Blepharoplasty

Source: https://www.plasticsurgery.org

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids.

Surgery can be performed on the upper lids, lower lids or both.

Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

What eyelid surgery can treat

  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision

  • Fatty deposits that appear as puffiness in the eyelids

  • Bags under the eyes

  • Drooping lower eyelids that reveal white below the iris

  • Excess skin and fine wrinkles of the lower eyelid

Who is a good candidate for eyelid surgery?

Good candidates for eyelid surgery include:

  • Healthy individuals with no medical conditions that can impair healing

  • Nonsmokers

  • Individuals with a positive outlook and realistic goals

  • Individuals without serious eye conditions

Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes stretching out of the upper eyelid muscle may cause a drooping eyelid. This is called eyelid ptosis and requires a different surgical treatment.

Your plastic surgeon will evaluate your facial anatomy thoroughly and will discuss what procedures might best remedy your concerns.

What are the risks of eyelid surgery?

The decision to have plastic surgery is extremely personal and you will have to weigh the potential benefits in achieving your goals with the risks and potential complications of eyelid surgery. Only you can make that decision for yourself.

You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks and potential complications.

Possible eyelid surgery risks include:

  • Anesthesia risks

  • Swelling and bruising

  • Bleeding from the incision lines

  • Dryness to the eyes

  • Sensitivity to sun or other bright light

  • Difficulty closing your eyes

  • Ectropion, an outward rolling of the lower eyelid

  • Infection

  • Lid lag, a pulling down of the lower eyelid, may occur and is often temporary

  • Temporary or even permanent change in vision, and very rare chance of blindness

  • Changes in skin sensation or numbness of the eyelashes

  • Pain, which may persist

  • Possible need for revision surgery

  • Unfavorable scarring

These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

 

What are the steps of an eyelid surgery procedure?

An eyelid surgery procedure includes the following steps:

Step 1 – Anesthesia

Medications 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 incision

The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.

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

Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.

A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed.

Step 3 – Closing the incisions

Eyelid incisions typically are closed with sutures or skin glue. Sutures are removed within one week.

Your surgeon may also suggest use of a laser or chemical peel to reduce discoloration of the lower eyelids.

Step 4 – See the results

The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and a more alert and rejuvenated appearance.