Overview

Eyelid surgery, also known as blepharoplasty or an eyelid lift, is a plastic surgery to remove the excess skin, tissue, and fat from the eye area that causes sagging eyelids or bags under the eyes. Matthew Bridges, MD, FACS, performs eyelid surgery in Richmond, VA, on the upper eyelids to fix droopy skin that can impair vision, the lower eyelids to treat bulges under the eyes, or both if needed by the patient. After eyelid surgery, many patients enjoy looking younger, refreshed, and more awake. Blepharoplasty is commonly performed on patients over 35 years old, but younger patients should not hesitate to schedule a consultation if they feel eyelid surgery may help them.

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Surgical Technique

Upper Eyelid Surgery

During upper eyelid surgery, an incision is made within the natural fold of the lid and extended outward. The incision will go out as wide as possible so that additional skin folds on the outside of the upper eye can also be addressed. Once the incision is made, excess skin, tissue, and, in some cases, a small portion of the orbicularis oculi muscle are removed. The incision is closed with absorbable sutures, and the scar remains almost completely hidden because it resides in the natural crease.

Lower Eyelid Surgery

During lower eyelid surgery, an incision is made along the bottom of the lash line. This allows the surgeon to remove excess fat and tissue. In patients who have puffy lower eyelids but good skin tone, an approach known as a transconjunctival blepharoplasty can be performed. This technique puts the incision inside the lower eyelid rather than outside. Patients who have dark circles under their eyes will sometimes have a deficiency of fat in these areas. Injectables can be used to help fill these soft-tissue deficiencies and can improve the appearance of these circles.  

Blepharoplasty Before & After

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Patient Testimonials

I LOVE what the microneedling has done for my skin - the tone and texture is unbelievable. Thanks for introducing me to Circadia, too - Love all the products you recommended. Am...

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L.C.

Dear Dr. Bridges, Thank you so much for your amazing work on my nose! I'm so thrilled with how it looks, and I couldn't be happier! I hope you have a great rest of your summer.

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Anonymous

Dr Bridges takes the time to know his patients conditions and explains what must be done for treatment in user friendly language. staff is proficient and seems to genuinely care...

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R.S.

Dr. Bridges performed very complex surgery on my nose to repair a large loss to my left nostril due to cancer. At all times he ensured that I understood what the procedure would...

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J.W.

Extremely happy with the outcome of my nose surgery. I had sleep apnea....I was a true mouth breather. My nasal passages were thin slits! Dr Bridges gave me new cartilage ...

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D.B.

Dr. Bridges is an outstanding doctor. His easygoing personality and high level of expertise really set him apart from other doctors. He is a master of his craft and I know when ...

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J.S.

Dr Bridges is wonderful, so relatable and made me feel comfortable from the start. Thorough assessment that led to a wonderful result. Was sent to him for my deviated sept...

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J.H.

I had a most wonderful experience at this office. The staff are great and support the patient before/after surgery. I would tell everyone to come to this office. Dr. Bridges exp...

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Anonymous

Truly an amazing experience. Franki explained the laser procedure with me and made me feel extremely comfortable. I would highly recommend commonwealth and Franki for any services!

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A.B.

Dr. Bridges is fantastic. I always wanted a rhinoplasty but I waited to find the right surgeon. He's patient, listens, and delivers excellent results. He also fixed my dev...

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T.H.
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During/After Surgery

Eyelid surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. It generally takes up to two hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. You’ll want to apply ice packs, keep your head elevated, and apply medicated eye ointment for a few days. Patients often mention that friends and family tell them they look great but often can’t put a finger on what is different. These subtle yet dramatic results restore a softer, more youthful appearance.

Eyelid Surgery FAQ

Will there be visible scars?

Can eyelid surgery address crow's feet?

Will my eyes be irritated after surgery?

Will my vision improve from blepharoplasty?

Will there be visible scars?

After eyelid surgery in Richmond, VA, with Dr. Bridges, scarring will not be visible because of where the incisions are placed. In the upper eyelid, the incision follows the natural crease of the eye. The lower eyelid incision will run just under the eyelashes or inside the eyelid. Scarring will be inconspicuous.

Can eyelid surgery address crow's feet?

Eyelid surgery will reduce puffy bags and excess skin and may help minimize crow’s feet. However, to truly treat crow’s feet, one will need a different approach. BOTOX® injections and procedures such as a brow lift are better options.

Will my eyes be irritated after surgery?

Some patients will experience dryness and minimal irritation following surgery. If these occur, we can recommend ointments and eye drops to assist during the healing phase. Patients should protect their eyes against wind and sun irritation for the first several months by wearing dark sunglasses.

Will my vision improve from blepharoplasty?

If anything, eyelid surgery actually helps improve vision for many patients. Not only does it restore a fresh, younger look from a cosmetic standpoint, but it also eliminates the excess skin that may have been impairing vision. It is important to select a skilled surgeon who is an expert in eyelid surgery. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.

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