The solution for eyes that have a hooded, saggy, or fatty appearance is the surgical procedure known as a blepharoplasty. This surgery can also remove wrinkles around the eyes and correct droopy eyelids that interfere with the individual’s ability to see.
A blepharoplasty can be performed on the upper or lower eyelid and eliminates the tired appearance of aging eyes. Whether you want to improve your appearance, vision, or both, blepharoplasty surgery usually produces a more rested, youthful look. Blepharoplasty can be performed on one eyelid or on both, and is sometimes performed alongside a brow lift.
A blepharoplasty could be right for you if one or more of these situations exist:
- Excess skin on the lower eyelids
- An excess of wrinkles around the eyes
- Puffiness or bags beneath the lower lid
- Excess skin on the upper lid that presents a cosmetic problem
- Thickening of skin on the upper lid that interferes with your vision
When considering a blepharoplasty, it’s important to have realistic expectations and to be in good physical health.
Blepharoplasty (eyelid surgery) Procedure
Before surgery, your doctor will go over with you the exact procedure that will be performed and the expected results.
As with other cosmetic surgery procedures, the first step in a blepharoplasty surgery is the administration of either a local or general anesthetic. Which of these is used will be based on the patient and advice of their surgeon.
The next step, after ensuring the area is fully numb, and the patient relaxed, the actual surgery performed by the application of precise incisions and the removal of excess skin, muscle or fat – sometimes all three.
Incisions are then closed with tiny sutures, as needed.
The surgeon will probably lubricate your eyes with ointment and may apply a compression bandage after your blepharoplasty operation.
You will return to see your plastic surgeon within a few days for a follow-up visit.
A blepharoplasty normally takes from one to three hours. If you are having additional cosmetic procedures performed at the same time, the surgery could go longer.
Recovery and Healing Time
Your eyelids may feel tight and sore as the anesthesia wears off, and the surgeon will prescribe pain medication as needed.
Your surgeon will give you specific instructions to follow when you get home.
To aid your recovery:
- Follow your plastic surgeon’s instructions
- Keep your head elevated for several days after surgery.
- Use cold compresses to reduce swelling and bruising
- Use any eye drops and clean your eyes in the manner prescribed by your doctor
- Don’t itch or scratch your eyes
- Avoid bending down or forward for at least a few days
- Don’t wear contact lenses until the surgeon says it’s okay
- Eyelid swelling and bruising under the eyes is common and can last for up to two weeks – although usually lessens considerably in the first few days
- Your will be able to wear makeup again in approximately two weeks
- Exercise, sports and physical activity can be resumed in three or four weeks.
- You should avoid strong sunlight during your recovery time, as the skin around your eyes will be extra-sensitive for a while. Wear sunglasses and a hat when in direct sunlight for six to eight weeks following your blepharoplasty.
- If you feel severe pain, call your surgeon immediately.
Dr. Shah will be able to discuss with you any concerns you have about this procedure.