Eyelid Surgery (Blepharoplasty)
Blepharoplasty can be performed for cosmetic or reconstructive reasons, or for a combination of both – and is designed to improve both shape and function of the upper and lower eyelids. It is a very common plastic surgery procedure, and in recent years it has become as popular with many male patients as well as female patients
Before surgery….what are the goals of blepharoplasty?
A properly performed blepharoplasty procedure will brighten the face and restore a more youthful appearance. In some patients the procedure will improve vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision.
What are the risks involved with this procedure?
Fortunately, when performed by a competent plastic surgeon, complications are infrequent and minor. All patients will experience some bruising and swelling for a few days after the surgery. In addition, a temporary problem with closure of the eyelids is usually seen. Some may have temporary blurring of their vision, usually due to the ointments applied to the incisions postoperatively. In rare instances, the lower eyelid may be pulled down causing an ectropion. If this does not resolve on its own, further surgery may be necessary. The theoretical complications of any surgical procedure, such as bleeding, infection, wound disruption and heavy scarring are also possible, but rare.
A properly performed blepharoplasty procedure will brighten the face and restore a more youthful appearance. In some patients, the procedure will improve vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision. The best patients for eyelid surgery are those who are healthy, psychologically stable and well-motivated. Some medical conditions may increase the risk of blepharoplasty surgery such as thyroid disease, high blood pressure, and patients who do not make sufficient tears to keep their eyes well lubricated. Dr. Monteiro will discuss your particular needs with you in detail, and he will customize your eyelid lift to your specific needs and desired outcome. Cosmetic eyelid surgery is often performed in conjunction with facelift, or brow and forehead lift surgery.
Scars are a result of any surgical procedure. However, the incisions made to accomplish the goals of the procedure are barely visible after several months as they are placed within the normal creases and folds of the upper and lower eyelids. In patients who only need removal of fat from the lower eyelids, the incision can be made on the inside of the eyelid, and will, therefore, result in an invisible scar.
The blepharoplasty procedure will not eradicate the wrinkles around the eyes (“crow’s feet”) nor will it elevate a droopy eyebrow. Other procedures such as laser skin resurfacing, a chemical peel, or injectable treatments such as Botox®, Juvederm, or collagen may help to alleviate lines and grooves adjacent to the eyes. Dark circles under the eyes may improve somewhat if related to excess fat pads and excess skin, but often the darker appearance of the lower eyelid skin can be related to other factors, including skin pigmentation and visibility of blood vessels under the skin, and remains despite surgery.
Your new look
After any swelling or bruising and redness is gone, you will see a dramatic reduction and a noted improvement in the appearance of your upper and/or lower eyelids. Bruising and redness/swelling usually resolves in about 7 to 10 days. Using clean, soft icepacks (that fit the contour of your eye area) regularly during the first days after the procedure help healing along and help reduce brusing and swelling. Both women and men noticeably benefit from this procedure, and results generally last for years to come.
After surgery on upper and lower eyelids
Eyelid surgery is usually performed using local anesthesia and light intravenous sedation. It is commonly done in the doctor’s office, outpatient surgical center or, in some cases, in a hospital. The procedure is most often performed on an outpatient basis.