Dr. Hakan Gündoğan

Blepharoplasty (Aesthetic Eyelid Surgery)


Also known as blepharoplasty, Aesthetic Eyelid Surgery improves the appearance of the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

* Upper eyelid blepharoplasty can remove excess fatty deposits that appear as puffiness in the upper eyelids.

* Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision, can be treated by eyelid lift surgery.

* Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid.

* Bags under the eyes can be corrected by blepharoplasty.

* Lower Aesthetic Eyelid Surgery can correct droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).

Aesthetic Eyelid Surgery can usually correct these problems, though other treatments may also need to be considered. Some examples follow. If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may be accomplished with Botulinum Toxin, chemical peeling or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with fillers such as Hyaluronic Acid or fat as well as bleaching solution or chemical peel. Dr. Hakan Gundogan can provide further information if you have an interest in any of these additional procedures.

A blepharoplasty (Aesthetic Eyelid Surgery) procedure is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.

You should undergo blepharoplasty surgery (Aesthetic Eyelid Surgery) for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image.

Am I a good candidate for Blepharoplasty (Aesthetic Eyelid Surgery) Surgery?

Any one or combination of the following conditions may indicate that you may be considered a good candidate for Blepharoplasty (Aesthetic Eyelid Surgery):

* Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing

* Non-smokers

* Individuals with a positive outlook and specific goals in mind for blepharoplasty

* Individuals without serious eye conditions

* Excess skin obscuring the natural fold of the upper eyelids

* Loose skin hanging down from the upper eyelids, perhaps impairing vision

* A puffy appearance to the upper eyelids, making the eyes look tired

* Excess skin and fine, “crepe paper type” wrinkles of the lower eyelids

* Bags and dark circles under the eyes

* Lower eyelid droopiness

Your Personal Blepharoplasty (Aesthetic Eyelid Surgery) Consultation with Dr. Hakan Gundogan

During the initial consultation, your facial photographs will be taken by Dr. Hakan Gundogan and you will be asked to look in a mirror and point out exactly what you would like to see improved. This will help Dr. Hakan Gundogan to understand your expectations and determine whether they can realistically be achieved.

You should come to the consultation prepared to discuss your medical history including previous surgeries, past and present medical conditions and current medications. It is important for you to provide complete information. High blood pressure, thyroid problems, diabetes, etc. should be reviewed as these medical conditions may increase some risks associated with Blepharoplasty (Aesthetic Eyelid Surgery).

Dr. Hakan Gundogan will want to know if you have allergies, especially if they affect your eyes. He or she may ask whether you have ever tried and were unable to wear contact lenses.

It will be necessary for Dr. Hakan Gundogan to know if an ophthalmologist ever told you that you have a condition called "dry eye" or if you have any other problems with your eyes.

How should I prepare for surgery?

The goal of Dr. Hakan Gundogan and the entire staff is to make your Blepharoplasty (Aesthetic Eyelid Surgery) experience as easy and comfortable for you as possible.

If you are a smoker, it is highly recommended to stop smoking well in advance of Blepharoplasty (Aesthetic Eyelid Surgery). Smoking can impair your ability to heal. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Dr. Hakan Gundogan will provide you with additional preoperative instructions.

Blepharoplasty (Aesthetic Eyelid Surgery) is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you for the next 24 hours.

How Blepharoplasty (Aesthetic Eyelid Surgery) is Performed?

Your Blepharoplasty (Aesthetic Eyelid Surgery) will be performed in a hospital. Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing Blepharoplasty (Aesthetic Eyelid Surgery), although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

When Blepharoplasty (Aesthetic Eyelid Surgery) is completed, you will be taken into a recovery area where you will continue to be closely monitored. Your vision will be blurry as a result of ointment used to soothe and protect the eye during surgery as well as from the swelling that is a normal aftermath of eyelid procedures. There should be surprisingly little discomfort, however, from the surgery.

