Blepharoplasty (upper and lower lid correction)
In majority of cases, excessive skin around the eyes is the main reason for this type of surgery. After removal of this tissue, person’s eyes look younger and less tired.
During the surgery, not only excessive skin can be removed, but also muscle fragments and fatty tissue.
With age, tissues lose their elasticity, the amount of fat around the eyes increases. Aging might cause eyebrow position to change, so they will look lower than they were before. Eyelid skin stretches, muscle becomes weaker, and fat accumulation becomes more visible. Some people experience these changes earlier than others do; this is likely to be caused by genetic factors.
Most common reason for this surgery is aesthetics. It is very important for a patient to have realistic expectations. Even though surgery can dramatically change and enhance your appearance, it cannot stop the aging of entire body. However, depending on your health and other factors, you might enjoy the results of the procedure for 10 years or even more.
During lower lid surgery, internal (transconjunctival) incision in the lid mucosa is made. Fat is removed or redistributed. Therefore, there is no skin scar.
If the problem is not just fatty bags, but also excessive skin, the incision is made below the lashes, and excessive skin is removed.
If lower bags are very prominent and there is a lot of excessive skin, method of combined under-eye line lifting is used. In this case, through incision below lashes few fixation stitches lift upper cheek part.
Before surgery, everything is discussed with the patient to decide the choice of anaesthesia. Usually upper lid surgery is performed under local anaesthesia. Lower lid surgery is usually performed under general anaesthesia, because local anaesthesia may not provide sufficient pain relief.
With local anaesthesia patient is not asleep, but does not feel any pain. Medication is injected with syringe and a needle. Usually adrenalin is added to local anaesthesia to minimize bleeding during surgery and after it.
Surgery of both upper and lower lids is usually performed under general anaesthesia. In this case, surgeon might ask you to do few things before the surgery:
- Discontinue medications that affect blood-clotting (aspirin, anti-inflammatory pain medications) for 7 days before the procedure.
- Do not eat or drink 6 hours before the procedure.
- In the morning before the surgery, take your regular blood pressure medication with small amount of water.
- On the day of the surgery, do not use any cosmetics around the eyes.
After the surgery, wounds are closed with non-absorbable sutures that are removed 7 days later.
One week after surgery, there can be bruises, which usually disappear during the second week and can be covered with makeup.
After surgery, patient spends a few hours in the recovery room under supervision of healthcare professionals. Usually patients go home the same day, if there are no complications. If surgery was under general anaesthesia, patient might have to spend one night in the hospital.
Most common complications
After surgery patient might not be able to close eyes properly. Usually this problem goes away within first two weeks. In this case, patient might have to use eye drops to prevent eyes from drying.
What is more, patient might experience increased tearing. Bruising and swelling are also common after this procedure.
If after surgery patient experiences severe eye pain ore vision disturbance, he/she must immediately get in touch with the surgeon.