In a majority of people, the eyes are the first area on the body to show signs of aging-sometimes appearing as early as the mid to late 20’s.  Drooping of the upper lids as well as puffiness under the lower lids may develop. Exposure to the sun, tobacco and hereditary factors all contribute to the aging process, resulting in changes of expression. Because of these changes, people may tend to look worn out, fatigued, and older than their true age. Beyond possible visual impairment, these undesired changes in your appearance can cause anxiety, stress and loss of self-esteem.

Before Surgery

To better understand your overall health and conditions, we will thoroughly evaluate your medical history before surgery. We will perform a thorough examination of your face and eyes.  Precise markings and measurements will detail where incisions are made and the amount of tissue to be removed. Digital photographs will be taken, studied and reviewed with the patient prior to the procedure.  Computer analysis and simulation are often used for educational purposes.

Dr. Vandervort will provide you with pre-operative instructions that may include discontinuing the use of specific drugs for several weeks prior to surgery to minimize bleeding, swelling and bruising. Antibiotics may be prescribed to prevent infection. Steroids may be prescribed to reduce swelling.


Blepharoplasty can be performed to correct upper eyelids that sag, bags beneath the lower lids, and excess folds near the eyes. Blepharoplasty involves removing excess skin and fat on either or both upper and lower eyelids and is often performed in conjunction with another surgical procedure such as a facelift and/or forehead lift. Blepharoplasty can be done under oral sedation, IV sedation or general anesthesia (while you asleep) depending on your preference.

Dr. Vandervort will make incisions to lay hidden in the natural creases and lines of your face. Upper eyelid incisions are hidden in the crease of the lid. On the lower eyelid, the incisions may be made just below the eyelash or even inside the eyelid in some cases. Excess skin and fat are removed from the underlying compartments. The amount of fat removed is determined by the degree of protrusion of fat. Small sutures are used to close the incision. At this point, special ointments and dressings may be applied. Blepharoplasty surgery usually takes less than two hours.  Laser or chemical resurfacing is often performed at the same time to reduce wrinkles.

Post-Operative Information

Bruising and swelling are usually quite mild and resolve in a week or two.  Initially, the eyes may tend to feel dry after blepharoplasty. With medication, this condition can be alleviated. You may also be sensitive to wind and bright light for a period of time. Numbness and itching is also fairly common during the healing process. Patients will be followed routinely until healing is complete.