The surgical procedure commonly known as an eyelid lift, or blepharoplasty, improves the appearance and function of the upper and lower eyelids. This operation involves the precise removal or repositioning of excess skin, muscle, and fat that accumulates around the eye with age or due to genetic factors. People seek this surgery for two primary reasons: aesthetic enhancement and functional necessity. Aesthetically, blepharoplasty can restore a more youthful, refreshed appearance by addressing puffiness and sagging around the eyes.
When performed for functional purposes, the procedure corrects drooping upper eyelids that impede a person’s field of vision. This sagging, caused by loose skin or a weakened muscle, often affects peripheral vision and can lead to eye strain or headaches. Because the eyelid lift requires a delicate balance between improving appearance and maintaining eye health and function, it is performed by doctors from two distinct surgical specialties.
The Role of the General Plastic Surgeon
A general plastic surgeon performs the eyelid lift procedure, focusing on aesthetic and reconstructive surgery across the entire body. Their training involves completing a residency program in plastic surgery following medical school, typically spanning six or more years of surgical training. This broad training provides a comprehensive understanding of human anatomy, tissue manipulation, and wound healing.
The general plastic surgeon views the eyes as one component of the overall facial aesthetic unit. Their goal is to harmonize the eyelids with the brow, midface, and neck to achieve a balanced, rejuvenated appearance. They are highly skilled in performing both upper and lower lid procedures, often combining them with other facial surgeries like facelifts or brow lifts.
The Specialized Oculoplastic Surgeon
The other specialists who perform eyelid lifts are Oculoplastic Surgeons, formally known as ophthalmic plastic and reconstructive surgeons. Their foundational training is a full residency in ophthalmology, which focuses exclusively on the health, function, and diseases of the eye. This initial focus provides them with detailed knowledge of the delicate anatomy of the eyeball, surrounding soft tissues, and the mechanics of vision.
Following residency, these specialists complete an intensive, two-year surgical fellowship, often accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). This subspecialty training concentrates solely on the eyelids, the orbit (eye socket), and the lacrimal (tear drainage) system. Oculoplastic surgeons are uniquely positioned to address both cosmetic concerns and complex functional issues, such as severe ptosis or managing complications from previous surgeries.
Evaluating Surgeon Training and Certification
Verifying credentials is a necessary step when selecting a provider, regardless of whether the patient chooses a general plastic surgeon or an oculoplastic surgeon. Board certification confirms the surgeon has met standards of education, training, and competency in their chosen field. General plastic surgeons should be certified by the American Board of Plastic Surgery (ABPS), which requires extensive training and comprehensive examinations.
For oculoplastic surgeons, certification by the American Board of Ophthalmology is the initial requirement. A further indicator of specialized training is certification or membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), which signifies the completion of a rigorous fellowship. Verification of these certifications and the surgeon’s state medical license can be done through the respective board websites. It is also wise to ensure the surgeon has operating privileges at accredited local hospitals, demonstrating that their surgical skills and safety protocols have been vetted by a peer review process.
Key Steps in Choosing a Provider
After confirming a surgeon’s formal qualifications, the next phase involves practical steps to ensure they are the right fit for the procedure. Scheduling an initial consultation allows you to discuss your goals and assess the surgeon’s communication style and overall approach. During this meeting, inquire about the surgeon’s specific experience with blepharoplasty, especially the technique they intend to use.
A provider should share an extensive portfolio of before-and-after photographs of previous eyelid lift patients. These images demonstrate the surgeon’s aesthetic judgment and ability to achieve natural-looking results. Finally, confirm that the surgical facility is accredited by a recognized organization, such as the Accreditation Association for Ambulatory Health Care (AAAHC). This accreditation signifies that the facility adheres to strict safety and quality standards, contributing significantly to a safe surgical experience.