AM I A GOOD CANDIDATE FOR EYELID SURGERY?
Any one or combination of the following conditions may indicate that you are a good candidate for eyelid surgery:
1. Excess skin obscuring the natural fold of the upper eyelids
2. Loose skin hanging down from the upper eyelids, perhaps impairing vision
3. A puffy appearance to the upper eyelids, making the eyes look tired
4. Excess skin and fine, crepey wrinkles of the lower eyelids
5. Bags and dark circles under the eyes, often with a depression along the bony border of the lower eyelids
6. Droopiness of the lower eyelids, showing white below the iris (coloured portion of the eye)
WHAT TO EXPECT
AT YOUR CONSULTATION
Dr. Viral Desai will place a mirror to your face and ask you to tell him of the changes you would like to see from surgery. He will tell you whether or not your expectations are realistic and achievable. Dr. Viral Desai will consider several points when evaluating you for surgery, such as your allergies (if any), do you wear contact lenses or glasses, are you are seeing an eye specialist for any eye conditions and is there any excess skin on the upper eyelids or lower eyelids.
We give utmost importance to patient confidentiality and take strictest care to ensure your privacy. The staff at CPLSS understands that it can be difficult for a patient to make enquiries about such a delicate matter. It is our aim to make you feel as relaxed, comfortable and fully informed about the procedure as possible.
PREPARATION FOR SURGERY
STOP SMOKING & INTAKE OF CERTAIN MEDICATIONS
You should stop smoking (including the use of nicotine patches), intake of any blood thinning tablets (i.e. aspirin/disprin) and intake of vitamins at least one week prior to surgery.
Medicines prescribed by Dr. Viral Desai should be taken as advised.
LOOSE COMFORTABLE CLOTHING FOR SURGERY
Your admission time will approximately be 30-60 minutes prior to your surgery. You need to wear loose comfortable clothing – with a top that is either buttoned or zipped at the front – not one that is pulled over the head.
HOW BLEPHAROPLASTY IS PERFORMED?
When upper blepharoplasty is performed an incision is placed along the crease or fold of the upper eyelid and finely sutured. Excess skin or fat is removed from this incision. As the incision is made in the crease of the eyelid, it is barely visible and easily camouflaged with makeup. An upper blepharoplasty is performed under local anaesthetic and sometimes with sedation as a day surgery patient. This procedure is not painful and takes approximately 45 minutes. By doing a simple procedure as this, we can expect to reverse the age by around 7-9 years.
A lower blepharoplasty can be performed with an incision inside the eyelid or externally, just beneath the eye lashes. If suturing is required, dissolving sutures are used. Excess fatty tissue is removed from the lower eyelid giving the patient a less tired look and reducing puffiness. It is often common to have laser performed on the lower eyelid to decrease lines around and underneath eyes. A Lower Blepharoplasty takes approximately 60 minutes and both procedures combined usually take up to 90 minutes. It is a day care procedure and done under local anaesthesia and it will reverse the age by 7-9 years.
WHAT SHOULD YOU EXPECT
AFTER YOUR SURGERY
DAT AFTER SURGERY SWELLING & BRUISING
Swelling and bruising will occur the day after surgery causing you some discomfort. This can take up to 1 week to subside.
SLEEPING POSITION & COLD PACKS
Sleeping with your head elevated or using two pillows will help to minimize swelling. Applying cold packs to the eyes for 24 hours after surgery will help to reduce the swelling. It is important to note that every patient is different and some patients suffer more swelling or bruising than others.
EYES WILL FEEL TIGHT FOR A TIME
Your eyes will feel tight for a time, but this is quite a normal reaction. Do not exercise, smoke or drink alcohol during the recovery period as this can slow the healing process. Do not expect too much too soon from yourself and remember that rest is an essential part of the healing process. It is very important to take the prescribed medicines.
3-5 DAYS OFF WORK
You will require 3-5days off work and you should discuss this with Dr.Viral Desai. He will inform you when strenuous exercise can be resumed or undertaken.
SUTURES REMOVED AFTER 5 DAYS
Sutures will be removed after five days.
