Blepharoplasty - Eyelid surgery

Blepharoplasty – Eyelid surgery

The area around the eyelids can be considered the centre of expression, immediately noticeable during conversation and personal interaction.
Because of this certain related defects or problems cause patients to request corrective operations.
Eyelids are often one of the first parts of the body to be affected by the ageing process.
Patients are therefore typically aged 35-40, with an excess of skin around the upper eyelid, bags under the eyes and a drooping of the eyebrow, giving the patient the appearance of no longer being youthful.
Blepharoplasty, which means ‘shaping of the eyelid’, is the operation which corrects these defects, rejuvenating more than any other operation the appearance of the person. It is therefore a very appealing treatment option for patients, particularly as the resulting residual scarring is practically invisible.
Also other smaller problems such as darkened eyes, circles around the eyes and crow’s feet can be corrected with this procedure, often with complementary treatments such as chemical peeling or laser.

When and why

It can be performed on patients at any age providing they have excess skin, bags, “swollen” eyes or weakened eyelids. 

The rejuvenation effect obtained with blepharoplasty is immediately noticeable and has a positive effect on the rest of the face.
What’s more, the results are stable and remain definitive for many years.

Surgical Technique

It is possible to have an operation on either the upper or lower eyelid or both together.
Before the incisions are made, the amount of excess skin is evaluated and a design of the desired outcome is made. The operation is designed in such a way that the resulting scar will fall under a normal skin fold.
The method currently used is to correct the upper eyelid and any problems caused by the lowering of the edges of the eyelid, which in its resting position is lower than it would normally be (in many cases an obstacle to vision), and across the skin of the lower eyelid, correcting excess skin.
The same technique is used for the lower eyelid.
The skin is delicately eased away from the surrounding tissue.
The correct amount of fatty tissue is removed and the skin then closed with a very thin suture. 
This operation, if performed on its own and not in conjunction with another more complicated treatment of facial rejuvenation, can be done in an authorized surgical structure in a day hospital, meaning that the patient can return home in the same day. 
After the operation a dressing is applied to the eyes as well as cold compresses to lessen any swelling, which in any case tends to disappear after 5-7 days.

The operation takes place under local anaesthetic and if necessary sedation.

 

It is even possible to create oriental style eyes. How?

During the operation on the upper eyelid, it is possible for the surgeon to lift the eyelid, fixing it to the periosteum, a rigid and resistant part of the bone of the forehead.

Post Operation

In the first few days after the operation swelling can be visible in the area.
This type of operation causes minimal pain, which if necessary can be limited by normal painkillers.
The stitches are removed after 4-5 days.
Complications are rare but can include the accumulation of blood underneath the area which was operated on and hematoma.
In some cases it is seen as necessary to remove blood clots in order to quicken the healing process. Infections are extremely rare.

It can occasionally appear that the eyelid is lightly stretched from the eye as a result of an anomaly in the healing of the scars. This is however a temporary problem which can be corrected with a second operation. 
In the two or three weeks after the operation it is possible that small lumps will appear along the incision lines, which generally tend to disappear of their own accord. Their removal is only recommended in certain specific cases. All of these treatments can be carried out within the clinic.
Social and work activities should be limited for a period of around 10 days. Driving can be re-started after one week, physical exercise after two weeks. Make-up should not be applied during the first two weeks while exposure to the sun should be avoided for at least two months.

Summary

Anaesthetic: local with sedation if necessary
Operation time: 45 minutes
Recovery time in clinic: 4 hours
Number of types of medication: 2
Recovery period: 5 days