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Blepharoplasty (Eyelid Surgery)
Blepharoplasty can be done on the upper eyelids, lower eyelids or both. These procedures can rejuvenate the face and improve the “tired look”. Upper eyelid surgery can remove excess skin and fat and is tailored to the needs of each individual patient. The lower eyelid surgery removes excess skin and fat. It can decrease the bags under the eyes, reshapes the eyes, and remove wrinkles as well.
Upper Lid Blepharoplasty
Excess eyelid skin and fat can be removed to give a more youthful appearance. The incision is made in the upper eyelid crease. Some patients need to have fat removed but some need to have fat added. These procedures can be done under local anesthetic or general anesthetic depending on what needs to be done. In some people, the eyelids are not the source of the droopy, tired appearance but rather the brow is. Therefore, a browlift may be a better option for them.
Lower Lid Blepharoplasty
Excess eyelid skin, lower eyelid bags, wrinkles and fat can be removed. Under general anesthetic, the lower eyelid can be reshaped and give the whole eye a more youthful and pleasing appearance. Various incisions can be made but the two most common ones are the traditional lower eyelid incision or the transconjunctival incision (inner part of the eyelid).
Surgery and Recovery
The upper lid blepharoplasty takes about one hour to perform and the lower lid blepharoplasty takes about one and a half hours. The sutures are not dissolvable and need to be removed in 7 days. Eyeglasses and sunglasses may be worn immediately after surgery. Television and reading can be done after 48 hours. Eye makeup should be avoided for 2 weeks. You may not be able to return to work or be out in public for 7 days. You should not do strenuous exercise or heavy lifting for 2 weeks. Bruising, dry eyes, excessive tearing, temporary blurred vision and sensitivity to light are common and are temporary.
Scar – The scars are usually pink and bruised for several weeks. They will start to fade in a few months until they are quite unnoticeable. Sometimes, the scars can be slightly raised, wide or sensitive.
Bleeding (hematoma) – It is rare to have bleeding. Occasionally, we have to return to the operating room to stop any bleeding.
Infection – The risk of infection is about 1% but it can be increased in smokers. It may require antibiotics and/or more surgery.
Dry eyes – usually temporary. You can use artificial tears.
Ectropion – downward pulling of the lower eyelid from the scarring. This will need further surgery to correct it.
Difficulty Closing of the Eye – This is very rare especially during sleep. This will need further surgery to correct it.
Other rare complications may arise and they may be discussed during your consultation.