Blepharoplasty
A blepharoplasty is a procedure used to correct any disfigurations, defects, or deformities of the eyelids. This surgery helps people with bags under their eyes, wrinkles, fatty deposits, or saggy lower eyelids.
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Introduction to Blepharoplasty
They say the eyes are the window to the soul, but those beautiful windows can be challenging for other people to see the older we get. The more we age, the more our eyelids start to sag and lose elasticity. As a result, they can make you look much older and tired. Blepharoplasty can change this.
Benefits of Blepharoplasty
Refreshed Appearance
Say goodbye to tired-looking eyes and hello to a more vibrant, well-rested look.
Improved Vision
Removing excess skin can enhance your field of vision for a clearer, unobstructed view.
Boosted Confidence
When you love how you look, you’ll naturally feel more confident and self-assured.
Long-Lasting Results
Enjoy a youthful, lifted appearance for years to come with this lasting procedure.
Smoother Skin
Reduce wrinkles and sagging around the eyes for a more youthful complexion.
Easier Makeup Application
With smoother, tighter eyelids, applying makeup becomes effortless and more effective.
The Blepharoplasty Procedure
Before your surgery, you should:
- Avoid blood-thinning medications and smoking.
- Arrange for someone to drive you to and from the surgery facility.
- Arrange for someone to stay with you the night of the surgery. They can help you move around as the swelling will impair your vision.
Items you should have ready at home:
- Clean Towels and Washcloths
- Small Gauze Pads
- Ice Cubes
- Ice Pack
- Over-the-counter painkillers – avoid medications like aspirin, Advil, Motrin, Aleve, and Naproxen as they will increase your risk of bleeding. Please talk to your doctor about recommendations.
What to avoid whilst your eyelids heal:
- Full showers
- Wearing contact lenses
- Makeup and creams
After cleaning and prepping the eyelids, the surgeon puts the patient under anaesthesia. If working on the upper lid, they will create an incision along the lid’s crease. If working on the lower lid, they will make an incision underneath the lower lash line. From there, the surgeon will rearrange and remove skin, fat, and muscle accordingly, making sure to smooth out the underlying eye muscles and toughen up the supporting structures. The surgeon will then proceed to reinforce the surrounding muscle and tendon tissues. Afterwards, the surgeon closes the incisions with either sutures or glue. The whole process takes about 2 to 3 hours. In around 1 to 2 weeks, after the initial swelling and bruising fade away, the patient is left looking younger and more vibrant.
Good Candidates
An ideal candidate for this procedure would be someone over 18 years of age who has issues with sagging skin or fatty deposits either on their upper or lower eyelids.
People prone to eye infections or dry eyes are not ideal candidates, especially if they are smokers. Please also understand that blepharoplasties do not treat dark circles under the eyes, saggy eyebrows, or crows feet.
Blepharoplasty Techniques
Transconjunctival Blepharoplasty
This is the most common blepharoplasty procedure. The procedure is performed by making a small incision inside the lower eyelid, eliminating the need for stitches and reducing visible scarring.
Laser Blepharoplasty
Instead of using a traditional scalpel, the surgeon utilises a specialised laser to make incisions, which can reduce bleeding, swelling, and recovery time.
Types of Blepharoplasties
Upper Eyelid Blepharoplasty
Used to treat puffiness, drooping skin, or fat on the upper lids. This type of procedure is often performed on patients in their 50s and 60s.
Lower Eyelid Blepharoplasty
Used to treat bags under your eyes or excess skin on the lower lids.
Double Eyelid Blepharoplasty
Used to treat both sides of your eyelids. Many people opt for this treatment to look younger.
Risks
As with any surgical procedure, there are some risks involved. Although relatively safe, complications can still arise and range from simple skin changes to severe vision-threatening difficulties.[1] The following issues are not common, but it’s good to be aware of them and inform your doctor of any pre-existing conditions before surgery.
- Infection
- Dry eyes
- Bleeding
- Unable to fully close eyes
- Possible loss of vision
- Eyelids that fold in and out unnaturally
- A pulled-down lower lid lash line
- Irregular eyelid colouring
Should you experience any of the above symptoms, please reach out to your doctor as soon as possible.
Conditions That Can Exacerbate Risks
- Palpebral Skin Laxity
Indicates looseness of the lower eyelid area. This can cause the lid to become malpositioned, creating a sarcastic eye-roll look. - Dry-Eye Syndrome
This can worsen after a blepharoplasty due to the disruption of the eye’s natural “tear” film. - Eyeball Prominence
The bulging of the eye relative to the cheek can cause the lower eyelid to become malpositioned.
Recovery
Recovery from any procedure depends on the duration and extent of the surgery and the health of the patient. Be sure to ask Dr. Hamlet any questions regarding post-op procedures, dressings/bandages, stitches, medications, follow-up care, and when you can resume normal activities. He’ll be happy to make sure that you have all the information you need.
It’s essential to take the steps that will allow your eyelids to heal most efficiently. Your surgeon will use a stitch type called a canthopexy by the eye’s outer corner inside the tissue after your procedure. This stitch helps keep your eyelid in a fixed position so that it will be able to heal correctly. Don’t worry; the stitches will dissolve in about 4 to 6 weeks.
It would be best if you planned on staying home from work and restricting your activity for three to four days. Your eyes will most likely have blurry vision and will be sensitive to light. Wear sunglasses for protection while outside.
Your doctor will provide medication for pain and a topical ointment to keep the area moist. He or she will also give you materials and instructions for cold compresses every 15-20 mins for the next 24 hrs after surgery. It would help if you also implemented eye drops to prevent dryness and infection.
When sleeping, you’ll also want to keep your head elevated to help decrease the swelling, so use 2 to 3 pillows if you can.
It will take approximately 2 to 3 months for you to heal up and experience the final results.
The procedure lasts up to at least 5 to 7 years. Your eyes will still naturally age even after the surgery. Should your eyes start to sag again, it would be preferable to get a forehead lift rather than another blepharoplasty.
Post-op, it would be advisable to suggest a patient undergo either a cataract or a refractive surgery since blepharoplasties can create overall vision changes.[2]
Pricing
This procedure requires a consultation with Dr. Hamlet to determine the extent of the surgery. During the consultation, the doctor will build a treatment plan based on your needs, as well as provide a personalised quote.
References
- Lisman, Richard D., and Gary J Lellie. “Blepharoplasty Complications.” Plastic and Reconstructive Surgery: Journal of the American Society of Plastic Surgeons, vol. 125, no. 3, Mar. 2010, pp. 1007–1017., doi:10.1097/PRS.0b013e3181ce17e8. https://journals.lww.com/plasreconsurg/Abstract/2010/03000/Blepharoplasty_Complications.32.aspx
- Simsek, Ilke B, et al. “Effect of Upper Eyelid Blepharoplasty on Vision and Corneal Tomographic Changes Measured By Pentacam.” The International Journal on Orbital Disorders, Oculoplastic and Lacrimal Surgery, vol. 34, no. 5, 28 May 2015, pp. 263–267., doi:10.3109/01676830.2015.1057292. https://www.tandfonline.com/doi/abs/10.3109/01676830.2015.1057292
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