A surgery of precision

Eyelid surgery (also called blepheroplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision. However, it cannot remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

Blepheroplasty can be done alone, or in combination with other facial surgery procedures such as a facelift, chin liposuction or brow lift.

Are you a good candidate for eyelid Surgery?

The best candidates for eyelid surgery are men and women who are physically healthy, emotionally stable, and have realistic expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.

A few medical conditions make blepheroplasty more risky such as diabetes, thyroid problems, dry eyes, hypertension or cardiac disease. A detached retina or glaucoma is also a reason for concern.

Risks and side effects

Ten days before surgery avoid Aspirin and other blood thinning medications, fish oil, garlic and vitamin E supplements which can increase bleeding and bruising. To minimize bruisning we recommend Arnica, Tumeric or similar natural preperations to be started one night before surgery.

Swelling after upper eyelid surgery last for three days while lower eyelid surgery result in some brusing that last five days. Some minor complications may follow eyelid surgery including double or blurred vision for a few days, and a slight asymmetry in healing or scarring. Eye infection is rare and can be treated with antibiotic eye ointments.

Following surgery, some patients may have difficulty completely closing their eyes when they sleep; this condition usually last no more than few days and is addressed by applying artificial tear and or eye ointments. Another very rare complication is the pulling down of the lower lids. This complication is seen when too much skin is excised by inexperienced surgeons. In this case, further corrective surgery may be required.

What ist the procedure of the surgery?

Our facial plastic surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes or redistributes excess fat, and often trims the sagging skin. The incisions are then closed with very fine sutures which are removed in 3-4 days.

After your surgery

After surgery, the surgeon will probably lubricate your eyes with ointment and may apply a fine bandage. Your eyelids may feel tight and sore as the anesthesia wears off over the following two hours, but you can control any discomfort with the pain medication prescribed by your surgeon. If you feel any severe pain, call our surgeon or emergency room immediately.

Our surgeon will instruct you to keep your head elevated on a pillow for several days, and to use cold compresses to reduce swelling and bruising. (Bruising varies from person to person: it reaches its peak during the first week, and generally lasts anywhere between 1-2 weeks). Many doctors recommend eye-drops, since your eyelids may feel dry at first and your eyes may burn or itch. For the first few weeks you may also experience excessive tearing, sensitivity to light, and temporary changes in your eyesight, such as blurring or double vision.

Our surgeon will follow your progress very closely for the first week. The stitches will be removed four days after surgery. Once they are out, the swelling and discoloration around your eyes will gradually subside, and you start to look and feel much better. Sunglasses when outdoors during the day and a good camouflage make up makes a great diffference.

When will you see results?

Healing is a gradual process, and your scars may remain slightly pink for 4-6 months after surgery. Eventually, they fade to a thin, nearly invisible white line.

On the other hand, the positive results of your eyelid surgery-the more alert and youthful look-will last for many many years.

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