How long will eyelid surgery last before the sagging around the eyes starts again?
This is a very frequent question that patients ask, and like any soft tissue surgery, the results of eyelid surgery change gradually over time. The skin will continue to lose elasticity and some laxity will develop and the pace which this happens is unpredictable from one patient to the next. If the upper eyelid skin seems to become redundant over time, one of the important considerations is to review the position of the brow because the heavier brows may begin to sag later then the eyelids skin may need to be addressed. Elevating the brow back to a normal attractive posture often reduces the amount of redundant upper eyelid skin. In the past years, we’ve also seriously considered the volume of the lid as a sign of youth. Thus, for the majority of lower lid blepharoplasties that we perform, volume is added or repositioned and stays stable over a long period of time and thus reduces the appearance of saggy eyelid skin again. If the revision procedure is required particularly for the upper eyelid, this is often a very limited procedure and can be performed often even in the office under local anesthesia for a subtle but gratifying correction.