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Blepharoplasty (Eyelid Surgery)

Category(s): Cosmetic Surgery

Blepharoplasty, also known as eyelid surgery, is a procedure used to improve the appearance of upper eyelids, lower eyelids, or both. This can result in a more youthful, rested look around the eyes. When performed on upper eyelids, excess fatty deposits and loose and sagging skin are removed reducing the appearance of puffiness and/or improving obstructed vision. Lower eyelid surgery is used to remove excess skin, wrinkles, and can improve bags under the eyes which can lead to improve obstructed vision by correcting the droopiness of the lower eyelid.



Good candidates for this procedure are healthy adults that have a realistic expectation of the final results, healthy facial tissue and muscles, and no serious eye conditions. Possible complications include scarring, temporary or permanent blurred or impaired vision, dry eyes, difficulty closing eyes due to tightness and swelling, deep vein thrombosis, infection, or ectropion (the rolling of the eyelids outward).



Blepharoplasty is usually done on an outpatient basis under general anesthesia. Incisions are made along the natural curves of the eyes to reduce the appearance of scars. If an upper eyelid surgery is being performed for droopy lids, normally an incision will be made within the natural crease of the upper eyelid allowing fat deposits to be repositioned, the skin and muscles to be tightened, and/or the removal of excess skin. If the surgery is focusing on the lower eyelid, an incision may be made just below the lower lash line or hidden inside the lower eyelid allowing excess skin and fat to be redistributed or removed. The incisions are typically closed with sutures, adhesive, or surgical tape. Lubricating ointment, cold compresses, and a light layer of gauze may be applied to reduce swelling and aid in the healing process. Excessive tearing, light sensitivity, and double vision are common right after surgery.



Pain should be minimal and can be controlled using an over the counter pain medication with acetaminophen which does not increase bleeding. The patient's eyelids may be puffy and feel numb for several days after surgery. Avoid strenuous activities and heavy lifting for up to 1 week after surgery. Dark eyeglasses can be worn to protect the eyes from sun and wind during this time. Also it is recommended that the patient sleep with their head at a higher level than their chest at this time as well. It is important to follow all of your doctors prescribed recovery steps.


 


 
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