Eyelid Surgery/Blepharoplasty

Eyes is that part of the face where signs of ageing first appear. Sagging upper eyelids and undereye bags that come with the natural process of ageing can be corrected through the cosmetic surgery procedure known as Blepharoplasty. This is a minor cosmetic procedure that can take years away off your face making you appear young and refreshed.

eyelid surgery

What is eyelid surgery or blepharoplasty Treatment?

Cosmetic eyelid surgery can dramatically enhance the look of droopy and tired eyes. This is done by removal of excess pockets of fat and skin from the lower and upper eyelids. In most cases, the surgery is performed in conjunction with other treatments such as brow lift for eliminating drooping eyebrows, and several cosmetic dermal fillers for treating crow’s feet.

Benefits of the Blepharoplasty Surgery

  • You might no longer suffer from vision problems consequential to overhanging eyelids
  • Any scars from the surgery would be hidden in natural eyelids creases making them almost invisible.
  • You will be able to get rid of the bags and puffiness under lower lids and the hooded skin on the upper lids making you look healthier, younger and refreshed.

Who is the right candidate for Eyelid Surgery?

Here are the few reasons for you to consider eyelid surgery:

  • Upper eye surface is either not smooth or too small to apply makeup
  • The upper eyelid skin is loose and impairs your vision
  • There are dark circles and bags under the eyes
  • There is excess deposit of skin obscuring natural fold of the upper eyelids
  • There excess skin and fine, ‘crepe paper’ kind of lower eyelid wrinkles
  • There is a puffy appearance to the upper eyelids giving you a sad and tired look

In a nutshell, anyone who has a positive attitude, realistic expectations and goof health then you are the right candidate for eyelid surgery.

How is the blepharoplasty surgery performed?

Blepharoplasty, also known as eyelid surgery, can be performed on lower eyelids, upper eyelids or both. On the basis of a preoperative evaluation of factors like bone structure, underlying structure of facial muscles and the symmetry of eyebrows, the plastic surgeon would decide how much fat, skin or muscle has to be removed.

Eyelid surgery procedure includes the following steps:

  • The surgeon would make precise markings for indicating the areas from where excess tissues have to be removed in the lower and upper eyelids.
  • The incision in the upper eyelid would be made in such a way that it will remain hidden within the natural fold.
  • The incision made in the lower eyelid would be made right beneath the lower lashes. Alternatively, when excess fat is removed, the incision can be made inside the lower eyelid. In some cases, a laser might be used in combination with this method for tightening the lower eyelid skin.
  • It is through these incisions that the surgeon would remove tissues making use of surgical instruments such as radiofrequency cutting devices, scalpels, and surgical scissors. In some cases, even cutting laser is used for removing tissues.
  • In some cases, fat might be redistributed in the lower lids for removing bulges or puffiness. Other adjustments also be made by the surgeon for correcting problems like muscle laxity.
  • Then tissue adhesives or sutures would be applied for reconfiguring and smoothening the areas around the eyelids and eyebrows. Sutures are not visible to eyes and dissolve at their own. In most cases, there is no detectable scar.
  • Less tissue is eliminated in those who have dry eyes so as to avoid exposing more of the eye to the air that might worsen symptoms.

What are the different types of eyelid surgery?

Choose a board-certified surgeon as he will use the right procedure on the basis of your aesthetic goals and physical characteristics.

Lower eyelids

There are several options to perform lower eyelid procedure:

  • In the traditional approach, incisions are made right below the eyelids, repositioning or trimming excess fat and skin and tightening the muscles of lower eyelids.
  • In transconjunctival method, incision is made inside the eyelid. This approach helps in improving puffiness and lower eyelids. The surgeon can remove excess deposit of fat through this approach however not excess skin.
  • The skin pinch method removes only a small amount of skin. This is the best approach in patients who have strong lower eyelid support and only a little extra skin. In some cases, laser resurfacing can remove wrinkles and tighten excess skin too.
  • The use of hyaluronic acid fillers is a non-invasive alternative for lower eyelids. Juvéderm, Restylane along with other soft tissue fillers could be injected into the trough for rejuvenating the appearance of under-eye part.

