The eyes are the "windows to the soul," and among the first facial characteristics you notice when you meet someone. Most communication is nonverbal, and a person's eyes provide cues to their emotions. If your eyes are beginning to show age-related changes, including crepiness, wrinkles, or bulges, eyelid surgery can restore a youthful, refreshed, and rested appearance. Double board certified facial plastic surgeon Dr. Timothy M. Greco performs eyelid surgery (blepharoplasty) for Philadelphia and New Jersey patients who would like to rejuvenate their eyes.
Dr. Greco's practice is limited solely to excellence in aesthetic surgery of the face, for patients from not only Philadelphia and its surrounding suburbs, but also for men and women from around the country. To discuss blepharoplasty with Dr. Greco, call the Timothy M. Greco, MD, PC at (610) 664-8830, or request a consultation online today.
During your consultation, Dr. Greco will carefully examine your face and recommend treatment options to help restore a rested and refreshed appearance to your eyes. These options might include a brow lift to smooth forehead wrinkles and elevate the brows, laser skin resurfacing to reduce wrinkling of the lower eyelids, blepharoplasty to remove fat to improve bags under the eyes, or blepharoplasty to remove excess skin of the upper eyelids creating hooding. BOTOX® Cosmetic treatments can also smooth crow's feet or frown lines. Filler may be suggested for those patients with deep tear troughs.
Find out who is a good candidate for scarless lower eyelid surgery and how the procedure is performed.
Patients considering eyelid surgery should remember that there are two types of blepharoplasty: upper lid and lower lid. Each accomplishes something different and may be performed as a solitary procedure or combined with the other for a rejuvenation of the overall eye region. In general, upper eyelids tend to develop a heaviness and laxity that causes them to droop and contribute to a tired appearance. Lower eyelids can also droop, but aesthetic issues to be addressed below the eye often involve the formation of pockets of fat that bulge and create an aging look.
While the problems occur in the same region of the face, they require different approaches and techniques. Because of how closely linked the upper and lower eyelids are, and due to the fact that cosmetic changes to one can impact the other, upper and lower lid blepharoplasty surgeries are usually performed together.
One of the most important factors for Philadelphia area women and men seeking eyelid surgery is realistic expectations. A successful blepharoplasty improves the appearance of the eyelids without compromising their important functions, which are to protect and moisten the eyes. Dr. Greco wants to ensure that his patients fully understand the benefits that can be achieved with a blepharoplasty.
Patients interested in eyelid surgery will complete an eye evaluation to ensure that they are good candidates for undergoing this procedure. Each patient is also invited to ask questions to become fully informed about what blepharoplasty can and cannot do, what to expect during the procedure, what to look for in terms of results after the surgery, and more.
The incisions and resulting scars are well concealed with blepharoplasty. The incision in the upper eyelid is concealed in the natural lid fold. This allows Dr. Greco to access tissues as necessary, but camouflages any resulting faint scars or marks in creases.
Often, surgery in the lower eyelid to remove any "bags" or bulges can be performed without an exterior skin incision at all. Instead, a small incision is placed on the inside of the eyelid, concealing the scar.
During your consultation, Dr. Greco will show you the various incision techniques and recommend which is best for your individual needs.
Blepharoplasty procedures usually involve the administration of local anesthesia with conscious sedation. This combination provides excellent comfort and safety for your procedure.
Following the procedure, Philadelphia area patients will be provided with a prescription medication to help manage any discomfort experienced in the post-operative period. Some minor side effects, although uncommon, may include irritation at the incision sites or dryness in the eyes. Dr. Greco may suggest ointments to help remedy these temporary conditions.
Prior to surgery, you must disclose whether you are taking any aspirin products, herbal preparations, or "blood thinners," because these can contribute to swelling and bruising. You will be instructed to stop these medications two weeks before surgery, or when it is appropriate after discussion with your primary care doctor.
Most swelling and bruising disappears in seven to 10 days, at which time most patients can use cover-up and return to work. Cold compresses for the first 72 hours significantly help reduce bruising and swelling. Wearing dark glasses immediately after surgery hides the bruising and swelling when in public. It also helps to protect your healing tissue from harmful UV radiation. Regular and adequate protection from the sun is an important part of long-term skin health and beauty, but it is particularly imperative after a blepharoplasty or other cosmetic surgery or treatment. Talk to Dr. Greco and his staff about the appropriate sunscreen to wear after surgery.
The recovery for Philadelphia blepharoplasty patients is usually unremarkable. You will find that the swelling and bruising peaks at 48 to 72 hours after surgery, with the majority disappearing within seven to 10 days.
Blepharoplasty recovery time depends on your ability to follow postoperative instructions, including the liberal use of cold compresses for 72 hours after surgery to help reduce bruising and swelling. Most patients can return to their normal routine within seven to 10 days and commence exercising at two weeks.
Most patients can safely apply eye makeup at 10 days following surgery.
Patients are encouraged to contact Dr. Greco with questions or concerns at any point following the procedure.
