Blepharoplasty

1. What is Blepharoplasty?

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 luster and seem old or tired to 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.

2. How is the procedure performed?

Blepharoplasty is usually performed using a combination of local anesthesia and light sleep sedation or general anesthesia. 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 for those who may need it. In those who do not need fat resuspension or removal, only the excess skin should be removed.

3. Is there any scarring with a Blepharoplasty?

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.

4. At what age is Blepharoplasty performed?

Although there is no set age when blepharoplasty is performed, the usual age 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.

5. Will Blepharoplasty rid me of my eye wrinkles?

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 in ridding you of Crow’s feet or lifting the brows.

6. What should I expect post-operation?

Swelling will be apparent at first and there may be some bruising. Your eyelids may feel tight and sore as the anesthesia 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.

7. When will my stitches be taken out?

Stitches are normally removed within 3 to 5 days of the operation.

8. When will I be able to see the results?

After the swelling goes down you will be able to see a definite difference in the amount of overhang 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, and 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

9. What are the risks of Blepharoplasty?

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.