By Dr. Ronald Bergman
Baggage Rejuvenate your face by doing
away with the puffy and droopy
spots beneath your eyes
AFTER re you carrying baggage? Do the bags under your eyes
never disappear, regardless of what you do? Well here
is a way to permanently rid yourself of your baggage...
or at least that of your eyelids. Drop off that extra bag-
gage at the baggage claim.
In the business, we call the surgery that leaves you wide eyed and
bag free a blepharoplasty. This surgical treatment can improve the
appearance of the upper eyelids, lower eyelids, or both. It gives a re-
juvenated appearance to the surrounding area of your eyes, making
you look more rested and alert.
A CHECK THOSE BAGS: Once you enter your 30s, wrinkles become more noticeable and
by middle age, your eyelids thin and begin to relax. With aging, the tissues and muscles
around your eyes weaken. Normal fat that helps support the eyes will then migrate for-
ward into your lower eyelids, causing the lids to appear puffy. Fluid may also accumulate
under your eyes adding to a swollen appearance. A blepharoplasty can produce a dra-
matically youthful appearance, and its popularity continues to grow as more, and more dis-
cover the value of such a procedure.
SO WHAT BAGGAGE CAN YOU REMOVE?
Upper eyelid surgery can remove excess fatty deposits that ap-
pear as pufﬁness in the upper eyelids, or the loose or sagging skin
that creates folds that take away from the beauty of your natural eye
shape. Lower eyelid blepharoplasty can remove excess skin and ﬁne
wrinkles of the lower eyelid, bags under the eye, and can correct
droopiness of the lower eyelids.
Following your physician’s instructions is key to the success of
your surgery. It is important that the surgical incisions are not sub-
jected to excessive force, abrasion or motion during the time of
healing. Your doctor will give you speciﬁc instructions on how to
care for yourself.
After your procedure is completed, lubricating ointment and
cold compresses may be applied, and in some cases your eyes may
be loosely covered with gauze.
SO HOW DOES THE SURGERY WORK?
Medications are administered for your comfort during the eye-
lid surgery procedure. Next, an incision is made. This incision line
and placement is 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 natu-
ral 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 hid-
den inside the lower eyelid, is an alternate technique to correct
lower eyelid conditions and redistribute or remove excess fat.
Through this incision the surgeon will remove the excess tissue
causing the saggy baggage. The incision is then closed with suture,
adhesive and tape.
WHEN CAN YOU SEE THE FINAL RESULTS?
The results of 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.
Remember, the ultimate decision to have cosmetic surgery is ex-
tremely personal and you’ll have to decide if the beneﬁts will
achieve your goals and if the risks and potential blepharoplasty
complications are acceptable. Ⅺ
Dr. Ronald Bergman is a board-certiﬁed plastic surgeon practicing in
Des Moines, Iowa, for 28 years. He specializes in breast augmentation,
liposuction, and tummy tucks. His patients include many local, nation-
al, and international pageant winners. Dr. Bergman is also a highly
qualiﬁed pageant judge. His web site is bergmancosmeticsurgery.com.