You can resume wearing eyeglasses 24 hours after surgery. You will want to avoid the eyeglasses putting tension on the incisions in any way. Contact lenses can be worn after 10 days.
Eyebrows should not be tweezed or waxed for two weeks. Tweezing and waxing can cause tension on the eyelid incisions that can delay wound healing and widen the scars.
You will have one small suture in each upper eyelid, as well as small, delicate sutures along the upper and lower eyelid incisions. All sutures will be removed several days following your blepharoplasty.
As with any surgical procedure, blepharoplasty does have some risk, although working with a double board certified and experienced facial plastic surgeon like Dr. Greco can help to minimize these risks. Patients in Philadelphia will find that the types of risks depend on the procedure - primarily whether you are seeking an upper and/or lower eyelid blepharoplasty. Risks and how to avoid them will be discussed at your consultation.
Patients with certain preexisting medical or ophthalmic conditions may be at greater risk of experiencing postoperative complications. This will be discusses at your consultation.
To limit risk, you will be asked to provide a complete list of medications and supplements you are currently taking, as well as any problems you are having with your eyes (such as dry eyes or vision problems). Dr. Greco may recommend an examination with an ophthalmologist (eye doctor) before proceeding with your blepharoplasty.
There are multiple surgical approaches to eyelid surgery. Accordingly, the cost will depend on the type and complexity of the procedure that best fits your particular needs, including whether you are receiving an upper-lid blepharoplasty, lower-lid blepharoplasty, or both. During your consultation, a course of treatment to best address your particular needs and expectations will be determined. Dr. Greco will create a treatment plan uniquely suited for you. His staff will discuss the various costs associated with your plan.
Elective cosmetic procedures are not covered by insurance policies. Affordable payment plans are available through CareCredit®, and we are happy to assist Philadelphia area patients with any and all financing questions.
A drooping eyelid may prompt a desire for more than aesthetic correction, as the sagging skin can impede eyesight. In some cases, an upper-lid blepharoplasty can correct the problem by removing the skin disrupting a clear field of vision. This is known as a functional blepharoplasty, as opposed to a cosmetic blepharoplasty. Functional blepharoplasty may improve the appearance of the eyelid even as it restores unobstructed vision.
While a lower-lid blepharoplasty will address sagging pouches below the eye, it won't correct any discoloration. Patients who want to even out their under-eye skin tone can talk to Dr. Greco about the benefits of laser skin resurfacing or a chemical peel designed to help even out skin tone and provide more uniform coloration.
Timothy M. Greco is double board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery. His practice is exclusively dedicated aesthetic surgery of the face.
He has been named one of "America's Top Plastic Surgeons in 2016" in the category of facial plastic surgery and "Best Plastic Surgeon" in numerous Philadelphia-based publications. Dr. Greco frequently trains other plastic surgeons in a number of procedures, including blepharoplasty, facelifting, rhinoplasty, and minimally invasive procedures, such as Botox Cosmetic® and Dysport®, as well as fillers like Juvederm®, Restylane®, and Radiesse®. He also trains physicians and nurses on the use of Voluma®, Sculptra®, and Restylane Lyft® for volumizing the face, as well as Kybella® for removing fat under the chin.
Most importantly for Philadelphia patients interested in blepharoplasty, Dr. Greco prides himself on meticulous surgical planning and execution coupled with unsurpassed postoperative care for patients seeking his expertise. Dr. Greco will draw on his experience and knowledge to achieve the best possible results for your particular needs.
Dr. Greco encourages his patients not to view facial aesthetic surgery as a cure-all for life's problems, but more realistically, as a means of improving self esteem and confidence so as to present your best possible face to the world. He will work with you to develop a realistic treatment plan to achieve your goals.
There are two ways patients can get a visual sense of the blepharoplasty results possible at Timothy M. Greco, M.D., F.A.C.S.
The practice's extensive photo gallery contains before-and-after images featuring patients who received a blepharoplasty, whether alone or in tandem with other surgeries and treatments. When browsing these photographs, keep in mind that each face is unique, so no two blepharoplasty surgeries will produce identical results. In other words, a procedure that yields particular results for one patient will not necessarily generate those same results on another patient. This is why Dr. Greco applies his considerable facial aesthetic experience and talent to each patient as an individual, starting with the consultation to get a sense of the appropriate cosmetic goal and recommending the best path to accomplish that goal.
A more personalized approach involves video imaging that can capture a photo of what a patient looks like now, then alter that photo to show what the blepharoplasty surgery could do to improve the face. While not a guarantee of specific results, this process does serve as an indicator of what your results may be, and it reveals the impact a surgery can have on a face as a whole. The visual display may confirm a blepharoplasty as the best approach for a patient, it may prompt a change of tactics, or it may reveal that other surgeries or treatments may be desired in addition to a blepharoplasty to enhance a youthful and rejuvenated appearance.
Women and men from the Philadelphia area and beyond that are interested in contacting Timothy M. Greco, M.D., FACS for a blepharoplasty can fill out an online form or call (610) 664-8830. Dr. Greco will perform a thorough consultation and allow you to see your results before your surgery through video imaging!