Eyelid Surgery
Blepharoplasty (Eyelid Surgery) is surgery that tightens drooping upper eyelid skin and reduces puffy bags below the eyes
As we age, our eyelids stretch, and the muscles supporting them may weaken. As a result, excess fat may gather above and below your eyelids. This can lead to sagging eyebrows, droopy upper lids and bags under your eyes.
Eyelid surgery, or blepharoplasty, is a surgical procedure that removes fat deposits & excess skin usually from both the upper and lower eyelids thereby improving the appearance of the eyes and/or the range of vision of the patient. It reduces bagginess from lower eyelids and removes excess skin from the upper eyelids.
This surgery is usually done for cosmetic reasons. It's also an effective way to improve sight in older people whose sagging upper eyelids affect their vision.
What eyelid surgery can do
Improve the appearance of ‘tiredness’ and ‘sadness’, treat loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision, improve fatty deposits that appear as puffiness in the eyelids, improve the appearance of bags under the eyes, repair drooping lower eyelids that reveal white below the iris, remove excess skin and fine wrinkles of the lower eyelid.
Who is a good candidate for eyelid surgery
Healthy individuals with no medical conditions that can impair healing, non-smokers, individuals with a positive outlook and realistic goals, individuals without serious eye conditions, people who are in good health and who have realistic expectations. Most candidates are 35 years or older, but if baggy eyelids or droopy eyelids run in your family, you may decide to have the surgery done sooner
Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes stretching out of the upper eyelid muscle may cause a drooping eyelid. This is called eyelid ptosis and requires a different surgical treatment.
Length
Approximately two hours.
Anesthesia
General anesthesia or intravenous sedation and local anesthesia are used.
Inpatient/Outpatient
This is an outpatient procedure.
Risks
Temporary blurred or double vision, infection, bleeding, swelling at the corners of the eyelids, dry eyes, formation of whiteheads, slight asymmetry in healing or scarring, difficulty in closing eyes completely (which is rarely permanent), and a lowered position of the lower eyelid of the lower lids which may require further surgery. Permanent loss of vision is a risk but this is extremely rare.
Possible Side Effects
Temporary discomfort, feeling of “tightness” in the eyelid area, swelling or bruising. Excessive tearing and sensitivity to light for the first few weeks should be expected. Temporary dryness, burning, or itching of eyes may also occur but these side effects are rare.
Recovery
The patient may begin reading after about two to three days and can expect to return to work at approximately five to ten days. Use of contact lens may be resumed after two weeks (once re-evaluated by the physician). The patient should not consume alcohol after the surgery. More strenuous activities and alcohol consumption may be resumed after three weeks. Bruising and swelling should be gone after several weeks.
Results
For some, the improvements from this procedure will last several years while for others it may be permanent.
Eyelid Surgery - Lower Eyelid Incision
Eyelid Surgery - Upper Eyelid Incision
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