Eyelid SurgeryAlso known as blepharoplasty, eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both, and gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.
Why Eyelid Surgery?Enhancing your appearance with eyelid surgery
Cosmetic eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.
Specifically, eyelid surgery can treat:
- Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
- Excess fatty deposits that appear as puffiness in the upper eyelids
- Bags under the eyes
- Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
- Excess skin and fine wrinkles of the lower eyelid
Rejuvenation procedures typically performed in conjunction with eyelid surgery
- Eyelid surgery to rejuvenate aging eyes
- Facelift to correct aging changes in the mid- to lower face and neck regions
- Skin resurfacing techniques
Is it right for me?Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.
You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Good candidates are:
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Individuals with a positive outlook and specific goals in mind for blepharoplasty
- Individuals without serious eye conditions
You must tell your doctor if you have any of these medical conditions:
- Eye disease such as glaucoma, dry eye or a detached retina
- Thyroid disorders such as Graves' disease and under or overactive thyroid
- Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes
Procedural Steps:What happens during eyelid surgery?
Step 1 AnesthesiaMedications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 The incisionThe incision lines for eyelid surgery are designed for scars to be well concealed within the natural structures of the eyelid region.
Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin.
A transconjunctival incision, one hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.
Step 3 Closing the incisionsEyelid incisions typically are closed with:
- Removable or absorbable sutures
- Skin adhesives
- Surgical tape
Step 4 See the resultsThe results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.
Possible risks of eyelid surgery include:
- Unfavorable scarring
- Temporarily blurred or impaired vision
- Dry eyes
- Difficulty in closing your eyes
- Lid lag, a pulling down of the lower eyelid may occur and is often temporary
- Ectropion, rolling of the eyelid outwards
- Bleeding (hematoma)
- Poor wound healing
- Fluid accumulation
- Blood clots
- Numbness and other changes in skin sensation
- Anesthesia risks
- Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
- Pain, which may persist
- Skin discoloration and swelling
- Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
- Deep vein thrombosis, cardiac and pulmonary complications
- Possibility of revisional surgery
- Loss of eyesight
Be sure to ask questions: It's very important to ask your plastic surgeon questions about your eyelid procedure. It's natural to feel some anxiety, whether it's excitement for your anticipated new look or a bit of preoperative stress. Don't be shy about discussing these feelings with your plastic surgeon.
My recoveryAfter your procedure is completed, lubricating ointment and cold compresses may be applied, and in some cases your eyes may be loosely covered with gauze.
You will be given specific instructions that may include: how to care for your eyes, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your overall health, and when to follow-up with your plastic surgeon.
Initial healing may include some swelling, bruising, irritation or dry eyes and discomfort that can be controlled with medication, cold compresses and ointment. Irritation at the incision sites also is possible.
A special note: You must practice diligent sun protection and use darkly tinted sunglasses until the healing process is fully complete.
The results will be long-lastingYour final results will appear within several weeks, but it may take up to a year for incision lines to fully refine.
While eyelid surgery can be expected to correct certain conditions permanently, you will continue to age naturally. Life-long sun protection will help to maintain your results.
How much will eyelid surgery cost?Cost is always a consideration in elective surgery. Prices for eyelid surgery can vary widely. A surgeon's cost for blepharoplasty may vary based on his or her experience, the type of procedure used, as well as geographic office location.
The Cost may include:
- Surgeon's fee
- Hospital stay and operation theatre charges
- Anesthesia charges
- Medicines and consumables
- Pressure garments