Droopy eyelids and bags under your eyes can make you look older than your real age. At Medstar Aesthetics and Multi-speciality Centre, we can treat puffiness and tired-looking eyes with a safe and effective blepharoplasty procedure.
Blepharoplasty is the same-day plastic surgery of eyelids performed to restore the functions and aesthetics of the eye region. It is used to remove excess hanging skin and fatty bulges around the eyes.
It is used for facial rejuvenation as eyelids have direct aesthetic relation to the eyebrows and the cheeks. It is also used for correcting the peripheral field of vision. This procedure is also used with other facial cosmetic procedures like eyebrow lift and facelift. This helps surgeons to achieve aesthetically pleasing proportions of the face.
Blepharoplasty is used to correct:
● Droopy upper eyelids
● Excess fat on upper eyelids
● Excess skin of the upper eyelids, interfering with the peripheral field of vision
● Excess skin on the lower eyelids
● Bags or puffiness under eyes
● Wrinkles around the eyes
Blepharoplasty surgery is generally a safe and smooth surgery however pain, swelling and bruising symptoms are normal after blepharoplasty. Generally, these symptoms will subside in 7-14 days depending on how quickly an individual’s body heals. Some of the potential complications of blepharoplasty are:
● Blurry vision
● Skin discolouration
● Wound opening due to improper placement of sutures
● Abnormal scars
● Overcorrection of eyelids can result in the stretched look of eyes
● Asymmetry across both eyelids
● Ptosis or drooping of upper eyelid due to eye muscle damage
● Cornea damage and scarring in rare cases of protruded eyes
● Perception of double images in rare cases
● The patient can consider blepharoplasty for both restoring functions and cosmetic purposes. It can help the patient:
○ To correct the tired look of eyes due to droopy upper eyelids
○ To get rid of puffiness either of the upper eyelid or lower eyelid
○ To remove the under-eye bags
○ To restore the peripheral field of vision which is caused by excess skin of upper eyelids
● The patient is not eligible for blepharoplasty if:
○ The patient is suffering from a chronic medical condition like diabetes
○ The patient has the habit of smoking
○ The patient has undergone corneal refractive surgery in the last 6 months
○ The patient has dry eye syndrome. It can worsen post-surgery as blepharoplasty can also cause dry eyes.
● The surgeon will guide the patient as per the pre-existing medical conditions, ongoing medications, allergies, history of trauma or other conditions of the eyes.
● Always consult the experienced and certified plastic surgeon for safe and the best results of blepharoplasty.
Blepharoplasty is a plastic surgery procedure of eyelids that restores the function of peripheral vision and helps in enhancing the aesthetics of the face. This surgery requires the skills of an experienced plastic surgeon for safe and precise results.
At MEDSTAR, our plastic surgery team consists of highly experienced surgeons who have performed over 1000+ procedures. Our team is well known for effective and safe eyelid surgery results. Our surgeons assess the condition of the patient and guide them with possible surgery options. Our patients also get the advantage of advanced procedures and technologies for careful pre-operative assessment, best results, quick recovery and least post-operative complications.
● Blepharoplasty is performed under local or general anaesthesia. In this surgery, the surgeon will mark the area on the upper eyelids for incision and in the case of lower eyelids, incisions are made just below the eyelashes or inner side of the lower eyelids. These incisions result in hiding post-surgery scars effectively.
● Through these incisions excess skin, muscle and fat are removed from the eyelids. Also, fat is repositioned in case of lower eyelid blepharoplasty and the surgical incisions are stitched back.
● In some cases to keep the lower eyelid in place during the healing process, the lower eyelid is given special stitches called canthopexy. These self-dissolving stitches are placed on the inner side of the outer corner of the lower eyelid.
● Before the surgery surgeon will conduct:
○ Medical examination to check the overall health of the patient.
○ Eye examination to check the dryness of eyes, any trauma or wounds and any abnormal condition of the eyes
○ Eye photography to keep the record of before and after surgery results.
● This surgery takes 1- 3 hours and the patient can go home the same day of the surgery.
Upper eyelid blepharoplasty is used to restore the peripheral field of vision and to enhance the aesthetics of eyelids in relation to eyebrows, cheeks and nose.
In this surgery, the surgeon will remove the excess skin, muscles or fat from the upper eyelids through the incisions. These incisions are placed on the natural creases of the upper eyelid so that they are not visible post-surgery.
This surgery helps in :
● Improving the peripheral vision of the patient
● Getting rid of droopy eyes or tired look of eyes
● Getting rid of puffiness of upper eyelid
● Lower eyelid blepharoplasty is mostly used for cosmetic purposes. It is used for the removal or repositioning of fat in the lower eyelid.
