Droopy eyelids can make you look older and can also impair vision. Blepharoplasty corrects these problems with the upper eyelid and also removes puffiness and bags under the eyes that make you look worn and tired. This procedure cannot alter dark circles, fine lines and wrinkles around the eyes, nor can it change sagging eyebrows. Though blepharoplasty is often performed as a single procedure, your surgeon may also recommend a browlift, facelift, or skin resurfacing to achieve the best results.
Are you a candidate for blepharoplasty?
As with all facial plastic surgery, good health and realistic expectations are prerequisites. Blepharoplasty removes the excess fat, muscle, and skin from both upper and lower lids. The results can be a refreshed appearance, with a younger, firmer eye area.
People with circulatory, ophthalmological, or serious medical conditions must rely on the diagnostic skills of their own personal specialists to determine whether blepharoplasty is an option to consider. Consultation with the facial plastic surgeon can help you decide whether any additional, complementary surgery would increase the success of the surgery. In some patients we recommend planning a simultaneous forehead lift to correct a drooping brow and smooth the forehead, or skin resurfacing with a laser or chemical peel to remove the fine line wrinkling in the eye area.
Whether the surgery is desired for functional or cosmetic reasons, you must make the commitment to follow the pre-surgical and post-operative instructions of the surgeon.
During the pre-surgical consultation, you will be examined or asked to answer queries concerning vision, tear production, use of lenses, and your desires for surgery. Factors to be weighed include age, skin type, ethnic background, and degree of vision obstruction.
The surgical procedure
In upper eyelid surgery, first marks are made in the individual lines and creases of the lids in order to keep the scars as invisible as possible along these natural folds. The incision is made, and excess fat, muscle, and loose skin are removed. Fine sutures are used to close the incisions, thereby minimizing the visibility of the incision after healing.
In lower eyelid surgery, the incision is made in an inconspicuous site along the lashline and smile creases of the lower lid, or more commonly on the inside of the eyelid, allowing a completely invisible incision. Excess fat, muscle, and sometimes skin are then trimmed away before the incision is closed with fine sutures. Eyelid puffiness caused primarily by excess fat may be corrected by a transconjunctival blepharoplasty. The incision in this case is made inside the lower eyelid, and excess fatty material is removed. When sutures are used to close this kind of incision, they are invisible to the eye. They are also self-dissolving and leave no visible scar. Under normal conditions, blepharoplasty can take from one to two hours.
Post operative expectations
Immediately after the surgery has been completed, ice is applied to prevent swelling. An ointment to prevent dryness of the eye area may be used, especially on any incisions. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Medication for discomfort may be prescribed.
For a week and a half following blepharoplasty, you will clean the eye area (the eyes may feel sticky, dry, and itchy). Eyedrops may be recommended. Permanent stitches will be removed in five to seven days after surgery. Self-absorbing stitches will dissolve on their own.
Facial plastic surgery makes it possible to correct many facial flaws and signs of premature aging that can undermine self-confidence. By changing how you look, cosmetic surgery can help change how you feel about yourself. With the care of our team you can achieve your best possible appearance.