The folds of skin and bags around the eyes are removed and smoothed out. Although this is often done for cosmetic and aesthetic reasons, these folds and bags can interfere with the function of the eyelids and can interfere with vision, by blocking the vision to the top and the left.
These bags can be removed in order to reduce weight of the eyelids and improve eyelid and visual function.
The bags are typically caused by orbital fat prolapsing forward. In the past this fat was removed, but with modern techniques the fat is re-draped giving a smooth and fresh appearance without the associated hollowed out look around the eyes, which tends to get worse as ageing progresses. If the bags are particularly severe a combination of excision and re-draping is used. The international trend in Blepharoplasty surgery is strongly against excision of fat and towards re-draping of fat. Dr Peirce advocates and uses this approach.
The surgery is typically done in a sterile operating environment under sedation or general anesthesia. Sutures are left in for 10 to 12 days and bruising typically lasts 7 to 10 days.