BLEPHAROPLASTY ( EYELID SURGERY)
Aesthetic eyelid surgery is performed on adults of all ages. Some people have eyelid surgery to correct problems that are a result of aging, while others have inherited traits that cause them to seek treatment as early as their 20s or 30s.
Frequently Asked Questions (FAQ):
1. Am I a good candidate for blepharoplasty
2. How will my plastic surgeon evaluate me?
9. How will I look and feel initially?
How long will the results last?
Am I a good candidate for aesthetic eyelid surgery?
one or combination of the following conditions may indicate that you are a good
candidate for eyelid surgery:
skin obscuring the natural fold of the upper eyelids
skin hanging down from the upper eyelids, perhaps impairing vision
puffy appearance to the upper eyelids, making the eyes look tired
skin and fine, crepey wrinkles of the lower eyelids
and dark circles under the eyes, often with a depression along the bony
border of the lower eyelids
of the lower eyelids, showing white below the iris (colored portion of
eyelid surgery can usually correct these problems, though other treatments may
also need to be considered. For example, 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 require chemical peeling or laser
resurfacing procedures. Circles beneath the eyes caused by
dark pigmentation may be treated with a bleaching solution or chemical peel.
plastic surgeon can provide further information if you have an interest in any
of these additional procedures.
the initial consultation, you may be asked to look in a mirror and point out
exactly what you would like to see improved. This will help your plastic surgeon
to understand your expectations and determine whether they can realistically be
will my plastic surgeon evaluate me for aesthetic eyelid surgery?
should come to the consultation prepared to discuss you medical history
including previous surgeries, past and present medical conditions and current
medications. It is important for you to provide complete information. High
blood pressure, thyroid problems or diabetes are
among the medical conditions that may increase the risks associated with eyelid
plastic surgeon will want to know if you have allergies,
especially if they affect your eyes. He or she may ask whether you have ever
tried and were unable to wear contact lenses, you should bring them with you in
case your surgeon wants to test your vision.
will be necessary for your surgeon to know if you were ever told by an
ophthalmologist that you have a condition called "dry
eye" or if you have any other problems
with your eyes.
of several surgical techniques may be suggested to improve the appearance of
your eyelids. The particular technique that your plastic surgeon recommends will
depend on may factors such as the amount of excess fat and skin in the eyelid
areas, the position of your eyebrows, and the condition of muscles around your
Aesthetic Eyelid Surgery is Performed
of individual factors, not everyone will achieve the same results from eyelid
surgery. Your plastic surgeon will select the surgical technique that he or she
feels will obtain the best outcome for you.
is my plastic surgeon able to improve the appearance of my upper eyelids?
upper eyelid surgery, generally an incision is hidden within the natural fold of
the upper eyelid and extends slightly beyond the outside corner into the laugh
lines or other existing creases. Through this incision, excess skin and fatty
tissue are removed. Because the incision follows the natural contour of the
upper eyelid, it will be well camouflaged when healed.
is done to improve the appearance of my lower eyelids?
For lower eyelid surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed. As in upper eyelid surgery, the incision is well camouflaged by natural creases.
significant complications from aesthetic eyelid surgery are infrequent.
Every year, many thousands of people undergo successful eyelid surgery,
experience no major problems and are pleased with the results.
understand that every surgical procedure has risks, but how will I learn more
so that I can make an informed decision?
subject of risks and potential complications of surgery is best discussed on a
personal basis between you and your surgeon, or with a staff member in your
of the potential complications that may be discussed with you include hematoma
(an accumulation of blood under the skin that may require removal), infection
and reactions to anesthesia. Following the surgery, there can
be a feeling of dryness or irritation in the eye that requires treatment. There
is a possibility of a temporary decrease in sensation of the eyelid skin or
impaired eyelid function that sometimes may need to be corrected by additional
can help minimize certain risks by following the advice and instructions of your
plastic surgeon, both before and after your eyelid surgery.
goal of your plastic surgeon and the entire staff is to make your surgical
experience as easy and comfortable for you as possible.
should I prepare for surgery?
you are a smoker, you will be asked to stop smoking well in advance of
surgery. Aspirin and certain anti-inflammatory drugs can cause
increased bleeding, so you should avoid taking these medications for a period of
time before surgery. Your surgeon will provide you with additional
eyelid surgery is usually performed on an outpatient basis. If this
is the case, be sure to arrange for someone to drive you home after surgery and
to stay with you at least the first night following surgery.
will the day of surgery be like?
eyelid surgery may be performed in a hospital, f ree-standing ambulatory
facility or office-based surgical suite.
are administered for your comfort during the surgical procedure.
Frequently, local anesthesia alone or with intravenous
sedation are used for patients undergoing eyelid surgery, although general
anesthesia may be desirable in some rare instances. For your safety during
the operation, various monitors, when deemed necessary, are used to check
your heart, blood pressure, pulse and the amount of oxygen circulating in your
vision will be blurry as a result of ointment used to soothe and protect the eye
during surgery as well as from the swelling that is a normal aftermath of eyelid
procedures. There is surprisingly little discomfort, however, from
probably will be permitted to go home after a few hours, although some patients
may stay overnight in the hospital or surgical facility.
will I look and feel initially?
is important to realize that the amount of time it takes for recovery varies
greatly among individuals.
first evening after surgery, you should rest quietly with your head elevated.
Your surgeon may instruct you to apply cold compresses to your eyelids.
Remember, you must not take aspirin or certain anti-inflammatory medications.
you may feel a "tight" sensation around the eyes and some
mild discomfort that can be controlled with oral medication. During
the first 48 hours following surgery, patients experience varying degrees of
swelling and bruising. Some patients find that mild swelling persist for several
weeks, while others may see swelling resolve in as little as one week. Bruising
typically disappears within seven to ten days. Within the
first week you will be permitted to use makeup, if desired, to conceal any
discoloration. Stitches are usually removed within a week of
vision may continue to be somewhat blurry for a few days or longer. Your eyes
may be temporarily sensitive to light, and you may experience excess tearing or
dryness. Some plastic surgeons recommend eyedrops to help relieve any burning or
itching. You may want to wear dark sunglasses for a couple of
weeks to protect your eyes from wind and sun irritation.
can I resume my normal activities?
bending and lifting should be avoided during the early postoperative
period. In many instances, you will be able to resume most of your
normal activities within ten days or less. Although you might feel
like going back to work just a few days after surgery, your vision may still be
slightly blurry which could make reading or other paperwork more
difficult. You should not wear contact lenses for a week or two.
of Your Eyelid Surgery
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 until
they become barely visible.
long will the results last?
results of aesthetic eyelid surgery are long-lasting, but they may be affected
by your heredity and lifestyle factors.
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 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.
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.
a Relationship with Your Plastic Surgeon
will return to your plastic surgeon's office for follow-up care at prescribed
intervals, at which time your progress will be evaluated. Once the immediate
postoperative follow-up is complete, many surgeons encourage their patients to
come back for periodic checkups to observe and discuss the long-term results of
remember that the relationship with your plastic surgeon does not end when you
leave the operating room. If you have questions or concerns during
your recovery, or need additional information at a later time, you should
contact your surgeon.
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