NO CONTACT LENSES FOR 2 WEEKS
You will not be able to wear contact lenses for two weeks post-operatively and you will need to wear good UV protective sunglasses when exposed to sunlight.
RISKS, COMPLICATIONS & SIDE EFFECTS
Complications from eyelid surgery are uncommon; however, it is important to be informed of possible side effects before you proceed with surgery. Dr. Viral Desai will explain them to you in detail. They are as follows:
1. Bruising which subsides after a two week period
2. Eye irritation which can be improved by eye drops
3. Haematoma which is a collection of blood under the skin which requires removal
4. Infection requiring medication
Risks and complications can be avoided and it is recommended that you follow the pre and postoperative steps as advised by Dr. Viral Desai.
Frequently Asked Questions
Blepharoplasty or eyelid tuck surgery is designed to remove or re-suspend the herniated fat and atrophied muscle, as well as lax, excess skin from the upper and lower eyelids. It is a very popular procedure as hooded eyes seem to lack lustre and seem old or tired by many patients Many individuals who choose this procedure are very aware that their upper eyelids have seemed to disappear within the fat of the upper eye area. Fat herniation is quite normal and will happen to everyone once we age. Sometimes a blepharoplasty can improve an individual’s vision. This is achieved by removing the excess fat and skin that may block an individual’s peripheral field of vision. The purpose of a blepharoplasty is for the aesthetic appeal that wider, youthful eyes possess.
Blepharoplasty is usually performed using a combination of local anaesthesia and light sleep sedation or general anaesthesia. The incisions are made within the natural creases of the eyelids. Your surgeon removes or re-suspends the herniated fat and excess skin and sutures the incision with very fine hair-like sutures. Minimal removal (or re-suspension) has proven quite beneficial in those who may need it. In those who do not need fat resuspension or removal, only the excess skin should be removed.
As with any surgical procedure some scarring should be expected, although the scarring associated with blepharoplasty is quite minimal and practically non-existent after several months The scars are placed within the normal creases and folds of the upper and lower eyelids so that when the eyes are open the scars are invisible. With lower blepharoplasty, where the fat is to be removed only with no skin excision, the incision can be made either on the inside of the eyelid or right under the lash line.
Although there is no set age when blepharoplasty is performed, the usual ages that patients start making consultation appointments for blepharoplasty is from 35 years of age and up. However, this is highly individualistic and excess skin and fat around the eye area may be desired to be removed younger than 35 years of age.
A blepharoplasty is not designed to remove the wrinkles (Crow’s feet) from the eye area, nor lift the brows. It is designed to remove the excess skin and/or re-suspend herniated fat from the lid areas only. There are other procedures available that are area-specific to these complaints. Chemical Peels and Laser Treatments can help soften peri-ocular (around the eye) wrinkles significantly. For a non-surgical solution, Botox is very effective of ridding you of Crow’s feet or lifting the brows.
Swelling will be apparent at first and there may be some bruising. Your eyelids may feel tight and sore as the anaesthesia wears off, but your pain medication should be able to control any discomfort. Your vision may be a little blurry for the first few days due to the swelling and your eyes may be watery or they may be dry. You should not be in any extensive pain. Patients have described post-operative pain as associated with blepharoplasty as mild discomfort, as if the skin was sunburned, wind burned or the eyeballs having been irritated or scratched.
Stitches are normally removed within 3 to 5 days of the operation.
After the swelling goes down you will be able to see a definite difference with the amount of over hang in the upper eye area if you had an upper blepharoplasty. You must realize that when you wake up no matter what time of day there will be increased swelling. This is due to pooling of fluids, lack of movement, not having urinated in many hours, (this actually can contribute to swelling of the tissues even without having surgery) Also swelling will be more apparent if you are not elevated properly. If you sleep with your head well elevated (with at least three pillows) during the interim of your recovery, this will be less apparent.
The usual complications that are associated with blepharoplasty include:
• double or blurry vision for a few days
• temporary swelling at the corners of the eyelids
• difficulty in closing your eyes when sleeping
Talk to Dr. Viral Desai at your consultation for details of the risks involved in blepharoplasty in your individual case.