Eyelid Surgery



Emotional expression is mediated mostly through the position and shape of the eyelids and eyebrows.  Stand in front of a mirror and try to express various emotional states such as happiness, anger, contentment, fatigue, amusement or surprise.  There is very little if any change in the eyeball or pupil itself but rather it all takes place in the brows and eyelids.  Patients who have baggy lower lids look tired even if they have had a good night’s sleep.  Overhanging, downward drifting upper eyelids suggest sadness.  Many of these features are hereditary but tend to become more accentuated with aging, as the skin and muscle around the eyelids becomes looser.  Correction of some of these features can dramatically refresh the facial expression and convey a sense of youthful energy and alertness.  Dr. Samuel’s vast experience, technical expertise and sound surgical judgment have produced excellent, natural looking results in patients who underwent blepharoplasty procedures by him.

Frequently eyelid surgery is carried out at the same time as other rejuvenative procedures such as facelifts or forehead lifts.

As is the case in all surgeries, patients who undergo eyelid surgery must be properly assessed medically in order to rule out any contraindications to the procedure.  Pre-existing eye conditions or medical disorders which may affect the eyes must be considered before surgery is performed.  This would be done during the pre-operative consultation with Dr. Samuel.  At that time the operative procedure, post-operative course and all relevant consequences would be discussed with the patient.  Dr. Samuel instructs his patients in the do’s and don’ts before and after surgery.  Among other things he directs his patients to avoid medications which may affect blood clotting for 2 weeks before surgery.

When eyelid surgery (blepharoplasty) is performed as the sole procedure, the surgery is usually done under local anaesthesia, with or without sedation.  The advantage to this is that during the operation the surgeon can get the patient to open or close his/her eyes and thereby more accurately determine the amount of excess skin to be safely removed.  One of the things to be avoided in eyelid surgery is removal of too much skin which can result in inability to fully close the eyelids and produces a startled appearance to the eye.

Before surgery Dr. Samuel places markings on the upper and lower eyelids where the proposed incisions will be positioned.  He outlines the amount of excess skin in the upper lid to be removed in such a way that when the skin is closed, the resultant fine scar is camouflaged within the fold of the upper eyelid.  If there is excess fat in the upper eyelid, this can be trimmed away to produce a deeper set upper lid fold.  Occasionally a narrow strip of excess muscle tissue may be removed.

The lower eyelid incision is usually placed just below the eyelash margin and extends in the corner of the eye into a laugh line crease.  The skin is lifted off the underlying muscle.  In patients who have a bulge of fat in the lower eyelids, excess fat may be removed from behind the muscle and then the excess skin is conservatively trimmed away so as not to be too tight when the wound is closed.

In patients where there is no extra skin but only excess fat, the fat alone can be removed through an incision inside the eyelid.

After surgery the patient is advised to rest with the head slightly elevated to avoid swelling and to apply icepacks which may decrease swelling and bruising.  The bruising will gradually fade.  The result following eyelid surgery usually produces a freshened appearance to the patient’s expression.

If you are considering eyelid surgery (blepharoplasty) please contact Dr. Samuel’s office at 416-630-2715 or e-mail drssamuel@rogers.com to arrange a consultation appointment.  His staff will be pleased to assist you.

Disclaimer:  The explanations on this procedure are meant to provide only an overview of information on the subject.  This does not constitute ‘informed consent’.  Each case must be assessed   by Dr. Samuel individually.  This will include a proper history, physical examination and discussion of the proposed surgery, post-operative course including the relevant potential complications.  During the consultation and subsequently, the patient will have opportunities to ask questions and clarify any concerns he/she may have relating to any aspect of their care by Dr. Samuel and his staff.

This website is aimed at informing Canadian patients of the services provided by Dr. Samuel.  At no time is it intended for patients who reside outside Canada.

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