● Types of lower eyelid blepharoplasty:
○ Transconjunctival lower lid blepharoplasty: In this approach, incisions are made on the inner side of the lower eyelid. Excess fat is removed through this incision.
○ Transcutaneous lower lid blepharoplasty: In this approach, incisions are made on the skin of the lower eyelid just below the lower eyelashes. Through this incision excess fat and skin is surgically removed.
○ Lower eyelid fat repositioning: In this blepharoplasty, instead of removing all lower eyelid fat, some part of the fat is preserved and repositioned. This results in the smooth and youthful appearance of the lower eyelid.
● Pre-blepharoplasty instructions:
○ Patients will be asked to stop taking blood-thinning medications like warfarin, aspirin etc and other medications which might lead to bleeding complications. He/she can take the medications allowed by the operating surgeon.
○ Patients must stop smoking at least 2 weeks before surgery for normal and quick healing.
○ Arranging someone to drive the patient from the clinic after surgery and to stay with the patient at home.
● Post-blepharoplasty instructions:
○ Use ice packs on your eyes for 10 minutes every hour on the night of surgery. The patient is asked to use ice packs 4-5 times a day for the next couple of days. This helps in reducing the swelling.
○ Clean the eyelids and eyes gently as per the instruction given by the surgeon.
○ Take prescribed medications, eye drops and ointments.
○ Avoid strenuous activities like aerobics and jogging, for a week.
○ Avoid smoking for normal healing
○ Avoid rubbing or scratching eyes
○ Avoid using contact lenses for two weeks after surgery.
○ Wear dark sunglasses to protect eyes from sunlight
○ Sleep with head raised higher than chest for a week
○ Stop taking medications that can lead to the complication of bleeding or delayed healing
○ Visit the surgeon for the removal of stitches as per schedule
● Inform the surgeon immediately if you experience severe eye pain, abnormal swelling, bleeding, vision problems, fever and excessive pus discharge from the surgical wound.
After blepharoplasty surgery, mild pain and swelling in the operated eyelids are expected, but these symptoms completely subside after 10-14 days. In a month, eyelid lift results can be seen fully while scars will take several months to completely fade away. A successful and safe blepharoplasty surgery helps patients in regaining the peripheral field of vision, youthfulness and more confidence with minimum complications.
The complications of blepharoplasty are severe pain, swelling, infection and vision problems. But these compilations can be easily avoided by following the pre and post-surgery instructions carefully and taking prescribed medications regularly during the healing process. Also, a skilled and experienced surgeon will know what to do during surgery to avoid post-surgery complications and gain wonderful results.
Recovery time for blepharoplasty is 10-14 days. For quick and normal healing patient is advised to:
● Take care of eyes by cleaning them gently, avoiding rubbing or scratching
● Avoiding eye-straining activities like reading, checking emails, texting on phone etc.
● Wear sunglasses to protect eyes from sunlight
● Taking prescribed medications and eyedrops regularly
● Avoiding strenuous activities like jogging, aerobics etc
● Using 2-3 pillows to elevate the head for reduced swelling
● Quit smoking as it delays wound healing.
Blepharoplasty is a comparatively safe procedure and risks can be avoided by proper counselling of the patient before surgery. Possible risks associated with blepharoplasty are:
● Infection, bleeding, fever
● Dry, eyes
● Difficulty in eyelid movements
● Post-surgery scarring
● Eye muscles injury
● Discolouration of the skin
● Blurry vision temporarily
● In rare cases loss of eyesight
● In rare cases reaction to anaesthesia and blood clots formation
For blepharoplasty surgery patient must be:
● Healthy and free from medical conditions which can result in delayed healing like diabetes
● Do not have dry eye syndrome. This condition will worsen as eyelid surgery leads to dry eyes temporarily.
● Do not smoke or quit smoking at least 2 weeks before the surgery
● Do not have undergone any eye surgery in the last 6 months
Yes, scars will fade away in a couple of months after surgery. Incisions are made on the natural skin creases of the upper eyelid to hide them effectively after surgery. In lower eyelids incisions are made on the inside or on the outer skin just below the lower eyelashes.
Scarring depends on the surgeon’s approach for what to do and what to avoid during the surgery.
The results of blepharoplasty are safe and long-lasting when performed by an experienced surgeon. The fat and skin removed from the eyelids will not come back and these results can even last for a lifetime. However, it will not stop the ageing of the eyes and the upper eyelid might droop a little bit with age.
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