Quad Blepharoplasty (Comprehensive Eyelid Surgery)

Rejuvenate both upper and lower eyelids with a complete cosmetic and functional solution.

What is Quad Blepharoplasty?

Quad Blepharoplasty is a comprehensive eyelid surgery that addresses both the upper and lower eyelids in a single procedure. This approach is designed to correct multiple concerns, such as drooping upper eyelids, sagging lower eyelids, excess skin, and under-eye bags, to achieve a balanced and rejuvenated appearance. By treating all four eyelids simultaneously, this surgery ensures a harmonious enhancement of the eyes and surrounding areas.

The procedure is tailored to each individual’s unique anatomy and aesthetic goals, providing natural-looking results that refresh the face without altering its character. Quad Blepharoplasty is ideal for those seeking a complete eyelid transformation, combining functional improvements with cosmetic benefits. For detailed information on techniques, candidacy, and recovery, please explore the additional sections on this page.

Before and After Comparison

Surgical Techniques

Advanced Surgical Approaches

Quad Blepharoplasty combines advanced techniques to rejuvenate the periorbital area. Key methods include:

Comprehensive Approach

  • Precise removal of excess skin, fat, and muscle of both upper and lower eyelids using customized incision techniques
  • Customizable approaches for scarless or minimal-scar results through strategic incision placement
  • Fat repositioning and redistribution for smooth contours and natural-looking results
  • Muscle tightening and reinforcement when needed for optimal support
  • Combined upper and lower eyelid surgery in a single session for harmonious results

Technical Precision

  • Upper eyelid surgical markings made with patient in sitting position for accuracy
  • Lower eyelid approach chosen based on individual anatomy and concerns. Dr. Moupia prefers the scarless technique where incision is made on the inner side of the eyelid
  • Specialized instruments used for precise tissue manipulation
  • Meticulous closure techniques to minimize visible scarring
  • Balanced approach to ensure symmetry between both eyes

Safety Measures

  • Careful preservation of orbital septum and surrounding structures
  • Conservative tissue removal to prevent overcorrection
  • Maintenance of proper eyelid support mechanisms
  • Continuous monitoring of eye protection during surgery
  • Integration of preventive measures to avoid complications

Who is the Right Candidate?

Understanding if this procedure is right for you

The ideal candidate for Quad Blepharoplasty is someone who:

  • Desires a natural-looking refreshed eyelids.
  • Experiences small size of eyes, asymmetry, or lack of definition in the upper eyelids or hooding of eyes or eyebags
  • Is in good health and has realistic expectations about the outcome
  • Has no underlying eye conditions that could impair healing
  • Keen on holistic rejuvination of the eyelids with minimum downtime

Procedure Timeline

What to expect before, during, and after surgery

Quad Blepharoplasty typically takes 1-2 hours, depending on the chosen technique and the complexity of the case. Most patients can return home the same day.

Pre-surgery (few days before)

  • Initial consultation and detailed examination
  • Medical history review and clearance
  • Pre-operative instructions and medications
  • Plan for post-operative care

On the day of surgery

  • Arrival at the surgical facility
  • Final marking and photography
  • Anesthesia administration
  • 2 hours surgical procedure
  • Initial recovery and monitoring
  • Discharge with detailed aftercare instructions

Anesthesia Options

Understanding your anesthesia choices

Local anesthesia with or without IV sedation suffices in most cases. Patients can also opt for general anesthesia if they desire so.

Available Options:

  • Local Anesthesia: Numbs the eye area while keeping you awake
  • Local Anesthesia with Sedation: Provides additional comfort and relaxation
  • General Anesthesia: Complete sleep throughout the procedure

Factors Influencing Choice:

  • Preference and desired comfort level expected by the patient
  • Extent of surgical correction to be done
  • Medical history and overall health
  • Duration of procedure

Recovery Process

Your journey to healing and recovery

Recovery from Quad Blepharoplasty is a gradual process with several phases:

Immediate Post-Surgery (First 24 Hours)

  • Rest with head elevated
  • Apply cold compresses as directed
  • Take prescribed medications

Early Recovery (Days 1-7)

  • Manage swelling and bruising
  • Keep incisions clean
  • Attend follow-up appointment
  • Limited daily activities

Expected Benefits

Understanding the outcomes and improvements

Quad Blepharoplasty offers:

  • Significantly improved vision in cases of droopy or hooded upper eyelids
  • A rejuvenated, harmonious appearance around the eyes
  • Long-lasting results that enhance facial aesthetics
  • Boosted confidence and self-esteem

Risks and Complications

Important safety information to consider

While Quad Blepharoplasty is generally safe, it's important to understand potential risks:

Common Temporary Effects

  • Swelling and bruising
  • Temporary discomfort
  • Dry eyes
  • Sensitivity to light

Risk Minimization

  • Choose a qualified oculoplastic surgeon
  • Follow all pre and post-operative instructions
  • Attend all follow-up appointments
  • Report any concerns promptly

Frequently Asked Questions

Recovery typically takes 2-3 weeks, with most patients returning to work after 10-14 days.

While it addresses both upper and lower eyelids, the procedure is safe when performed by an experienced surgeon. Recovery time may be slightly longer than single eyelid surgery.

Yes, performing both upper and lower blepharoplasty together is common and safe. This comprehensive approach can provide more balanced and harmonious results.

Learn More

Additional resources and references

Before & After Gallery