Blepharoplasty (Eyelid Surgery)

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Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face. With the excision and the removal, or the repositioning (or both) of excess tissues, such as skin and adipocyte fat, and the reinforcement of the corresponding muscle and tendon tissues, the blepharoplasty procedure resolves functional and cosmetic problems of the periorbita, which is the area from the eyebrow to the upper portion of the cheek.

The operative goals of a blepharoplastic procedure are the restoration of the correct functioning to the affected eyelid(s), and the restoration of the aesthetics of the eye-region of the face, which are achieved by eliminating excess skin from the eyelid(s), smoothing the underlying eye muscles, tightening the supporting structures, and resecting and re-draping the excess fat of the retroseptal area of the eye, in order to produce a smooth anatomic transition from the lower eyelid to the cheek.

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Being a Candidate for Upper Eyelid Surgery

Common problems that are likely to be corrected by upper blepharoplasty include:

  • Extra skin in the upper eyelids that causes them to feel heavy
  • Disappearance of the upper eyelid crease
  • Tired or sad appearance
  • Obstructed vision from eyelid skin
  • Wrinkles around the eyes

Upper Eyelid Surgery

The procedure of upper eyelid blepharoplasty has changed dramatically in both understanding and performance over the last 20 years. Upper eyelid overhang and the resultant tired facies have led patients to seek correction for the last century. Understanding the dynamic anatomy of the upper eyelid and the palpebral crease allows tailoring the fold and eradicating the tired look in most patients.The upper eyelid blepharoplasty is a mainstay of surgical rejuvenation of the orbital region.

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Being a Candidate for Lower Eyelid Surgery

Common problems that are likely to be addressed by lower blepharoplasty include:

  • Puffy bags in the lower lids
  • Looseness of lower lids
  • Wrinkled skin of the lower lids
  • Hollows under the lower eyelids

Not all persons with these features may be suitable for blepharoplasty. Patients should be physically healthy, psychologically stable, and realistic in their expectations. In addition, certain skin characteristics – texture, coloration, thickness, exposure to sun, potential for scarring, and others – should be evaluated before laser eyelid surgery is recommended. A qualified blepharoplasty specialist can advise patients further.

Lower Eyelid Surgery

Lower eyelid surgery can be performed at an outpatient facility and is usually in the form of one of three approaches:

  • Laser resurfacing of the lower eyelid skin to tighten and shrink the outside of the lower eyelid.
  • A laser incision inside the lower eyelid to expose the fat pads and trim them. This can be combined with laser resurfacing of the outer eyelid skin as well.
  • An external incision just below the eyelashes that extends out into the smile lines. This is done for more extensive problems that require several things fixed in the lower eyelid. This approach can be used to transfer bulging fat of the lower lids into the hollows of the upper cheek, benefiting both areas!

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Risks Particular to Blepharoplasty

Certain conditions may be problematic to blepharoplasty. These include insufficient tear production, a detached retina, thyroid problems, high blood pressure, and diabetes. Allergies, some supplements, and smoking may also affect the procedure.

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Preparing for Blepharoplasty

A blepharoplasty surgeon typically issues instructions on how to prepare for eyelid surgery. These will include habits in eating, drinking, smoking, and taking vitamins or medications. Of particular concern are aspirin, ibuprofen and Vitamin E, which should be avoided for two weeks prior to eyelid surgery. They make recovery more difficult because they exacerbate bleeding and bruising.

It is usually best to purchase products like cold compresses and eye drops that may help in recovering from blepharoplasty surgery. If the patient takes prescription medications, it is usually best to purchase them ahead of time so that he or she can continue them with minimal interruption. If the patient is having laser skin resurfacing performed in conjunction with blepharoplasty, the eyelid surgeon may recommend certain topical skin products to prepare the skin.

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Post Eyelid Surgery

Immediately following eyelid surgery, Dr. Purwar usually applies lubricating and antibiotic ointments to the eyelids. As the anesthesia begins to wear off, the eyelids may begin to feel slightly sore. Mild pain medication is usually prescribed.

Elevating the head for a few days, in combination with the use of cold compresses, reduces swelling and bruising, though some of each is normal. The sutures are usually removed within three to five days of eyelid surgery, after which swelling and discoloration will dramatically subside.

The patient is instructed on cleaning the eyes. Eye drops are usually recommended to overcome the itching and dryness that may accompany blepharoplasty. Other temporary effects may include proliferative tearing, sensitivity to light, or blurry vision.

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Returning to Normal After Blepharoplasty

Two or three days after eyelid surgery, the patient should be able to read or watch television. Most people feel perfectly comfortable going out in public within five to seven days. However, the eyes may still feel sensitive to light and may be easily irritated. The eyelids may also be particularly vulnerable to the effects of the sun for a while. It usually takes two weeks before patients are allowed to wear contacts or makeup. Most blepharoplasty surgeons recommend avoiding strenuous activities and salty foods for a few weeks, to prevent fluid buildup around the eyes.

Within a few months, the scars have usually faded almost completely and the full effects of the eyelid surgery are realized.
If you are interested in eyelid surgery, contact Ageless Impressions Plastic Surgery Institute today to find out more about your eyelid surgery options.

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Frequently Asked Questions About Eyelid Surgery

Q: How much will blepharoplasty change the shape of my eyes?
A: Blepharoplasty is only designed to restore the shape of the eyelids to their natural state. There are other procedures that are designed to alter the shape of the eyes. Initial change in eye shape may occur due to swelling, but will resolve over time.

Q: Can my vision be harmed by eyelid surgery?
A: When blepharoplasty is performed by a qualified plastic surgeon, the risk of damage to the patient’s vision is very minimal. A protective shield is placed over the eyes while the laser is being used. Careful attention to the eyelid surgeon’s instructions can minimize the risk even further. Ageless Impressions Plastic Surgery strives for eyelid surgery perfection and a full recovery of each of our blepharoplasty patients.

Q: How noticeable are the incisions from eyelid surgery?

A: After healing is complete, the scars are usually unnoticeable. The skin of the eyelids heal particularly well.

Q-What other procedures may be combined with cosmetic eyelid surgery?

A: Number of other cosmetic procedures may be safely performed at the same time as blepharoplasty. These include skin resurfacing, facelift, necklift, brow or forehead lift, neck and cheek liposuction.

Q-What type of anesthesia is used during the blepharoplasty procedure?

A: Blepharoplasty may be performed under local anesthesia with sedation or general anesthesia. Regardless, a board certified physician MD anesthesiologist will be responsible for administering your anesthesia or sedation. Dr. Purwar and your anesthesiologist will help determine what best suits your particular needs.

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Schedule Your Consultation

To set up a consultation for eyelid surgery, please contact us today. If you would like to get a closer look at the procedure, take a moment to visit our video gallery and view our Before and After photos.