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Cosmetic surgery of
eyelid (Blepharoplasty)
Sagging eyelids, pouches beneath the eyes and excess folds around the eyes are conditions
which may be surgically or laser corrected through blepharoplasty. The physician and patient must first
discuss what aesthetic improvement is desirable and
achievable.
Blepharoplasty is often performed under
local anesthesia in which the patient remains awake
and the area to be treated is
anesthetized. The surgeon, following the natural lines and creases of
the eye, makes very fine incisions from the inner to the outer edge. On the upper eyelid, the
incision or laser is made in the fold of the lid; on
the lower eyelid, the
 incision
is made directly below the eyelashes. Excess fat and
excess skin are then removed from the underlying
compartments. After removal of fat and skin, small
sutures are used to close the incision, and special
ointments and/or dressings may be applied to the
area.
How long does surgery last?
The procedure takes from one to two hours
depending upon the extent of the surgery. Sometimes
the procedure is done in conjunction with other
facial surgery such as eyebrow lift.
What can be expected following surgery?
The sutures are removed a few days after surgery.
Patients may experience minimal discomfort for a day
or two following the procedure, but this is
controlled by medication. Because the skin around
the eyes is thin, some swelling and bruising is
likely to occur. The swelling is usually reduced by
applying cold compresses and by keeping the head
slightly elevated when lying down. Both the swelling
and bruising disappear within a few days. During the
first days after surgery, patients are advised to
refrain from overactivity and, for an additional two
to three weeks, to wear dark, protective sun glasses
when going outside. The decision as to when to
return to work is individual and must be determined
by the physician. |
