Eyelid surgery, technically called blepharoplasty, is a procedure to remove fat and excessive skin and muscle from the upper and lower eyelids, usually because of age or due to congenital or associated with kidney or heart disease causes. This technique allows correct drooping upper lids and puffy bags, characteristics that make us look older and more tired than we are and, in some cases, can interfere with vision. However, blepharoplasty does not remove "crow's feet" or other wrinkles or drooping eyebrows.
It is the most common cosmetic eye surgery and one of the most appreciated facial cosmetic procedures (patient satisfaction is great and complications are exceptional).
Suitable for those who seek improvement in the cosmetic appearance of eyelids in any of the following situations:
- Adults who are not happy with the look of their eyes and want to improve their physical appearance
- People with excess skin in the upper eyelid to the point of losing the natural crease of the eyelid
- People with excess fat in the lower eyelid and especially if that fat is located in the area closest to the nose
- People with bags and wrinkles in the lower or upper eyelid that give a tired look even newly rose
- People who want to improve their physical appearance although they have already had a previous blepharoplasty
This treatment hasn’t to be performed on patients:
- With active infection
- Pregnant and breastfeeding
- With poor wound healing / coagulation (diabetics, haemophiliacs,)
Not recommended in patients psychologically unstable. In case of mental illness, it is recommended to wait until stabilization under treatment or until it’s cured.
Despite being safe technique, as with any operation there can always be complications (rare and minor) and risks (such as infection or anaesthetic reactions). Minor complications that can occur after blepharoplasty include double or blurred vision for a few days, temporary oedema of the eyelids and slight asymmetry in healing.
After surgery may appear difficult to fully close the eyelids during sleep, only in rare cases this complication is permanent.
There are some medical conditions that can cause more risks when performing blepharoplasty, such as thyroid problems, lack of sufficient tears, high blood pressure, cardiovascular disease and diabetes. Glaucoma and retinal detachment may also be a risk.
In certain cases, an ophthalmologic revision before blepharoplasty may be necessary.
The surgery is performed in an operating room in a clinic or hospital. Normally it is not necessary to remain in the clinic more than a few hours after surgery. It is usually done under local anesthesia with sedation, although general anesthesia in some cases cannot be discarded.
The procedure usually takes between one and three hours, or more when combined with other interventions. If all four eyelids are going to be treated, usually the intervention starts by uppers. The micro-incisions are not visible from the first day of surgery (when the eye is open) because they are made in the natural crease of the upper eyelid and just below the lashes in the lower. Through these incisions the skin is separated from the fat and underlying muscle, removing excess fat and sometimes excess skin and muscle.
Useful products: Two weeks before and one week after blepharoplasty the application K-vit cream or angioses eye contour gel helps to reduce skin bruising.
The information provided on this page in no case can, nor is it intended, replace the information provided individually by your plastic surgeon. If in doubt, your plastic surgeon will provide with the appropriated explanations. If you are thinking about having an intervention of Plastic or Cosmetic Surgery, see a specialist in Aesthetic, Reconstructive and Plastic Surgery.
Source: SECPRE (Spanish Society for Surgery .....)
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