Plastic surgery of the eyelids
As the time passes, our eyelids undergo undesirable changes, making them look more tired and older. Many factors, such as heredity or sun damage can accelerate these changes. Eyelid surgery (blepharoplasty) has become one of the most common surgeries in the recent years.
Tired eyes or swollen eyes can also result from the presence of fat herniation in the upper or lower eyelids. These excess skin and fat can be successfully removed in one quick procedure. Sometimes the shape of the eyelid can be changed if desired by the patient. The surgery can also be combined with a midface lift improving malar bags and skin laxity below the eyelid in the area of the midface.
How is blepharoplasty performed?
The incision is made in a natural bend crease of the eyelid, the scar will be invisible, except at the outer part, placed in a fold of the crow's feet, it will fade in a few months. Through this incision, excess skin is removed, as well as hypertrophy of the orbicular muscle and fat responsible for swelling around the eye. This intervention, which lasts between 30 minutes and 1 hour, will be performed under local anesthesia or, more often, with intravenous relaxation. The total time spend for the procedure, including recovery, does not exceed a few hours. This is an outpatient surgery. Patients often take 1 or 2 weeks off of work, if desired for full recovery.
The postoperative care
There is typically no postoperative pain. For the first 2-3 days there may be significant swelling. Bruising is usually not severe, but may last 1 to 2 weeks. You may feel minimal discomfort when you close your eyes. Similarly, they may become more sensitive to light or weep. The sutures are removed on day 5 to 9 depending on the procedure, makeup becomes possible shortly after. Sun protection will be essential during the first three months.
Who is a candidate?
Patients with bags under eyes or loose skin are best candidates for the procedure. Patients with hollow eyes, or patients with dark circles under the eye may not get full improvement from surgery alone. Those with droopy lower lid, or those that want to improve the shape of the lower lid may also be helped by a special kind of lower lid surgery.
What are the side effects ?
This is a very safe surgery with minimal if any side effects. In the hands of an experienced surgeon, unless desired, the shape of the eye should not be changed. The eye should never become rounder and lower lid malpositioned. Minimal bruising and swelling typically resolves itself in a matter of days. Visual acuity changes are extremely unlikely, most of the cases relate to concomitant ocular pathology, hence the need for a crucial ophthalmologic examination preoperatively.