Upper eyelids

  • The surgeon would make the incision line at the natural eyelid crease through excess fat, muscle and skin will be removed.
  • Lasers might be used for removing excess tissue to reduce bruising and swelling.
  • The blepharoplasty surgery is performed under local anaesthesia. However remember that the surgeon might use general anaesthesia in case a patient requests for same.
  • Discuss the options with the surgeon prior the surgery.
  • Also, use of anaesthesia depends on whether the surgery is performed alone or in conjunction with other cosmetic procedures.

How would be the blepharoplasty incisions and scars appear?

Lower eyelid incisions & Scars

In traditional eyelid surgery, the surgeon would make an incision in an inconspicuous site along the smile creases and lash line of the lower lid. In a transconjunctival approach, the surgeon corrects puffiness of eyelids consequential to excess fat by creating an incision inside the lower lid. This method need no external incision however it does not remove excess skin.

Upper eyelid incisions & Scars

The plastic surgeon would mark the creases and natural lines of the lids keeping scars as concealed as possible along the natural folds. Fine sutures are placed to close the incisions thus minimizing scar visibility.

Eyelid surgery aftercare and recovery tips

Once the surgery is performed, the cosmetic surgeon would share detailed instructions with the caregiver and patient. Make sure to adhere to these instructions for timely and effective results and recovery.

  • You might experience light sensitivity, double vision right after the procedure and excessive tearing.
  • Bruising and swelling similar to black eyes would last for a week or more.
  • Initially, incisions would be red and visible, and eyelids might appear puffy and feel numb for many days after the procedure.
  • In most cases, pain is minimal. In addition, the surgeon might prescribe pain reliever to alleviate pain and discomfort. Ensure you take medication prescribed by the surgeon only.
  • In cases stitches are removed, they would be removed after four to five days.

In case, you experience long-lasting swelling, pain or redness after the procedure, contact the surgeon to know if these symptoms are normal or indicate problem.

Blepharoplasty recovery after the procedure

It is important for patients to understand that following the instructions given by the surgeon is of utmost significance to aid swift healing and recovery. Adhere to the postoperative instructions given by the surgeon. This would include detailed information related to intake of antibiotics and other medicines, drains, the type and level of activity, and bandages. In addition, you will be informed about the normal symptoms and those that are signs of complications. Also, remember that the duration required for recovery from this procedure varies greatly from patient to patient. Be patient during the recovery phase.

How long the results of eyelid surgery last?

As far as the results of the surgery are considered, they should be long-lasting. For the major part, eliminating upper eyelid skin and hooding is a procedure that can be performed only once. With the natural process of ageing, your brow can either descend or drop, not a second upper eyelid surgery. Lower eyelid surgery, on the other hand, is performed for removing puffiness and eye bags around the eyes, and also it should only be performed once.

Make sure that you visit the cosmetic surgeon as and when the need

It is important for patients to visit the surgeon on a regular basis or as prescribed for the beautiful as well as the healthy result. No matter what, do not skip any of the consultation with the surgeon after the surgery. Whenever you have queries and concerns regarding the surgery, discuss with your cosmetic surgeon.

Cost associated with the eyelid surgery India

When it comes to the cost of the blepharoplasty, it is important to understand that it depends on several factors. Some of the most common factors that influence the cost are experience and expertise of the surgeon – whether he or she is board certified, fee of the anaesthesiologist and staff, facility charges, approach used for performing the surgery, and the number of procedures performed – eyelid surgery is performed alone or along with any other cosmetic procedure. Also, find out about the after care costs that include medicines, bandages and ointments, to name a few. Discuss the costs related to the procedure in detail. Make sure you clear all your concerns and queries related to the cost. Proper and clear understanding of the procedure would help you get an exact cost involving the entire blepharoplasty procedure.

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