Eyelid Surgery Blepharoplasty

With advancing age eyelid skin becomes loose & wrinkled. The underlying muscle becomes weak and the fat beneath it bulges out. This results in  sagging eyebrows, droopy upper lids and bags under your eyes. The eyes look tired, adding years to the face. Blepharoplasty, also known as eyelid surgery or undereye bags surgery, removes excessive skin from eyelid, tightens muscle & repositions the fat. It thus rejuvenates the eyelids & helps to restore youthfulness of face.

Who Are The Candidates For Blepharoplasty?

You are a candidate for blepharoplasty if you have-

  • Baggy or droopy upper eyelids.
  • Excess skin of the upper eyelids that interferes with your peripheral vision.
  • Excess skin on the lower eyelids.
  • Bags under your eyes which gives you a tired & sad look.

Things To Consider Before Blepharoplasty

  •  The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and drooping of eye brow. In this case brow lift procedure is required alone or in combination with blepharoplasty.
  • Sometimes stretching out of the upper eyelid muscle may cause a drooping eyelid. This is called eyelid ptosis and requires a different surgical treatment.
  • sometimes when lower eyelid skin is very lax, an additional procedure (canthoplasty or canthpexy) may be needed to support your lower eyelid.

What Is Done In Blepharoplasty?

  • UPPER EYELID:-A small incision is taken in natural crease of upper eyelid. After separating muscle, fat is removed or repositioned. The muscle is tightened & skin incision is closed.
  • LOWER EYELID:-A skin incision is taken just below the lash line. Eyelid fat is either removed or redistributed to treat surrounding hollowness. Excess skin is removed & incision is closed.
  • Transconjuctival Blepharoplasty:- is an alternative method to treat lower eyelid condition. In this incision is taken inside the eye & fat is removed or redistributed. No skin is removed but loose skin is tightened with laser.

Pre-operative Preparation & Planning

  • You will undergo clinical check up for evaluation of fitness for surgery.
  • Please inform us if you had any past illness, surgery or any allergy.
  • You will undergo certain blood investigations.
  • Once you are ready & fit for the surgery, we will fix up the date of procedure.
  • You will be given instructions about necessary pre-operative precautions.

Pre Blepharoplasty Precautions & Instructions

  • You will undergo clinical check up, blood investigations and chest x-ray for evaluation of fitness for surgery.
  • Stop smoking for at least 2 weeks before the procedure.
  • Stop Aspirin, painkillers, Antioxidants or nutritional support 7 days before the procedure.
  • Please inform your surgeon about history of any eye related conditions like dry eyes, glaucoma, allergies, refraction errors etc.
  • Discuss with your surgeon if you are taking any herbs, homeopathic medicines or nutritional supplements which need to be discontinued.
  • Discuss with your surgeon about your past major illness .
  • Inform your surgeon regarding any current illness like diabetes, blood pressure for which you are taking any medicines. Also inform him if you have had any recent illness like cold, diarrhea etc.

Post Blepharoplasty Precautions & instructions

  • After surgery you will have a surgical dressing over your eyelids.
  • When the effect of anesthesia wears off, You will have some discomfort or pain for which you will be given painkillers.
  • You will have antibiotics to reduce the risk of infection.
  • You will be prescribed tear drops & ointment to prevent dry eyes & irritation.
  • You are advised to rest with head elevated for first few days
  • There will be some Swelling and bruising, similar to having "black eyes," which will likely last a week or more. You are advised to gently apply ice packs or cold compresses to your eyes to help reduce swelling. A pair of dark glasses will help to hide the bruising and swelling during this recovery period
  • Some numbness in eyelids is expected in initial period & may last for few weeks.
  • Avoid rubbing of eyes. Avoid straining, heavy lifting, swimming, bending forward and strenuous activities which may increase blood pressure in your head abruptly.
  • Stiches will be removed after one week.
  • You can resume work 7-10 days after surgery depending upon the extent of procedure.

Post Blepharoplasty Precautions & instructions

  • After surgery you will have a surgical dressing over your eyelids.
  • When the effect of anesthesia wears off, You will have some discomfort or pain for which you will be given painkillers.
  • You will have antibiotics to reduce the risk of infection.
  • You will be prescribed tear drops & ointment to prevent dry eyes & irritation.
  • You are advised to rest with head elevated for first few days
  • There will be some Swelling and bruising, similar to having "black eyes," which will likely last a week or more. You are advised to gently apply ice packs or cold compresses to your eyes to help reduce swelling. A pair of dark glasses will help to hide the bruising and swelling during this recovery period
  • Some numbness in eyelids is expected in initial period & may last for few weeks.
  • Avoid rubbing of eyes. Avoid straining, heavy lifting, swimming, bending forward and strenuous activities which may increase blood pressure in your head abruptly.
  • Stiches will be removed after one week.
  • You can resume work 7-10 days after surgery depending upon the extent of procedure.

What Will Be My Bhlepharoplasty Scars Like?

Initially the scars over eyelid will be red & prominent. But with time they fade & will be hidden in natural eyelid creases.

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