Eyelid Surgery, Blepharoplasty

Eyelid Surgery, Blepharoplasty

Blepharoplasty is a surgical procedure that involves a removal of excess skin, excess fat pockets and muscle from the upper and lower eyelids.

Such circumstances make us look older and tired looking and sometimes can obscure vision and reading. It is important to note that this surgery does not remove “crow’s feet” and in this case it may be necessary to combine blepharoplasty with other treatments like vistabel ® or a forehead lift to raise the eyebrows.

Generally this surgery is done on patients of 35 years, or older; although in the case of a family history of excess fat pockets, surgery is performed before this age.

The surgery is performed in an operating room under local anesthesia and sedation and the patient remains in the hospital a few hours, it does not require an overnight stay. The procedure takes between 1-2 hours depending if eyelid blepharoplasty is top, bottom or both. The incisions are usually undetectable because they are made in the crease of the upper eyelid and just below the lashes and closed with very fine threads.

If the patient does not need resection of the skin in the lower eyelid it can be done via transconjunctival blepharoplasty. With this technique, the incisions are located inside the lower eyelid, making them not visible.

There is another technique that involves the relocation of the eyelids’ fat pockets to restore a youthful look.

Postoperatively, the patient will have an edematous and bruised eyelid area. Generally, the swelling goes away in 2-4 days and the bruising in a week. It is important to sleep with the head elevated and applying cold compresses during the first days and avoid any kind of effort. During this period the patient should maintain proper eye hygiene and should apply the indicated eye drops.

It is common during the first weeks to notice excessive tearing, blurred and double vision, and even that light bothers you more than usual. It is also common during the early days to have trouble closing the upper eyelid; this goes away when the orbicularis muscle around the eye recovers its tone. The stitches will be removed in the office between 5-7 days after the procedure. At first the scars will look somewhat pink which, under normal circumstances goes away in about two months.

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