The development of aesthetic lasers in the mid 1990's revolutionized the field of facial rejuvenation, and has had a huge impact on the ability of surgeons to rejuvenate the eyelid and the area around the eyes.

There are two types of blepharoplasty procedures - upper and lower. An upper blepharoplasty involves making an incision on the upper eyelid to remove the excess and loose skin that develops on the eyelids as we age. The incision can be made with either a scalpel or a laser.

A lower blepharoplasty is done to remove eyelid bags, puffiness and excess skin from the lower eyelids. The lower blepharoplasty may be done either through an incision on the outer skin of the eyelid using a scalpel, or through the pink tissue on the inside of the eyelid (called a transconjunctival blepharoplasty) using either a laser, or a scalpel incision. The advantage of the transconjunctival blepharoplasty is that the supporting muscles of the eyelid are not cut, and the natural shape of the eyelid is preserved.

An additional procedure called an arcus marginalis release can be done during the lower blepharoplasty to remove dark circles under the eyes.

At The Adams Center, we have been using the laser for a majority of our blepharoplasty procedures.. We prefer this method for the several advantages that it offers including:

• Less bleeding
• Better visibility of vital structures
• Less bruising and swelling