The human body is an amazing thing; it never stops changing. Of course, some of these changes are less welcome than others, especially as we age. While some changes only affect us cosmetically, others can have a negative impact on functionality, especially when it comes to our eyes and face

As we age, our body has decreased production and organization of collagen and elastin which may result in redundant or sagging eyelid skin.  Fat may also bulge into the upper and lower eyelid tissues  which can result in the formation of under-eye bags and puffiness.  These changes to the eyes can make a person look tired, even when a person is well-rested. Additionally, the skin above the eyes is also a concern for many, with a natural loss of elastin and collagen causing a person’s eyelids to droop. Sagging skin above the eyes can be more than just an aesthetic concern. In some cases, it can begin to hinder a person’s vision. 

Both men and women can suffer from sagging skin around the eyes. 

If you have a tired appearance or are unhappy with your drooping eyelids, Dr. Bruno at Bruno Plastic Surgery can help you achieve your goals. Whether your concerns are functional or cosmetic, receiving upper and lower blepharoplasty in NEPA works wonders. A form of eyelid surgery that removes excess skin around the eyes, blepharoplasty creates a more alert and youthful appearance while possibly also correcting visual obstructions.

Introduction to Upper and Lower Blepharoplasty

Blepharoplasty, commonly known as eyelid surgery, is a cosmetic rejuvenating procedure designed to enhance the appearance of the eyes by removing excess skin, fat, and muscle from the upper and lower eyelids. An upper blepharoplasty may include excision of drooping eyelid skin, and excess fat.  A lower eyelid blepharoplasty corrects under eye bags, removes excess skin and fat.  This procedure not only rejuvenates your eyes for a more youthful and revitalized appearance but can also improve vision obscured by drooping eyelids. At Bruno Plastic Surgery, Dr. Bruno understands the significant role your eyes play in your overall facial aesthetic and functionality, and his experience and surgical skill lends him the ability to give you a more vibrant, alert look with this transformative procedure.

Who is an Ideal Candidate for Blepharoplasty?

The ideal candidate for blepharoplasty is typically someone who is in good overall health and has realistic expectations of the procedure. Potential patients often present with excess, hanging skin or fat deposits in the upper and or lower eyelids that create a tired or aged appearance. Some may experience impaired vision due to overhanging skin. Upper eyelid excess skin may also be caused by a drooping eyebrow and patients may also require a brow lift and blepharoplasty at the same time for the best outcome.  While age is not a restrictive factor, most of our patients are 35 years or older, as this is when age-related changes often start to become noticeable. However, younger patients with a family history of droopy or baggy eyelids may also opt for the procedure. 

It’s important to note that certain medical conditions may make blepharoplasty more risky, such as thyroid disorders, cardiovascular disease, diabetes, and certain eye conditions like dry eye, glaucoma, or a detached retina. A thorough evaluation of your medical history will be carried out during your consultation to ascertain suitability for the procedure.

Preoperative Considerations

Before you commit to blepharoplasty, a pre-operative consultation is conducted to ensure the surgery aligns with your aesthetic goals and health status. During this session, Dr. Anthony Bruno will review your medical history, perform a physical examination and possibly order certain lab tests.  We will discuss your expectations and desired outcome, including potential risks and the benefits of the procedure. 

You will also receive guidance on preparing for the procedure. This may include lifestyle changes such as ceasing smoking, avoiding certain medications, and arranging for a ride home post-surgery. It’s critical to inform your surgeon of any routine medications, supplements, or herbal treatments you’re taking to avoid any potential surgical complications. At Bruno Plastic Surgery, we believe in a holistic, patient-centric approach, which means we are here to support you at every step of this journey.

The Blepharoplasty Procedure

At Bruno Plastic Surgery Blepharoplasty procedures are performed by Anthony D. Bruno,II, M.D., a Board Certified Plastic Surgeon, who has years of experience and training in blepharoplasty surgery.  Dr. Bruno’s attention to detail and skill ensures his patients an optimal result.  He prioritizes patient safety and satisfaction. Generally, the procedure can take between one to two hours, depending on whether both upper and lower eyelids are being addressed.

The procedure begins with the administration of either local or general anesthesia, depending on your comfort level and the complexity of the operation. Some procedures can be done in the office under local anesthesia.  For upper eyelid surgery, a discreet incision is made within the natural crease of the eyelid, through which excess skin and fat are removed or repositioned. In lower eyelid surgery, the incision is either made just beneath the lash line or inside the lower eyelid. This approach ensures that post-operative scarring is virtually invisible.

Upon completion, the incisions are closed with fine sutures, and a sterile dressing may be applied. The technique employed will be customized to your unique anatomy and aesthetic goals to yield the most natural and revitalizing results.

Postoperative Care and Recovery

After the surgery, you can expect some bruising and swelling, which generally subsides within two weeks. You may also experience temporary discomfort, dryness, or sensitivity to light, but these symptoms can be effectively managed with prescribed medications.

Postoperative instructions will be provided, including how to clean your eyes and use prescribed eye drops or ointments. Cold compresses and head elevation can help manage swelling and discomfort. 

Dr. Bruno and his staff at Bruno Plastic Surgery, P.C. are committed to giving you a first class one of a kind experience. You will be treated with very personalized, attentive care, before, during and after surgery.  You will always feel that you have our complete support and attention throughout your journey.  Dr. Bruno will always be available day and night to promptly answer your questions and personally care for you should you have any post surgical issues.  

Results and Expectations

Blepharoplasty provides both functional and cosmetic enhancements. Post-surgery, patients often notice a significant improvement in the field of vision and a refreshed, youthful look. 

The results of upper and lower blepharoplasty are long-lasting. While the procedure cannot halt the aging process, it can set back the clock and provide you with a more rested and alert appearance. Remember that individual results may vary, and maintaining a healthy lifestyle can aid in prolonging your results.

At Bruno Plastic Surgery, Dr. Bruno’s surgical skill and attention to detail provides his patients with natural-looking results that align with your expectations, enhancing your confidence and contributing to an overall improved quality of life. Dr. Bruno’s patient satisfaction is a testament to his  commitment to exceptional care and superior results.

Schedule Your Blepharoplasty in NEPA Today 

Whether or not drooping eyelids are interfering with your vision, Dr. Bruno knows how uncomfortable it can be living with sagging skin around your eyes. Looking tired can make you feel tired and depressed. Often there’s no amount of rest that can fix that. Blepharoplasty in NEPA, however, can. 

With a reputation for meticulous detail and consummate professionalism, no one is better equipped to perform your eyelid surgery than Anthony D. Bruno, II, M.D. Embrace a more confident, youthful new you today with the best blepharoplasty surgeon in Northeastern Pennsylvania. 

To learn more about getting blepharoplasty in NEPA, contact us.


If you have any questions about our services or procedures, get in touch with us over the phone or leave us a message below.


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