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Eyelid surgery (blepharoplasty) is a cosmetic surgery to improve the appearance of dropping eyelids and eye bags by removing excess skin or fat from the eyelids. As we age, our skin looses its elasticity causing the eyelids stretch, and the muscles around the eyes weaken. Sometimes the sagging skin around your eyes can get in the way of seeing and affect your side vision. Blepharoplasty is an effective procedure to get a more youthful appearance and improve your sight.
Blepharoplasty is often done along other cosmetic procedures such forehead lifts, brow lift, laser resurfacing and filler injections to enhance the overall look.
Blepharoplasty is recommended:
• Dropping and hooded eyelids that disturbs the natural contour of the upper eyelid
• Excess skin of the upper eyelid impairing your vision
• Drooping lower eyelids
• Excess skin and winkles of the lower eyelid
• Bags under your eyes
Who is it suitable for
✔ Patients willing to improve appearance of their eye area by removing excess skin, dropping eyelids or under eye bags
✔ Individuals with dropping eyelids affecting their peripheral vision
✔ People of good health
✔ Individuals willing to get a more youthful appearance
✔ Blepharoplasty surgery normally takes 1-2 hours but might take longer if other cosmetic procedures are done at the same time
✔ Most patients can go home the same day
✔ The complexity and duration of a blepharoplasty surgery vary from patient to patient, depending on their individual situation
✔ You need to take at least 1 week time-off for your recovery
✔ Bruises, swelling and redness is usually visible for at least 2 weeks
✔ It takes at least a few months for the scars to fade away
Types Of Eyelid Surgery
When it comes to blepharoplasty there are three most popular procedures:
Upper eyelid blepharoplasty
Upper eyelid excess skin and fat can create an extra fold of skin, dropping eyelids, puffiness, and get in a way of your vision. The upper eyelid blepharoplasty is designed to rejuvenate the delicate eye area and give a more youthful look by removing excess skin and fat. Upper eyelid procedure involves making small incisions to remove skin and fat, and then applying stitches to create a new eyelid crease. Scars normally are not visible and hidden in the natural fold of the eyelid.
Lower eyelid blepharoplasty
Lower eyelid blepharoplasty is designed to improve the contour of the lower eyelid by removing excess skin and under eye bags. This procedure can be performed by making incisions below the lash line or from the inside of the lid, called transconjunctival blepharoplasty. This approach provides immediate access to the deep layers of the eyelid without visible incisions. Lower eyelid blepharoplasty is often accompanied by other cosmetic procedures to reduce wrinkles and fine lines for more dramatic result.
Asian eyelid blepharoplasty
Asian eyelid surgery, or double eyelid surgery, is designed to create an upper lid crease. This procedure is most popular with patients of oriental descent, who may not have a natural eyelid crease.
Before The Treatment
Before the treatment, you need to meet with a surgeon to discuss your blepharoplasty objectives, perform an examination:
• Goals and expectations - Your surgeon will likely ask you why do you want to have blepharoplasty and what are your expectations. A surgeon should explain you different types of blepharoplasty methods, potential risks, recovery and expected outcomes.
• Medical history - You should provide a complete medical history including your past and current medical conditions, and any eye related problems such as glaucoma, cataract or dry eyes. You may be asked if you have any thyroid problems, diabetes and allergies. Prepare to provide a list of medications you taking regularly.
• Examination - A surgeon will examine your facial features, eyelids and may do an eye test as well. This is required to determine your best options for blepharoplasty.
• Photos - Photographs may be taken from different angles so that your surgeon can use them for assessing the result after surgery and to educate you about the procedure and anticipated results.
• Diagnostics, tests and additional examination - Be prepared to undertake additional examination, diagnostics, a specialist consultation and blood tests if your surgeon requests before preceding with this treatment.
You will be advised by your doctor how to prepare for the procedure. You may need to stop taking certain medications such as anti-inflammatory drugs and medication that can increase bleeding. Your doctor may advise you to stop smoking a few weeks before the surgery as smoking can impact healing process.
It's recommended that you arrange for help during recovery and drive you home from a hospital.
What does it involve?
Blepharoplasty procedure may vary depending on the type of surgery you have but there are some common steps:
• This procedure is generally performed under local anaesthetic with sedation or general anaesthetic
• Making incisions to get access to the eyelid layers. Surgery on the upper lid normally involves making incisions along the he natural fold of the eyelid. When it comes to the lower eyelid surgery, incisions are made below the lash line or from the inside of the lid
• Removing excess skin, fat or muscle
• Stitches applied to close incisions
• Suture strips may be applied to support the eyelid healing
Blepharoplasty procedure usually takes 1-2 hours but can take longer if other treatments are done at the same time. In most cases patients can go home the same day.
After the treatment
After surgery you need to stay in bed and keep your head propped up with pillows for a couple of days to reduce swelling and bleeding. After blepharoplasty it is common to experience:
• Blurred vision
• Irritated or watery eyes
• Pain and discomfort
Sutures, if not dissolvable sutures used, are generally removed after a few days. Bruises, swelling and redness is usually visible for at least 2 weeks. You will not be able to drive after the operation. You need to take at least one week time-off for your recovery.
As with any major surgery, blepharoplasty carries risks such as:
• Visible scarring
• Excessive bleeding
• Development of blood cloths
• Injury to the eye muscle
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