You probably will be permitted to go home after a short period of observation, although some patients may stay overnight in the hospital.

One of several surgical techniques may be suggested to improve the appearance of your eyelids. The particular technique that Dr. Hakan Gundogan recommends will depend on many factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of muscles around your eyelids. Because of individual factors, not everyone will achieve the same results from Blepharoplasty (Aesthetic Eyelid Surgery). Dr. Hakan Gundogan will select the surgical technique that he or she feels will obtain the best outcome for you.

Upper Eyelids

For upper Aesthetic Eyelid Surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it usually is inconspicuous.

Lower Eyelids

For lower Aesthetic Eyelid Surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed. As in upper Aesthetic Eyelid Surgery, placement of the incision in natural crease lines allows for the scar to usually heal in an inconspicuous fashion. In some cases, you and Dr. Hakan Gundogan may decide that the best approach for removing excess fat is through an incision placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. A laser may sometimes be used in conjunction with this method to tighten the lower eyelid skin.

Blepharoplasty (Aesthetic Eyelid Surgery) steps

Step 1 – Anesthesia

Medications are administered for your comfort during the Aesthetic Eyelid Surgery procedure. The choices include intravenous sedation or general anesthesia. Dr. Hakan Gundogan will recommend the best choice for you.

Step 2 – The incision

The incision lines for Aesthetic Eyelid Surgery are designed for scars to be well concealed within the natural structures of the eyelid region.

Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin.

Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed.

A transconjunctival incision, one hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.

Step 3 – Closing the incisions

Eyelid incisions typically are closed with:

* Removable or absorbable sutures

* Skin adhesives

* Surgical tape

Dr. Hakan Gundogan may use a laser chemical peel to erase dark discoloration of the lower eyelids.

Step 4 – See the results

The results of Aesthetic Eyelid Surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.


How will I look and feel initially?

The first few days after surgery, you should rest quietly with your head elevated. Dr. Hakan Gundogan may instruct you to apply cold compresses to your eyelids. Remember, you must not take aspirin or certain anti-inflammatory medications. Initially, you may feel a "tight" sensation around the eyes and some mild discomfort that can be controlled with oral medication.

During the first 48 hours following surgery, patients experience varying degrees of swelling and bruising. Some patients find that mild swelling persist for several weeks, while others may see swelling resolve in as little as one week.

Bruising typically disappears within seven to ten days. Within the first week or so, you will be permitted to use makeup, if desired, to conceal any discoloration. Stitches are usually removed within a week of surgery.

Your vision may continue to be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. Some plastic surgeons recommend eye drops to help relieve any burning or itching. You may want to wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation.

Straining, bending and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within ten days or less. Although you might feel like going back to work just a few days after surgery, your vision may still be slightly blurry which could make reading or other paperwork more difficult.

Results of Your Aesthetic Eyelid Surgery

Blepharoplasty (Aesthetic Eyelid Surgery) has the effect of making you look more rested, refreshed and alert. Since the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of the results of your Aesthetic Eyelid Surgery. Incisions will fade over a number of months usually becoming barely visible.

The results of Blepharoplasty (Aesthetic Eyelid Surgery) are usually long lasting, but they may be affected by heredity and lifestyle factors. Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along with the fine wrinkling of the eyelid area may, at some point, return.

Sometimes loss of tone in the forehead causes additional sagging of the eyebrows, which mimics a recurrence of drooping upper eyelids. If this happens, correction may require a forehead lift or a secondary eyelid procedure. Even though the aging process continues, patients are usually happy with their appearance for many years following Blepharoplasty (Aesthetic Eyelid Surgery). Some patients find that they want to make additional improvements at a later time.

Maintaining a Relationship with Dr. Hakan Gundogan

You will return to Dr. Hakan Gundogan for follow-up care at prescribed intervals, at which time your progress will be evaluated.

Please remember that the relationship with Dr. Hakan Gundogan does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact Dr. Hakan Gundogan.