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How involved is eyelid surgery and how much recovery time is needed?

Q:

I have droopy eyelids, but also sagging jowls and loose neck skin.  Does this require a complete face lift? What is the approximate cost and recovery time required for this?

A:

An examination would most likely be required to answer your question adequately. Droopy upper eyelids can be a sign of brow ptosis/sagging or the need for a bletharoplasty (eye lift). Yes, jowling and a turkey gobbler neck often indicates the need for a face lift. First, consider writing down the things you really do not like about your face. For example: My forehead droops and makes me look mad. Second, consider seeking evaluation by your primary care physician for cardiopulmonary clearance to make sure you are healthy enough for surgery. Third, get some pictures of when you were younger to take to your surgeon at the time of your consultation. Lastly, look for an ASAPS member in your area for a cosmetic consult. They are experts in Facial Plastic Surgery.

Best,

Gary R Culbertson, MD, FACS

A:

The only way to determine what is necessary to improve droopy eyelids and sagging jowls with loose neck skin is with a full consultation with a Plastic Surgeon who can examine you and discuss your desires. Both upper and lower eyelids can droop, and usually do when jowls and loose neck skin are present. Upper eyelid droop can be the result of extra skin in the eyelid or droop of the brow or both. You may need an upper blepharoplasty, lower blepharoplasty or both, and/or a browlift and a facelift. Only after you and your Plastic Surgeon have determined what is causing the problem that worries you can you decide what you need and, thus, the costs.

R.T. Buchanan, MD

A:

Often the best option for the jowl and neck area is a facelift, but you should see a board certified plastic surgeon for an individual assessment. Combining this with eyelid surgery is common. Recovery time also varies depending upon the individual and the particulars of the procedure that was performed.

R.A. Baxter, MD

Richard A. Baxter, M.D. - View Other Answers by this Doctor
Mountlake Terrace, WA

A:

The best option is usually a full facelift/necklift with eyelid surgery performed all at the same time. The early recovery is 7-10 days on average but it will probably be about 3 weeks before you feel totally comfortable in a public situation without too many signs of having recent surgery.

Adrian Lo, MD

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