Overview

The eye is an important component of facial aesthetics, blepharoplasty often means removing excess skin, muscle and underlying fatty tissue. Blepharoplasty play a vital positive role in facial harmony and the perception of aging. Blepharoplasty is one of the most commonly performed facial cosmetic procedures. Symptoms such as tired-looking eyes, excess skin, droopy eyelids, or circles around the eyes may benefit from blepharoplasty. You might be a good candidate for this procedure if your vision is affected by sagging skin. Some people may complain that their vision when looking upwards is blocked by the hanging skin.

people who have blepharoplasty say they feel more self-confident and feel they look younger and more rested. For some people, surgery results may last a lifetime. For others, droopy eyelids can recur. Bruising and swelling generally lessen slowly in about 10 to 14 days. Scars from the surgical cuts may take months to fade.

Causes

Blepharoplasty might be an  ideal option for:

• Baggy or droopy upper eyelids
• Excess skin of the upper eyelids that partially blocks peripheral vision
• Excess skin on the lower eyelids
• Bags under the eyes

Blepharoplasty can be done at the same time as another procedure, such as a brow lift, face-lift or skin resurfacing.

Symptoms

Patient with below symptoms may require blepharoplasty

• Tired-looking eyes
• Excess skin
• Droopy eyelids
• Circles around the eyes

Risks involved

All surgery has risks, including reaction to anesthesia and blood clots. Besides those, rare risks of eyelid surgery include:

• Infection and bleeding
• Dry, irritated eyes
• Difficulty closing the eyes or other eyelid problems
• Noticeable scarring
• Injury to eye muscles
• Skin discoloration
• Temporarily blurred vision or, rarely, loss of eyesight
• The need for follow-up surgery.

Treatment

Depending on your goals and the recommendation of your surgeon, blepharoplasty can involve your upper eyelids, lower eyelids or both.

Upper blepharoplasty

During an upper blepharoplasty, your surgeon will make cuts (incisions) in the natural crease of your upper eyelid. These incisions will be hidden when your eyes are open. Your surgeon will remove excess skin and protruding fat, and then they’ll close the incisions.

Lower blepharoplasty

During a lower blepharoplasty, your surgeon will make an incision just below your lower eyelash line. They’ll remove excess skin in your lower eyelid through this incision. They may also use an incision hidden inside your lower eyelid (transconjunctival incision) to correct lower eyelid issues and redistribute or remove excess fat.

There will be a stitch in each of your upper lids that’ll remain for about a week. The lower lids don’t require stitches if the incisions are made on the inside of your lids. It’s common for swelling and bruising to occur in your upper and lower lids. Expect to stay home from work and limit your activities for several days after surgery to allow your eyelids to heal.

Although the surgery is typically painless, you may have some swelling and bruising. Most people feel comfortable going out in public after 10 to 14 days. But it can take a few months to heal completely.

Recovery

During your blepharoplasty recovery, you can use cold compresses and antibiotic ointment to ease any swelling. Your surgeon will give you specific instructions that may include:

• How to care for your eyes.
• Medications to aid healing and reduce the potential for infection.
• Specific concerns to look for at the surgical site.
• When to follow up with your surgeon.

Some people experience dry eyes after surgery, but the condition rarely lasts more than two weeks. If you have dry eyes for more than two weeks, contact your healthcare provider.

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