Upper eyelid rejuvenation requires a single incision along the natural crease of the eyelid. The incision is closed with sutures that will be removed in a week. Lower eyelid rejuvenation has several surgical approaches. If there is excessive fat creating a bulge in the lower eyelid as well as excess skin, then two incisions are required. An incision along the inner lining of the lower eyelid (transconjunctival approach) allows easy access to remove some of the bulging fat. An incision just below the lower eyelashes allows for removal of the excess skin. In some instances, only one of the incisions is required depending upon the correction needed. If it is just excess skin, then an incision below the eyelashes (subciliary approach) is required.

Eyelid surgery procedures take approximately 1-2 hours. It is performed under sedation in an outpatient setting. Patients can expect mild discomfort, minimal swelling, and possibly some bruising along the lower eyelid. There are no stitches in the inner eyelid but sutures are used for the outer skin incisions. These sutures will be removed in a week. The scar fades in approximately two months, leaving almost no visible sign of surgery. Patients may return to work in approximately 2 weeks and resume exercising in 3 weeks. Dr. Antimarino recommends not using contact lenses for 2 weeks.