Blepharoplasty

What is Blepharoplasty?

Blepharoplasty is a cosmetic procedure performed on the upper and/or lower eyelids. As we age, we tend to develop excess tissue around the eyes making them appear ‘hooded’, look old or tired. Blepharoplasty removes the excess fat and skin and may also involve the tightening of muscles and tendons which surround the eye.

How is the Procedure Performed?

Blepharoplasty is usually performed under a local anaesthetic coupled with light sleep sedation, or under a general anaesthetic. The incisions are made within the natural creases of the eyelids through which herniated fat is removed and from which excess skin is taken. The incisions are stitched with very fine hairlike sutures which will be removed 3-5 days after surgery.

Is there much scarring with Blepharoplasty?

Yes. However the scares are very fine and are concealed within the natural folds of the upper eyelid. On the lower lid the incisions can be made inside the eyelid or beneath the lash line.

At what age is Blepharoplasty performed?

This cosmetic procedure is most often preformed on people over 35 years old where age has contributed to excess skin, sagging or ‘hooded’ eyes. However some individuals have excessive fat or skin around their eye and may opt for this cosmetic procedure earlier in life.

Will Blepharoplasty rid me of my eye wrinkles?

Blepharoplasty is designed to remove excess skin and fat from the upper and/or lower lids. It is not designed to remove wrinkles and ‘crow’s feet’. Other treatments are available such as chemical peels, which can help soften such wrinkles significantly. Please contact us to enquire about alternative ‘wrinkle removing’ cosmetic surgery abroad.

What should I expect post-operatively?

As all surgeries cause swelling and bruising, you most likely be faced with two black eyes after undergoing blepharoplasty. Your eyelids may feel taught and sore and your vision may be a little blurry for the first few days. You may also experience either dry or watery eyes. However the swelling, bruising, discomfort and blurred vision will pass as you heal.

You should not be in any extensive pain. Your cosmetic surgeon will suggest pain relief and ways to help relieve the bruising and swelling. Always seek your surgeon’s advice and do not self prescribe.

Your stitches will normally be removed 3-5 days after the procedure. This may sting a little but once the stitches are out, you’ll begin to see the results of the surgery.

When will I be able to see the results?

Once the swelling goes down and your stitches have been removed you’ll begin to see a noticeable difference. Don’t expect instant results as it will take a good week for the swelling and bruising to fade. It is also important that you are aware that when you wake up, your eyes will appear more swollen due to being laid horizontal. This is normal in all people. Once you’ve been upright for a while, this swelling will recede.

What are the risks of Blepharoplasty?

Complications which are associated with blepharoplasty include the appearance of milia. These look similar to tiny whiteheads and are completely harmless. They can be easily removed by your surgeon or a dermatologist.

There is also a possibility you may not be able to completely close your eyes whilst sleeping. This should pass but in rare instances, this can be permanent.

In very rare cases one could develop ectropion. This is a condition where the lower eyelids turn outwards slightly. This can be rectified with further eye surgery.

Blepharoplasty can be more risky for those who suffer from thyroid problems, high blood pressure, circulation disorders, dry eyes or Grave’s disease. Graves disease is often associated with severe swelling around the eyes which may be misdiagnosed as merely excessive fat beneath the eyes.

Myxedema is a severe state of hypothyroidism and those effected may suffer from fluid retention (edema), especially around the eyes. This too could be misdiagnosed as excessive fat around the eyes. It is essential that your surgeon is made aware of any of these before undergoing blepharoplasty and ascertains whether or not the bags under your eyes are caused by fluid retention or not.

Other disorders which you must make your cosmetic surgeon aware of include optical disorders such as a detached retina and glaucoma, diabetes, cardiovascular disease, myasthenia gravis, poor circulation, etc. If in doubt, tell your surgeon. Please disclose all disorders or concerns with your plastic surgeon – you’re health and well-being might depend on it. There are no benefits in thinking a minor condition doesn’t matter.

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