Eyelid Surgery (blepharoplasty)
One of the most frequently performed surgical procedures is eyelid surgery (blepharoplasty).
It involves the removal of fatty deposits, loose and sagging skin that may form
around the upper or lower eyelids. Eyelid surgery may correct features that make
you appear older and more tired. Factors which may contribute to this include
genetics, aging, or the damaging effects of the sun. Younger people may elect
to have this procedure done to eliminate puffiness of the eyes from excess fatty
eyelid lift can make a remarkable difference in the appearance
of the face by helping you achieve eyes that appear larger, resulting
in a younger and fresher new look.
is eyelid surgery performed?
surgeon will remove excess fat, muscle, and skin from either
or both the upper and lower eyelids to redefine the shape of
the eye. This procedure can be either cosmetic or reconstructive.
The upper eyelid incision is made in the natural crease of the
skin. Excess skin and fatty tissue is removed, the muscles and
orbital septum (a thin connective tissue membrane) may be tightened,
and the incisions are carefully closed. The external incisions
are hidden within the natural crease of the upper eyelids. Often
the lower lid bags can be removed without any visible incision
or scar, as the incisions are placed right below the eyelashes.
Much of the operation is done with a very fine electrocautery,
which controls any bleeding. The skin is then closed with tiny
long does eyelid surgery take?
upper and lower eyelids done together will take about one hour,
if done separately the procedure will take less time.
type of anesthesia is used?
eyelid surgery is usually performed using local anesthesia along
with a light sedative to make you feel drowsy and relaxed. If
you are having eyelid surgery together with another procedure,
you will receive general anesthesia, which will cause you to
be asleep during the whole procedure.
is the procedure performed?
surgery is usually performed in a surgeon's office-based surgical
suite, an outpatient surgery center, or a hospital.
can I return home and resume normal activities?
patients return home the same day. Typically patients can resume
normal activities within seven days.
do I prepare for eyelid surgery?
your initial consultation, your surgeon will discuss the changes
that you would like to make to your appearance. Since the appearance
of your eyes is a matter of personal perception and preference,
you will need to discuss your concerns in detail so your surgeon
can determine the appropriate alternatives. You also should make
arrangements ahead of time for someone to drive you to and from
your procedure and to assist you with your daily activities during
your recovery period.
to your surgical procedure, the surgeon will perform a complete
health history and physical. Knowledge of your allergies, medications
and previous surgeries should be brought to your surgeon's attention
at this time. Your surgeon will test your vision and assess your
tear production. A record of your most recent eye exam, including
any relevant information from your ophthalmologist should be
provided at this time. You should also bring any prescription
eyeglasses or contact lenses. Specific instructions to assist
you in preparing for this procedure will be given to you after
the health history and physical is complete. Depending on your
individual health status, the instructions may include guidelines
regarding your diet, alcohol intake, smoking and which medications
to take or avoid. Your experience will be much smoother if you
remain compliant with your surgeon's instructions.
precautions are necessary during recovery?
your procedure, ice compresses are applied to the eyelids. Your
eyes are not bandaged. However, medication used during the procedure
may cause blurred vision for one or two hours. Ice compresses
as well as elevating your head should be continued for 24 hours
after your procedure. Many surgeons recommend the use of eye
drops if you begin to experience any dryness, burning or itching.
You will be given specific instructions regarding rest, sleeping
position, washing your face and hair, driving and work involving
light cosmetic cover-up may be blended onto the lower lids starting
four days after the procedure. Other facial and eyelid makeup,
including mascara, eye shadow, eyeliner, and artificial eyelashes
may be applied seven days after the procedure. It is important
to remove all makeup thoroughly at the end of the day using an
upward motion. You may use oiled eye pads for makeup removal.
are the possible complications after eyelid surgery?
surgery rarely causes serious complications. Possible complications
may include improper closure of the eyes during sleep (lagophthalmus),
dryness of the eyes, light sensitivity and sagging (ptosis) of
the upper eyelids. Some swelling and discoloration are expected
following an eyelid lift but usually subside in five to ten days.
Following the procedure, there will be slight discomfort that
can be relieved by medication. Eyelid stitches are removed after
approximately four days. It is always important to be informed
about the possible complications before any surgery. Be sure
to discuss any concerns you may have with your surgeon.
results can I expect after eyelid surgery?
that an eyelid lift cannot stop the aging process around your
eyes. Although excess skin is removed and wrinkles are diminished,
your skin continues to age. "Bags" beneath the lower
eyelids usually do not recur. As you grow older the skin of the
upper lids becomes looser and may create additional folds in
which case an upper lid "touch-up" can be done. In
time you may feel the need to have a second procedure. There
is no set limit as to how many eyelid lifts you may have. Your
eyelid lift is designed to give your eyes the lighter more vigorous
appearance you seek.