• Upper-blepharoplasty

Droopy eyelids are one of the biggest reasons why people consider eyelid surgery to tighten and remove excess eyelid skin for a more youthful and alert appearance.

With blepharoplasty, as this procedure is termed, it is possible to remove excess muscle, skin and sometimes fat from the upper or lower eyelids.

Muscles weaken, the eyelid skin stretches and fat pockets become more outstanding as they bulge. Cosmetically, such a condition may detract from the overall attractiveness of your face and eyes and can cause a tired or aged appearance.

In blepharoplasty, the surgeon first marks the specific lines of the lids to keep the scars as invisible as possible. The incision is made, and excess fat is repositioned or removed. Fine sutures are used to close the incisions, thereby minimising the visibility of any scar.

Post Operation

Consultation

Before having upper blepharoplasty, it is vital that the patient has a thorough consultation with his or her surgeon. You will have to decide whether you would like to be numbed locally or have general anaesthesia.

Your surgeon will also ask you how high you would like your eyelids to be after the operation. It is important to not separate too much skin or fat tissue from the upper eyelids, as it can lead to a dreaded unnatural, surgical look, or worse, inability to close the eyes. Your doctor will help to make the right decision.

In some cases, your surgeon may also suggest an upper blepharoplasty or forehead lift.

Preparation

Before getting the operation, you should avoid anti-inflammatory drugs such as aspirin, smoking and supplementary that can cause anticoagulation at least ten days before.

Some supplementary compound with high vitamin E, Ginkgo Biloba, St. John’s Wort, and Omega-3 capsules may cause more bleeding. If you take any of these, make sure to let your surgeon know in advance. You may need to stop taking them three to five days before the operation.

Keep your medical history ready to present to your surgeon. Especially if you suffer from hypertension, heart diseases, diabetes or are allergic to any drugs, you should inform your doctor at the time of consultation.

Prepare to stay away from work for up to five days. Bring sunglasses to increase your comfort during the procedure and come to the office with a washed face and no makeup applied.

For patients suffering from hypertension, keep your blood pressure under 140/90 mmHg before getting the operation. Patients depending on a pacemaker cannot be considered for this procedure.

Procedure

Upper blepharoplasty is usually performed under local anaesthesia with oral sedation (similar procedure as having dental procedure) or local anaesthesia with IV sedation (similar to that used for colonoscopies).

Before the operation, your surgeon will mark the excessive tissue. To minimise the number of visible scars in the result, the incision line runs along the natural structures (wrinkles, skin folds) of the eyelid and the surrounding area.

Through an incision within the natural crease of the eyelid, the upper eyelid can be improved. This allows for tightening of muscles, removal or repositioning of fat deposits, and removal of excess skin.

The lower eyelid may be adjusted with an incision below the lower lash line. Excess skin in the lower eyelid is removed through this incision.

Eyelid incisions usually are closed with removable sutures, skin adhesives, and surgical tape. Your surgeon may suggest the use of a laser or chemical peel to reduce discoloration of the lower eyelids.

The effects of eyelid surgery will appear gradually as bruising and swelling recede. A smooth, better-defined eyelid and surrounding region, and an alert and youthful appearance will be the result.

Post-operation

Taking care of the wound

The recovery process after upper blepharoplasty surgery is practically painless. Bruising and swelling gradually disappear after seven to ten days. The vision remains unimpaired since no patch is needed, and the sutures are taken out five to seven days after surgery. At that time, the patient can resume normal activities.

When reclining, elevate your head and back with several pillows for the first one to two days after surgery. Try lying on your back rather than on your stomach sides or sides.

It is very important that you take deep breaths after surgery to prevent from developing pneumonia. Pneumonia is a common occurrence after surgery if breathing exercises are not followed properly. A good example is to take 10 to 20 deep breaths every hour.

Ice packs should be applied on or around the treated areas, particularly over the eyes and cheeks. It will decrease the amount of pain, swelling, and bruising.

Washing your hair after surgery is possible, but a mild shampoo or a baby shampoo should be used. Also, use a gentle cleanser and a mild moisturiser. Alcohol and nicotine should be avoided at least two weeks following the procedure.

You may take off the gauze one day after the operation. Use cotton with a hygiene solution to clean possible bloodstains. Strictly follow the prescribed medication and consult your doctor immediately if you experience any allergic reactions.

After the stitches have been removed, the swelling will start to vanish within two to four weeks. A full recovery has been achieved about three months after surgery.

Possible complications

In rare cases, you may encounter difficulties closing your eyelids after several weeks or months. This is a sign that your eyes may have become abnormally dry. In this case, you may use eye drops to reduce dryness.

Other potential complications of blepharoplasty include:

  • Vision loss from retrobulbar haemorrhage
  • Eyelid infection
  • Numbness of the eyelids
  • Malpositioned eyelids
  • Double vision from problems with eye alignment
  • Noticeable surgical scarring
  • Undercorrection
  • Overcorrection