Blepharoplasty is a surgical procedure that removes or redistributes excess skin and fatty tissue on the upper or lower eyelids. With age, the skin and supporting tissues lose firmness, which can lead to drooping eyelids and bags under the eyes.
For some people, excess skin on the upper eyelids is not only an aesthetic concern but can also narrow the peripheral visual field. An examination determines the cause of the problem and whether blepharoplasty is the appropriate procedure.
When is blepharoplasty considered?
- significant excess skin or drooping of the upper eyelids
- narrowing of the peripheral visual field because of eyelid skin
- bags and excess skin on the lower eyelids
- a tired appearance of the eyes that does not reflect the person's overall condition
Examination and preparation
The surgeon assesses the position of the eyebrows, eyelids, and fatty tissue, as well as skin quality, symmetry, and the ability to close the eyes. It is important to report eye diseases, dry eyes, clotting disorders, thyroid disease, and all medications and supplements you take.
Additional examinations or laboratory tests may be needed before surgery. Do not stop treatment, especially medications that affect blood clotting, without consulting the doctor who prescribed them.
What does the procedure involve?
For upper blepharoplasty, the incision is usually placed in the natural eyelid crease. A carefully determined amount of skin is removed and, when necessary, part of the fatty tissue or muscle is also removed. For lower eyelids, the approach depends on the findings and may be beneath the eyelashes or on the inner surface of the eyelid.
The procedure is often performed on an outpatient basis. The type of anesthesia and the extent of the operation are agreed on individually.
Recovery after the procedure
Swelling, bruising, tightness, tearing, and temporary sensitivity to light are expected during the first few days. Cold compresses, keeping the head elevated, and prescribed ointment or drops can make recovery easier. Contact lenses, makeup, and physical exertion should be avoided according to the surgeon's instructions.
Contact a doctor immediately in case of a sudden deterioration in vision, severe pain, marked bleeding, or other unexpected symptoms.
Risks and expectations
Possible risks include bleeding, infection, dry or irritated eyes, difficulty closing the eyelids, asymmetry, a change in sensation, an unfavorable scar, and the need for an additional procedure. Serious complications are rare, but it is important to understand them before making a decision.
The result is assessed after the swelling has subsided and the tissue has healed. The goal is a natural, more rested appearance while preserving eyelid function.
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