Blepharoplasty (Eyelid surgery)

Am I a good candidate for eyelid surgery?

Any one or combination of the following conditions may indicate that you may be considered a good candidate for eyelid surgery:

         Excess skin obscuring the natural fold of the upper eyelids

         Loose skin hanging down from the upper eyelids, perhaps impairing vision

         A puffy appearance to the upper eyelids, making the eyes look tired

         Excess skin and fine, “crepe paper type” wrinkles of the lower eyelids

         Bags and dark circles under the eyes

         Lower eyelid droopiness

 

Aesthetic eyelid surgery can usually correct these problems, though other treatments may also need to be considered. Some examples follow. If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may be accomplished with Botox®, chemical peeling or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with fillers such as Hyaluronic Acid or fat as well as bleaching solution or chemical peel. Your plastic surgeon can provide further information if you have an interest in any of these additional procedures.

Results of Your Eyelid Surgery

 

Aesthetic eyelid surgery has the effect of making you look more rested, refreshed and alert. Since the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of the results of your eyelid surgery. Incisions will fade over a number of months usually becoming barely visible. The results of aesthetic eyelid surgery are usually long-lasting, but they may be affected by heredity and lifestyle factors. Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along with the fine wrinkling of the eyelid area may, at some point, return. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows which mimics a recurrence of drooping upper eyelids. If this happens, correction may require a forehead lift or a secondary eyelid procedure. Even though the aging process continues, patients are usually happy with their appearance for many years following eyelid surgery. Some patients find that they want to make additional improvements at a later time.

 

The Blepharoplasty Procedure

Blepharoplasty can be performed on the upper or lower lids, or all four at the same time.

Best Candidates for Blepharoplasty

Men and women over the age of 35.

Risks

All surgery carries risk, and you should be fully aware of the medical risks associated with this procedure before you consent to surgery. Your surgeon will discuss these risks with you during your consultation, and you are encouraged to ask questions if there is anything you do not understand.

It is your obligation to inform your surgeon of key medical information that may influence the outcome of your surgery or may increase the level of risk. These include medications you are taking, history of disease, medical complications, etc.

Risks and risk rates vary from patient to patient depending on a range of factors. No two people are alike. The risks listed below are possible risks associated with this type of surgery and are mentioned regardless of how remote the possibility:

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 (rarely permanent). Pulling down of the lower lids (may require further surgery). Blindness (extremely rare).

 

Surgery

Time required: 1-3 hours
Anesthesia: Local with sedation or general

Post surgical side effects

Tightness of lids
Burning, itching of eyes
Excessive tearing and light sensitivity

Blepharoplasty Recovery time

Reading: 2-3 days
Back to work: 7-10 days
Strenuous activity: 3 weeks
Bruising and swelling gone: 2-4 weeks

Please note that this information should be used only as a guide to your treatment. All specifics will be discussed with your physician at your consultation.