Laser Blepharoplasty

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?

2-eyelid anatomy2Dr. 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.

 

laser handpieceWhy 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:

OR suiteThe 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

Patient #1 – please click on any image to enlarge, see details and slideshow

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.

Patient #2 – please click on any image to enlarge, see details and slideshow

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!

Patient #3 – please click on any image to enlarge, see details and slideshow

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.

Patient #4 – please click on any image to enlarge, see details and slideshow

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.

Patient #5 – please click on any image to enlarge, see details and slideshow

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!

Patient #6 – please click on any image to enlarge, see details and slideshow

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.

Patient #7 – please click on any image to enlarge, see details and slideshow

Age: 53 years
Complaint: Saggy skin upper lids; bags lower lids. Tired look.
Solution: Laser upper and lower blepharoplasty. Wow!

Patient #8 – please click on any image to enlarge, see details and slideshow

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.

Patient #9 – please click on any image to enlarge, see details and slideshow

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!

Patient #10 – please click on any image to enlarge, see details and slideshow

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.

Patient #11 – please click on any image to enlarge, see details and slideshow

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!

Patient #12 – please click on any image to enlarge, see details and slideshow

Age: 55 years
Complaint: Loose, crepey skin upper lids
Solution: More sculpted look after laser upper blepharoplasty

Patient #13 – please click on any image to enlarge, see details and slideshow

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.

Patient #14 – please click on any image to enlarge, see details and slideshow

Age: 50 Years
Complaint: Heavy upper lids causing eye fatigue
Solution: Natural, subtle transformation after laser upper blepharoplasty.

Patient #15 – please click on any image to enlarge, see details and slideshow

Age: 59 Years
Complaint: Loose, saggy skin upper lids yielding tired look
Solution: Refreshed, sculpted look after laser upper blepharoplasty

Patient #16 – please click on any image to enlarge, see details and slideshow

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!

Patient #17 – please click on any image to enlarge, see details and slideshow

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.

Patient #18 – please click on any image to enlarge, see details and slideshow

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.

Patient #19 – please click on any image to enlarge, see details and slideshow

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.

Patient #20 – please click on any image to enlarge, see details and slideshow

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.

Patient #21 – please click on any image to enlarge, see details and slideshow

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.

Patient #22 – please click on any image to enlarge, see details and slideshow

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.

Patient #23 – please click on any image to enlarge, see details and slideshow

Age: 45 Years
Complaint: Hooded upper lids with puffy lids yielding heavy, fatigued look.
Solution: Beautiful, sculpted look after laser upper and lower blepharoplasty.

Patient #24 – please click on any image to enlarge, see details and slideshow

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.

Patient #25 – please click on any image to enlarge, see details and slideshow

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.

Patient #26 – please click on any image to enlarge, see details and slideshow

Age: 38 Years
Complaint: Fatigued look due to dark undereye circles from excess skin and bags.
Solution: Refreshed, rested look after laser lower blepharoplasty.

Patient #27 – please click on any image to enlarge, see details and slideshow

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.

Patient #28 – please click on any image to enlarge, see details and slideshow

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.

Patient #29 – please click on any image to enlarge, see details and slideshow

Age: 76 Years
Complaint: Heavy, droopy upper lids and baggy lower lids.
Solution: Markedly rejuvenated look after laser upper and lower blepharoplasty.

Patient #30 – please click on any image to enlarge, see details and slideshow

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.

Patient #31 – please click on any image to enlarge, see details and slideshow

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.

Patient #32 – please click on any image to enlarge, see details and slideshow

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.