Frequently Asked Questions About Eyelid Surgery

Does eyelid surgery hurt?

All surgeries hurt to some degree. However, most patients undergoing eyelid surgery describe very little pain. The most common early postoperative complaints are eye irritation, tearing, and/or dryness.

Will other people notice my scars after eyelid surgery?

The upper eyelid scar is generally concealed within the upper eyelid crease. The lower eyelid scar is concealed just under the eyelashes. The thin skin and good blood flow to these tissues usually results in fine-line and inconspicuous scars.

Will eyelid surgery get rid of crow’s feet or dark circles under my eyes?

Eyelid surgery will reduce or eliminate bulging fat and excess skin from the eyelids. Frequently, this will reduce shadowing of the lower eyelids. However, darker skin pigmentation in the lower lids will not be improved by this procedure. Similarly, crows’ feet are best addressed by Botox injection.

How do I know whether I need a brow lift?

A brow lift may be useful if you notice that your eyebrows look much better when you are actively raising them. In most people, aging of the brows occurs faster along the outer aspects than the inner aspects. If brow lift is performed, Dr. Friedman recommends a conservative procedure. He knows that no one wants to look surprised.

If you are happy with your brow position, you may wish to restrict your surgery to the upper eyelids. As an alternative to surgery, Botox injections may be tailored to provide a (temporary) mild chemical brow lift.

What is the usual age for eyelid surgery?

Most patients undergoing eyelid surgery are in their late 30’s to 60’s. Dr. Friedman feel that there is no “right” time for surgery. Instead, if you are seeing changes that bother you sufficiently to warrant surgery, then surgery may be a reasonable option. However, Dr. Friedman recommends against “preventative” or “prophylactic” surgery. If you’re not ready for surgery, Botox or skin care treatments may be reasonable alternatives.

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