Procedure for Lower Eyelids

As we age it is common to develop puffiness beneath the eyes, often referred to as “bags” under the eyes, making us look tired even when we are well rested. This is primarily caused by excess fat and can be corrected with a procedure called transconjunctival blepharoplasty.

This procedure involves an incision inside the lower eyelid through which excess fat is removed. Sutures are rarely needed for this type of incision, and when they are, they are undetectable to the eye and self-dissolving. Since the incision is inside the eyelid, no scarring results.

Patients with excess skin in addition to eyelid puffiness may benefit from a chemical peel in addition to this procedure. The chemical peel is applied to the lower eyelid skin, tightening the skin and reducing wrinkles in this area.

Another procedure that may be used for the lower eyelids is called transcutaneous blepharoplasty. The incision site is just below the lash line, and both excess fat and skin are removed through this incision. Fine sutures are used to seal the incision. Your surgeon will discuss with you which procedure is best suited for you.

Twilight anesthesia is usually used for patients undergoing lower eyelid surgery.

Procedure for Upper Eyelids

Upper eyelid surgery is usually paired with lower eyelid surgery for best results.

For this procedure, incisions are made along the creases above the upper eyelid, through which excess fat and skin are extracted. The incisions are closed with fine sutures, so scarring is extremely minimal.

Patients are placed either under mild twilight anesthesia for this procedure, or local anesthesia with an intravenous or oral sedative.

Recovery

Patients experience little to no pain after surgery. Cold compresses are used for the first two days to reduce swelling and bruising. After these two days, patients often resume their daily schedules, though strenuous activity should be avoided for 1 week post surgery. After one week, the sutures are removed.

The effects of eyelid surgery usually last an entire lifetime and can make the largest aesthetic improvement to the face with the most minimally invasive of techniques.

Lindsey Erickson – NP

APRN, FNP-BC

Lindsey is a board-certified Family Nurse Practitioner who received her bachelor’s degree in nursing at The Ohio State University in 2010. She received her master’s degree and family nurse practitioner certification in 2013 from the University of Cincinnati. Lindsey has worked in aesthetic medicine for 12 years and aspires to help patient’s achieve their self-improvement goals by enhancing their natural beauty. She and her husband have three children. In her free time, she enjoys camping and boating with her family.

Leah Bruin

Permanent Cosmetics

Leah is an experienced Permanent Makeup Artist with over 17 years in the beauty field. She completed her initial training in 2007 and has continually expanded her skills through advanced education and specialized courses. She offers a full range of permanent makeup services, including soft powdered brows, ombre brows, fine hair strokes, natural to dramatic eyeliner, and both lip blush and lipstick-style lip color.

Leah has been an integral part of Dr. Kuy’s team for five years, bringing her artistic eye and attention to detail to every client she works with. Her goal is to help women feel more confident and simplify their daily routines—and she genuinely loves what she does.

When not working, Leah enjoys an active, outdoor lifestyle. Whether it’s hiking, snow skiing, wakeboarding, boating, or camping, she’s always up for an adventure! She also loves to travel and cherishes time with her family and friends. In her spare time, she is also a wine consultant for Scout & Cellar clean-crafted wines.

Fran Kruger

Patient Advocate

Fran began her career as an educator before taking time off to raise her family. Later, she returned to work in the Medi Spa industry as a patient advocate for nearly 20 years.
Currently, Fran is an enthusiastic fan of THE Ohio State Buckeyes and attends many games with her family. Most importantly, her passion is spending time traveling with her husband and visiting her kids and grandkids.

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Emily Casey

Registered Nurse

With 15 years of nursing experience, I’ve dedicated my career to providing compassionate, high-quality care. For the past four years, I’ve had the pleasure of working alongside Dr. Kuy, supporting patients through every step of their recovery journey. I’m passionate about helping people heal comfortably and confidently. Outside of work, I enjoy reading, traveling, and spending time with my husband and two boys.