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What is Blepharoplasty?

Blepharoplasty or sometimes called an eyelid lift is a surgical procedure to treat droopy eyes in which the plastic surgeon will excise skin, orbicularis muscle and fat from eyelids. There are two types of Blepharoplasty:

Upper Blepharoplasty Surgery involves the removal of redundant skin and musculature from the upper eyelid. After which the skin is brought together with a thin stitch and to create an eyelid crease.

Lower Blepharoplasty surgery involves making incisions on the skin directly below the lash line or an incision on the interior of the eyelid; this procedure is called the transconjunctival approach. As this method allows the surgeon to reach the eyelid without creating any visible incisions, this procedure suits patients who need their fat removed or added.

Why perform a Blepharoplasty?

Upper blepharoplasty is a procedure to remove skin and fat on the upper eyelid to improve the field of vision. The excess skin and fat on the upper eyelid form a heavy-looking eyelid that blocks the upper field of vision and causes one to appear more aged than they actually are.

Asian Blepharoplasty or Double eyelid surgery is a type of surgical procedure performed to create or enhance an upper eyelid crease. This surgery is popular among people in East Asia who have a flat upper eyelid that lacks a crease.

Lower blepharoplasty is performed to remove excess skin and enhance the contour of the eyelid by adding or removing fat.

Who is a good candidate for Blepharoplasty?

The sagging or drooping of the skin around the eyes is a natural part of the aging process, however, this surgery can help those who prefer to have a more youthful appearance.

For some patients, blepharoplasty is used to overcome their medical condition. Such patients usually have sagging skin affecting their vision. These patients experience their vision blocked when looking upwards due to the hanging skin.

Patients who have stopped smoking or don’t have chronic illnesses make the perfect candidates for this surgery as their risk of complications are very low during the surgery.

How do you prepare for Blepharoplasty?

Prior to getting a Blepharoplasty, the patient should do a detailed examination and discuss the procedure and its potential risks and benefits associated with the physician or cosmetic surgeon. The patient is advised to follow the doctor’s pre-surgery instructions carefully and do a detailed review of all the instructions that are necessary for the day of surgery. How is Blepharoplasty performed? This surgical procedure is performed as an outpatient procedure. Thus, the patient gets discharged shortly after the procedure. The surgeon generally injects a local anesthesia or a mild sedative to perform this procedure on the eyelids.

The procedure is first used on the upper eyelids where the surgeon will make a small incision to remove excess skin, muscle, and fat.

The lower lid blepharoplasty generally involves the excision of fat, which contributes to the development of bags under the eyes and a minor amount of skin is also removed. The incision can be made on the inner side of the eyelid or on the outer side under the lower side of the eyelashes.

How long is the recovery time for Blepharoplasty?

Recovery from blepharoplasty takes a relatively shorter time compared with other types of surgeries. Nevertheless, bruising and swelling can usually be worse on the day after surgery,however, they will quickly disappear after some time. For the first 48 hours after surgery, using cool compresses can greatly help reduce the bruising and swelling surrounding the eyes and face. Bandages are usually placed on the site of the incision and will be removed after several days, whereas the stitches may remain on the skin for about 7 days. In case when self-dissolving sutures are used they would disappear on their own.

Most patients would resume their daily activities after 7 to 10 days from the day of surgery. In 2 weeks after doing a Blepharoplasty, the majority of the bruising and swelling will get resolved.

What are the risks & complications of when doing Blepharoplasty?

It is necessary to understand that every surgical procedure involves a certain amount of risk, by consulting with the surgeon the number of potential risks & complications can be reduced but never eliminated. Few of the major risks of doing a blepharoplasty include:

  • Bleeding
  • Infection
  • Scarring
  • Dry eyes
  • Abnormal eyelid position
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