Because the eyes are the primary focal point during interpersonal communication, even small changes in the appearance of the eyes may portray fatigue, sadness, or lack of vitality. There are many factors that may diminish the youthful appearance of the face, such as aging and environmental stimuli. The effects of aging on the eyelids may even cause visual obstruction. As time progresses, the skin on the upper eyelid tends to lose its elasticity and subsequently causes a sagging type of hood over the eye. The natural fatty deposits that surround the eye can also bulge from its normal position, which could lead to upper eyelid puffiness and obstructed vision. The lower eyelid can also show effects of aging. The lower eyelid often exhibits a wrinkled and saggy appearance due to excess skin laxity and fat bulges that can ultimately result in noticeable bags under the eyes. Blepharoplasty Surgery Cosmetic and corrective eyelid procedures, favored among patients in Newport Beach, Orange County, are performed by making a hidden incision in the upper lid crease. Excess skin is then removed and areas with fat deposits are repositioned through a procedure known as blepharoplasty. Lower lid procedures are generally accomplished by making a small incision under the lash line. Sometimes a lower lid correction can also be made using what is known as a transconjunctival approach. This is a procedure that involves an incision made inside the eyelid, thereby eliminating the need for any visible external incisions. As with the upper eyelid blepharoplasty, excess skin on the lower lid may be removed and bulging fat is appropriately removed or repositioned. The ultimate goal of the upper eyelid blepharoplasty is to remove excess skin and bulging fat in order to give the upper lid unrestricted movement and to give the patient a considerably more refreshed appearance. An upper eyelid blepharoplasty can also accomplish a widening of visual fields by removing excessive upper eyelid skin that had partially blocked vision. In order to correct the lower eyelid bagginess, a removal of markedly excess lower skin is made, which will provide a more contoured and smooth look to the overall facial appearance. A comprehensive blepharoplasty requires some form of anesthesia. Either an oral or IV sedation is normally used and, sometimes, a general anesthesia is administered if the patient prefers to be all the way under. The procedure itself averages between one to two hours and is usually performed at a fully-accredited outpatient surgery center. Because the face is the focal point of first impressions as well as non-verbal communications, a blepharoplasty may be combined with other procedures, such as a forehead or brow lift, laser resurfacing, a chemical peel, and a facial fat graft to restore the aesthetics of natural symmetry and balance. Blepharoplasty Recovery After a blepharoplasty procedure, patients usually return home the night following the surgery. The recovery protocols generally involve rest and the application of cold compresses to the eyes. Patients may return to normal work routines within seven days. Recovery will also include post-procedure checkups about a week after the procedure for the removal of stitches. Strenuous activities should be restricted for two weeks and mild bruising or swelling around the eyes can occur. Post-operative bruising and swelling will usually subside within ten days. Pain is generally mild and easily managed with prescription or over-the-counter medication.