Summary

One kind of surgery called blepharoplasty involves removing extra skin from the eyelids. As we age, the muscles that support our eyelids weaken and they stretch. This can lead to an accumulation of fat and extra skin above and below your eyelids. This may result in bags beneath the eyes, drooping upper lids, and sagging eyebrows.

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In addition to ageing, significantly drooping skin around the eyes can impair peripheral vision, or side vision, particularly in the outer and higher regions of the visual field. These eyesight issues can be lessened or eliminated by blepharoplasty. Additionally, the procedure might give eyes a younger, alerter appearance.

Learn about the advantages and risks of blepharoplasty, as well as how it is performed.

Why it’s done

A blepharoplasty might be a possibility for:

drooping or loose upper eyelids

excess upperlid skin that partially obstructs peripheral vision

Overexposure of the lower eyelid skin

under-eye bags

It is possible to have blepharoplasty done concurrently with a facelift, brow lift, or skin resurfacing.

Insurance coverage may vary depending on whether a vision-damaging disease is corrected after surgery. Insurance probably won’t pay for surgery performed only to enhance attractiveness.

Dangers

Risks associated with surgery include blood clots and anesthetic response. Other uncommon dangers associated with eyelid surgery include:

Bleeding and infection

inflamed, dry eyes

Inability to close the eyes or other issues with the eyelids

pronounced scarring

damage to the eye muscles

Skin discolouration

momentary blurriness of vision or, in exceptional cases, complete blindness

The necessity of a second operation

How you get ready

You will consult with a healthcare professional before to arranging blepharoplasty. The healthcare professionals you consult with can be a plastic surgeon, an ophthalmologist (a specialist in eyes), or an ophthalmologist with a focus on oculoplastic surgery (plastic surgery around the eyes). Among the topics discussed are:

Your medical background. Your healthcare professional will inquire about prior procedures. Inquiries on previous or present medical disorders such diabetes, glaucoma, allergies, circulatory issues, thyroid issues, and dry eyes may also be made by your physician. Your healthcare professional will also inquire about your usage of alcohol, tobacco, vitamins, herbal supplements, and illicit substances.

Your objectives. Setting the foundation for a successful outcome will involve talking about your goals for the procedure. You and your healthcare professional will talk about how probable it is that you will benefit from the surgery.

In addition to a medical examination, you’ll probably have the following before your eyelid surgery:

thorough examination of the eyes. This might involve taking measurements of the eyelids and assessing the production of tears.

field testing visually. This is to check for blind spots in the corners of your eyes, often known as peripheral vision. To establish an insurance claim, this is required.

photographs of the eyelids. Taking multiple-angle photos aids in both surgical planning and documentation of any medical justifications, which may be needed to bolster an insurance claim.

Moreover, your supplier can require you to do the following tasks:

Give quit using aspirin, ibuprofen (Advil, Motrin IB, etc.), naproxen sodium (Aleve, etc.), naproxen (Naprosyn), warfarin (Jantoven), and any other medications or herbal supplements that can worsen bleeding. Find out from your doctor how long you should stop taking certain medications before surgery. Use only medication that your surgeon has approved.

Give up smoking a few weeks before to surgery. Smoking might hinder the body’s capacity to recover from surgery.

If you are having outpatient surgery, make arrangements for a driver to take you to and from the procedure. When you go home following surgery, make arrangements for someone to remain with you the first night.

What to anticipate

Prior to the process

Typically, blepharoplasty is performed in an outpatient environment. Drugs may be injected into your eyelids to provide numbness and administered intravenously (IV) to induce relaxation.

In the process

The surgeon makes incisions along the eyelid’s fold while operating on top lids. The surgeon cuts away some extra muscle, fat, and skin. The surgeon then seals the incision.

The surgeon creates an incision within the lower lid or just below the lashes in the natural crease of your eye on the lower lid. The surgeon cuts away or reallocates sagging skin, extra muscle, and fat. The surgeon then seals the incision.

Should your upper eyelid droop toward your pupil, your surgeon can do a blepharoplasty in addition to a ptosis operation (pronounced “TOE-sis”). Ptosis is intended to eliminate extra skin from the eyelid and raise the eyelid.

Following the process

Following surgery, you stay in a recovery room where personnel keep an eye out for any issues. Later that day, you are free to go home and recover.

Outcomes

Many blepharoplasty patients report feeling more confidence about themselves and that they seem younger and more rested. The effects of surgery can extend a lifetime for certain people. For others, drooping eyelids may come back.

Swelling and bruises usually go down gradually over the course of 10 to 14 days. It can take months for the surgery wound scars to go away. Be careful not to expose the sensitive skin on your eyelids to the sun.