painkiller. Postop visits are scheduled based on patient availability.
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BEFORE/AFTER GALLERY: LASER BLEPHAROPLASTY
Age: 26 Years
Complaint: This patient had “double bags” in her lower lids. The top bag was caused by orbicularis muscle thickening (from years of squinting) and the lower bag was herniated orbital fat. This created a tired look which was not alleviated with makeup or concealer.
Solution: Refreshed, rejuvenated look after laser lower lid blepharoplasty which involved thinning the muscle, removing the fat pads, and lastly, removing the excess, loose skin. Just 3 weeks after the procedure, her face and her life have been transformed with improved self-confidence. She looks absolutely stunning with and without makeup. The photos below with makeup have been graciously provided by the patient.
Here is this patient’s testimonial:
Over the last several years, I developed large dark bags under my eyes. I began to look tired even though I had plenty of energy. Many of my clients remarked that I looked very exhausted. I even heard comments like, “it looks like you need a good nights sleep.” I knew they were reacting to my eyes. I tried tropical treatments, concealers, coverups, and creams which either didn’t help or only made it look worse.
I consulted with Dr.. Lopa Gupta, and she recommended two procedures that would address my problem – a lower lid blephoplasty and direct festoon repair. Dr. Gupta showed me before and after pictures of similar cases and I was sold. Just 2 weeks after the surgery, I already look so much better. The surgery was a success. My eyes are continuing to improve over time and I couldn’t be happier.
I highly recommend Dr. Gupta. She is an expert’s expert in her field. She made me feel comfortable and reassured, and her staff is excellent. She is now on my short list of trusted medical practitioners.
Age: 55 Years
Complaint: Tired look with droopy, hooded upper lids; baggy lower lids; forehead lines;loss of skin vitality; loss of lip volume.
Solution: Refreshed, natural transformation of eyes and face after laser upper and lower blepharoplasty; Dysport injections to forehead; lip filler; IPL photofacial skin treatments.
Age: 46 Years
Complaint: Heavy upper lids weighing down eyes; mild loss of volume in temples and
midface with some heaviness under jawline.
Solution: Laser upper blepharoplasty and liquid facelift (improvement of cheek volume extending into the temples and sharpening of jawline). Profile pictures delineate improved eyelid, cheek, and jawline contours. Closed eyes photo depicts skin excess in upper lids prior to the rejuvenation.
Age: 32 years
Complaint: Hooded upper lids with mascara rubbing onto upper lids and inability to see eye shadow.
Solution: After being inspired by her mom’s transformation (see patient below), she underwent laser upper blepharoplasty herself and is now having fun with makeup! Note that the shape of her brows or eyes has not changed nor do her upper lids look hollowed out. The result is natural and she still looks like herself–just more refreshed and sculpted.
Age: 51 years
Complaint: Tired look due to loose skin upper lids and puffy lower lids.
Solution: Beautiful, refreshed look after laser upper and lower blepharoplasty.
Age: 57 Years
Complaint: Hooded upper lids, baggy lower lids, moles on left lower lid and left ear, and upper lip lines: tired look.
Solution: Laser upper and lower blepharoplasty, excision of moles on left lower lid and left ear, injection of filler upper lip: beautiful transformation! She still looks like herself.
Age: 58 Years
Complaint: Baggy lower lids with loose skin and swollen inner pockets of upper lids. He looks like he never sleeps and people say he looks tired all the time. This has lowered his self-esteem.
Solution: Laser lower lid blepharoplasty (removal of skin and fat from lower lids) and laser sculpting of fat pads in inner corners of upper lids. Refreshed, rested look. Now he feels rejuvenated inside and out!
Age: 46 Years
Complaint: Hooded upper lids with skin resting on eyelashes. This is causing heaviness as well as difficulty with application and visualization of makeup.
Solution: Laser upper blepharoplasty with improved eyelid sculpture without any hollowing of the upper lids. Now her eyes “pop” with even a little bit of makeup!
Age: 56 years
Complaint: Dark under eye circles and heavy upper lids yielding aged, fatigued look.
Solution: Rejuvenated look after laser upper and lower blepharoplasty with removal of excess skin and fat from upper and lower lids. She still looks like herself–just younger and brighter!
Age: 58 years
Problem: Droopy right brow, heavy/hooded upper lids, baggy lower lids yielding fatigued look. No-flash before photo makes these changes easier to visualize.
Solution: Right brow lift, laser upper and lower blepharoplasty with refreshed, brighter, and more handsome look.
Age: 59 Years
Complaint: Loose, saggy skin upper lids yielding tired look
Solution: Refreshed, sculpted look after laser upper blepharoplasty
Age: 24 years
Complaint: Noticable mounds of Juvederm in lower lids persistent 4 years after injection (done elsewhere).
Solution: Stage 1: Juvederm reversal. Stage 2: Laser lower lid blepharoplasty. Clean, sculpted look. No filler warranted at this time.
Age: 49 Years
Problem: Heavy, hooded upper lids with skin resting on eyelashes; puffy lower lids with “double bags” caused by muscle thickening and prolapsed fat pads; forehead lines with loss of cheek volume and early jowling. The no-flash before photo makes these changes easier to visualize.
Solution: This patient first underwent an upper bleph, followed by a lower bleph (4 years later), followed by a liquid facelift (4 1/2 years later). The after photo demonstrates beautifully refreshed eyes along with a smoother forehead and an “uplifted” face (by restoration of cheek volume). Now, she looks fabulous at 53!
Age: 40 years
Complaint: Dark circles from excess skin and fat upper and lower lids; multiple cysts lower lids.
Solution: Beautiful, natural transformation after laser upper & lower blepharoplasty and excision of lid cysts.
