Everyone said the eyes don’t lie. The skin around the eyes is often the first part of the body to show signs of aging. Many patients experience the benefits of eyelid surgery with its ability to reduce bagginess, remove excess skin, and helping to improve sight caused by sagging upper eyelids. Eyelid surgery or blepharoplasty is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on the both upper and lower lids.
Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes. Eyelid surgery ranked in the top five cosmetic surgical procedures in 2018, acccording to the latest data.
Blepharoplasty may be an option if you have:
- Baggy or droopy upper eyelids
- Excess skin of the upper eyelids that interferes with your peripheral vision
- Excess skin on the lower eyelids
- Bags under your eyes (You may undergo blepharoplasty at the same time as another procedure, such as a dental implants, brow lift, face-lift, skin resurfacing etc.)
Possible Risks include but not limited to eyelid surgery:
- Infection and bleeding
- Dry, irritated eyes
- Difficulty closing your eyes or other eyelid problems
- Noticeable scarring
- Injury to eye muscles
- Skin discolouration
- Risks associated with surgery in general, including reaction to anaesthesia.
A follow-up without 24 hours and then regularly after 1 week till healing is complete is required.
Before scheduling blepharoplasty:
- Any relevant information from the eye surgeon or physician should be discussed and informed.
- Your expectations. An honest discussion of your hopes and motivation for surgery will help set the stage for a satisfactory outcome. Your surgeon will discuss with you whether the procedure is likely to work well for you.
- Stop taking warfarin (Coumadin, Jantoven), aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve, others), naproxen (Naprosyn), and any other medication or herbal supplement associated with increased bleeding. Take only medications approved by your surgeon.
- Quit smoking several weeks before your surgery. Smoking can reduce your ability to heal after surgery.
- Arrange for someone to drive you to and from surgery if you’re having outpatient surgery. Plan to have someone stay with you for the first night after returning home from surgery.
Before your eyelid surgery, you’ll undergo:
A vision examination. Your eye doctor will examine your eyes and test your vision, including your peripheral vision. Its needed to support an insurance claim.
Eyelid photography. Your eyes will be photographed from different angle. These photsos help with planning the surgery, assessing its immediate and long-term effects, and supporting an insurance claim.
During the procedure If you have surgery on your upper and lower eyelids, the surgeon generally works on your upper lids first. He or she cuts along the fold of the eyelid, removes some excess skin, muscle and possibly fat, and closes the cut.
On the lower lid, the surgeon makes a cut just below the lashes in your eye’s natural crease or inside the lower lid. He or she removes or redistributes excess fat, muscle and sagging skin, and closes the cut.
If your upper eyelid droops close to your pupil, your surgeon may do blepharoplasty with a procedure called ptosis (TOE-sis) that provides additional support to the eyebrow muscle.
After surgery you spend time in a recovery room, where you are monitored for complications. You can leave later that day to recuperate at home.
After surgery you may temporarily experience:
Blurred vision from the lubricating ointment applied to your eyes
- Watering eyes
- Light sensitivity
- Double vision
- Puffy, numb eyelids
- Swelling and bruising similar to having black eyes
- Pain or discomfort
After a few days, return to the doctor’s office to have stitches removed, if needed. Seek medical attention immediately if you experience any of the following:
- Shortness of breath
- Chest pain
- An unusual heart rate
- Severe new eye pain
- Vision problems
Many people express satisfaction with the results of blepharoplasty, such as a more rested and youthful appearance and more self-confidence. For some people, results of surgery may last a lifetime. For others, droopy eyelids may recur. Bruising and swelling generally subside in 10 to 14 days, which may be when you feel comfortable going out in public again. Scars from the surgical cuts may take months to fade. Take care to protect your delicate eyelid skin from too much sun exposure.
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