Aesthetic Surgery of Virginia: Enrique Silberblatt, MD
3505 Brambleton Avenue
Roanoke, VA 24018
Phone: (540) 776-1600
Monday–Friday: 8:30 a.m.–5 p.m.
Lower Eyelid Surgery
Lower eyelid surgery is usually done to remove the “bagginess” and “dark circles.” Patients tell me they are upset when others comment on how “tired” they look. Surgery to correct this is more involved than skin and fat in the upper lids. Plastic surgeons have found that simple fat removal often leads to a “hollow” look of the eyes as patients get older. I make an incision just under the eyelashes and redistribute the fat from the “baggy” area to the “hollow” area. I then tighten the muscle, trim the extra skin and close the incision. Very little skin is actually removed. Occasionally, a small amount of fat needs to be removed, but this is rare. No part of the operation is done by any other surgeon, nurse or assistant. Patients do not stay in a hospital or overnight facility but must be accompanied by a responsible adult the first night after surgery. This procedure takes about two hours and can be done under local, sedation or general anesthesia. Anesthesia choice is the patient’s.
Ice is kept over the eyes for three days to reduce swelling and bruising. Sutures are removed after five days. While experiences vary after surgery, many patients feel comfortable returning to work after this. Others feel that the swelling takes longer to resolve and take two to three weeks off. You may not be able to put on contact lenses for four to six weeks. Your final result should be evident at about three months. It is rare to re-operate on lower eyelids.
Did You Know?Loose skin over the cheeks at the junction of the eyelid and cheek skin will not be corrected by eyelid surgery?.
If you are interested in learning more about the lower eyelid surgery and your options, please contact my office to schedule an appointment.
What is it like to have eyelid surgery?
"I was tired of looking tired. Every morning when I would look in the mirror I would see these dark shadows and bags that would not go away. I felt I was too young to look that old and wanted a change. I now feel and see the difference. I don’t look so tired or angry anymore."*Read More
Upper Eyelid Surgery
Upper eyelid surgery is usually performed to remove excess skin that, in many cases, partially obstructs the peripheral vision. Excess skin is carefully measured, marked, anesthetized with local anesthesia and then removed. If there is extra fat, that is removed as well. Although most cases can be done under purely local anesthesia, intra-venous sedation by a board certified anesthesiologist is available for those who prefer to have no memory of any part of the procedure. The average operating time is one hour. No part of the operation is done by any other surgeon, nurse or assistant. Patients do not stay in a hospital or overnight facility but should have a responsible adult to help them the first night after surgery.
Dr. Enrique Silberblatt
Dr. Silberblatt performs all treatments and procedures himself—from minimally invasive injectables to complex surgeries. He is by your side every step of the way, from easing your nerves at the consultation through celebrating your beautiful new look after recovery.Meet Dr. Silberblatt
Ice is used to reduce swelling and inflammation for the first two to three days. Sutures are removed after five days. Most patients return to work at this point, although experiences vary. The final results are usually apparent at about six weeks. Excess skin of the upper lids can occasionally grow back to the point of requiring another removal, but this is rare.
Did You Know?As we get older the muscles that lift the upper eyelid can get weaker and cause drooping? This condition can be hidden by the excess droopy eyelid skin.
If you are interested in learning more about the upper eyelid surgery and your options, please contact my office to schedule an appointment.