Eyelid Surgery (Blepharoplasty)
The eyes are a prominent facial feature but the eyes are expressionless structures. The skin, muscle, fat, hair, and lashes all contribute to the wide array of expressions. Unfortunately, wrinkles and deep lines as well as puffiness under the lids develop as you age. In addition, exposure to the sun as well as hereditary factors contributes to the aging process, all resulting in changes of expression. In many cases, people may look fatigued, worn out, and older than their true age. Beyond possible visual impairment, these changes in your appearance can cause stress and anxiety.
Excess of fat in both upper and lower eyelids.
Fat prolapse and skin excess in both upper and lower eyelids.
Incisions for blepharoplasty are hidden in the eyelids folds.
Which patients are candidates for eyelid surgery?
Blepharoplasty is done to patients who have sagging eyelids, bags or pouches beneath the eyes, as well as excess folds around the eyes tightening the loose skin. This procedure is performed on both men and women. The reason for the surgery is to restore the eyelids to a more youthful, well-rested appearance.
Most patients can be candidates for blepharoplasty. Certain conditions can exclude a patient from being suitable for eyelid surgery. These include patients suffering from glaucoma, dry eye, detached retina and patients with some thyroid disorders
How the procedure is performed?
Blepharoplasty can be done under general anesthesia (with you asleep) or under intravenous sedation. Both are very comfortable options. Premedication is utilized prior to surgery to decrease swelling after the operation.
During the upper eyelid surgery, an incision is made along the upper eyelid crease so that the scar is not visible. In the lower eyelid surgery, the incision is made just under the lash line. The excess skin, fat and muscle are removed and small sutures are placed to close the incision. In the upper eyelid there are two fat compartments and three in the lower eyelid. The procedure takes from 1-3 hours with minimal swelling and bruising.
Swelling, ecchymosis and drying of the eyes can occur immediately after blepharoplasty. These conditions can be alleviated with the use of ice and medications. In addition, you may be sensitive to bright light and wind for a period of time. Numbness and itching may also occur during the healing process.
The patient will then returns to the office after three days after the surgery to follow-up and see how he/she is healing depending on how you are healing. The sutures will then be removed. You may return to regular activity and exercise within a week to a week and a half.