Age: 53 years
Complaint: Saggy skin upper lids; bags lower lids. Tired look.
Solution: Laser upper and lower blepharoplasty. Wow!
Age: 79 years
Complaint: Significant loss of visual field from severe hooding upper lids with skin draped over eyelashes; baggy lower lids. Heavy, weary look.
Solution: Amazing transformation after laser upper and lower blepharoplasty with lower lid tendon tightening: improved cosmesis as well as visual field.
Age: 49 years
Complaint: Tired, aged look from loose skin upper lids and puffy lower lids.
Solution: Gorgeous transformation after laser upper and lower blepharoplasty!
Age: 43 years
Complaint: Heavy upper lids, baggy lower lids, facial sunspots
Solution: Refreshed look and improved complexion after laser upper and lower blepharoplasty and full face Erbium:YAG laser resurfacing.
Age: 42 Years
Complaint Age 42: Heavy upper lids and brows
Solution Age 42: Brighter look after laser upper blepharoplasty and brow lift
This patient returned 7 years later:
Complaint Age 49: Tired look from dark under eye circles/bags; upper lids slightly droopy
Solution Age 49: Younger, rejuvenated look after laser lower blepharoplasty and “refresher” upper bleph and brow lift. Wow!
Age: 55 years
Complaint: Loose, crepey skin upper lids
Solution: More sculpted look after laser upper blepharoplasty
Age: 61 Years
Complaint: Fatigued look from hooded upper lids; baggy lower lids with loose, dark skin; multiple skin tags/growths face and neck
Solution: Beautiful transformation after laser upper and lower blepharoplasty and excision of multiple face and neck growths. Postop photos taken over 2 years later as patient lives out of state.
Age: 50 Years
Complaint: Heavy upper lids causing eye fatigue
Solution: Natural, subtle transformation after laser upper blepharoplasty.
Age: 36 Years
Complaint: Fatigued look due to heavy upper lids and baggy lower lids
Solution: Refreshed, rejuvenated look after laser upper and lower blepharoplasty. Note how the eyelids have held up beautifully years later!
Age: 61 Years
Complaint: Tired, aged look from heavy upper lids, baggy lower lids, forehead lines
Solution:Younger, more handsome look after laser upper and lower blepharoplasty and Dysport® injections.
Age: 41 years
Complaint: Tired look from heavy, hooded upper lids.
Solution: Brighter look after laser upper blepharoplasty. Note how result has sustained nicely 4 years later.
Age: 54 Years
Complaint: Dark circles caused by loose, crepey, hyperpigmented skin in upper and lower lids.
Solution: Eyes look brighter after laser upper and lower blepharoplasty. Note how eyelid skin is now more even-toned and blends better with the rest of her face.
Age: 52 Years
Complaint: Dark circles around eyes from excess, dark skin in upper and lower lids and bags in lower lids.
Solution: Beautiful transformation after laser upper and lower blepharoplasty.
Age: 47 Years
Complaint: Tired, aged look from heavy, hooded upper and lids and baggy lower lids
Solution: Rejuvenated look after laser upper and lower blepharoplasty and brow lift.
Age: 38 Years
Complaint: Lower lid bags with dark undereye circles; ectropion with exposed palpebral lobes of lacrimal glands
Solution: Refreshed look after laser lower blepharoplasty and ectropion repair to cover lacrimal glands.
Age: 45 Years
Complaint: Hooded upper lids with puffy lids yielding heavy, fatigued look.
Solution: Beautiful, sculpted look after laser upper and lower blepharoplasty.
Age: 76 Years
Complaint: Very tired, aging look from heavy, hooded upper lids and baggy lower lids.
Solution: More handsome, rejuvenated look after laser upper and blepharoplasty.
Age: 60 Years
Complaint: Heavy upper lids with multiple creases; unsightly cholesterol plaques upper lids (xanthelasma); “double bags” lower lids. Patient requesting a single crease without compromising her Asian eyelids.
Solution: Beautiful transformation after laser upper and lower blepharoplasty; excision of xanthelasma upper lids and repair with skin graft right upper lid. A single lid crease was fashioned here and her Asian look has been maintained.
Age: 38 Years
Complaint: Fatigued look due to dark undereye circles from excess skin and bags.
Solution: Refreshed, rested look after laser lower blepharoplasty.
Age: 45 Years
Complaint: Severe dark circles around eyes due to excess hyperpigmented skin.
Solution: Markedly improved dark circles after laser upper and lower blepharoplasty. Note continued improvement even 2 years after the procedure.
Age: 52
Complaint: Fatigued look from excess skin upper lids and baggy lower lids.
Solution: Rested, more sculpted look after laser upper and lower blepharoplasty.
Age: 76 Years
Complaint: Heavy, droopy upper lids and baggy lower lids.
Solution: Markedly rejuvenated look after laser upper and lower blepharoplasty.
Age: 51 Years
Complaint: Tired look from droopy upper lids, baggy lower lids. Patient was also bothered by early loss of her jawline.
Solution: Refreshed, brighter, and more sculpted look after laser upper and lower blepharoplasty and laser liposculpture of jawline. Note contoured eyelids and jawline in profile pictures after the procedures.
Age: 40
Complaint: Baggy lower lids with volume loss yielding tired look.
Solution: Rested, refreshed look after laser lower blepharoplasty followed by tear trough filler 3 years later. Note smooth lower lids with replenished tear trough in profile pictures.
Age: 67
Complaint: Saggy, crepey skin upper and lower lids adding unnecessary age to this “young” 67 year old.
Solution: Laser upper and lower blepharoplasty – now she does not look a day over 50!
For more before/after blepharoplasty photos, please visit www.drguptaeyelids.com/gallery/blepharoplasty.