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What is blepharoplasty?

Improve The Look Of Your Eyelids

Blepharoplasty, also known as eyelid surgery, is a procedure that improves the look of the eyelids, either upper, lower, or both. Blepharoplasty rejuvenates the appearance of the eyes and its surrounding areas, giving you a more lively and rested look.

How is blepharoplasty done?

In the case of upper blepharoplasty, incisions are made on the skin to remove excess skin and fat underneath. A thin stitch is then made, allowing the skin to fuse together to create an eyelid crease.

On the other hand, a lower eyelid surgery involves the creation of incisions directly under the line of the lashes or on the inside of the eyelids, which is done in the transconjunctival approach. With this technique, eyelid fat can be accessed without needing visible stitches. This makes the procedure suitable for patients who require fat to be added or removed.

What conditions can blepharoplasty treat?

Blepharoplasty can be done to treat the following conditions:

  • Removal of excess fat deposits in the upper eyelids that make the eyes appear puffy
  • Loose and saggy skin that creates folds, disturbing the natural appearance of the upper eyelid and impairing vision at certain cases
  • Removal of excess skin and fine creases found on the lower eyelid
  • Bags below the eyes
  • Drooping of the lower eyelids

What preparations should I make before blepharoplasty?

Before eyelid surgery, the patient should have an initial consultation with a trusted surgeon like Dr. Randall Barnett in Salt Lake City, UT. During your initial consultation with Dr. Barnett here at Alpine Plastic Surgery Clinic, you will learn more about the procedure and its potential risks.

Your surgeon will also give you pre-operative instructions that you have to follow carefully. Instructions are given well in advance to give you enough time to prepare certain medications at home, such as gel packs, gauze, or artificial tears, as part of post-surgery home preparation.

What should I expect during blepharoplasty?

Whether you want work to be done on both your upper and lower eyelids, Dr. Barnett will work on the upper lids first. An incision along the natural fold in your upper eyelid is made. Once the incision is made, skin, muscle, or fat under the skin are removed. The incision is then closed using surgical tape or other skin adhesives.

Just like upper eyelid surgery, incisions on the lower lid are made along the natural crease of the lower lid. Excess fat or muscle are then removed or redistributed.

In certain cases, blepharoplasty can be done together with another procedure that treats the drooping of the eyelids close to the pupil, also known as ptosis.

How long does recovery from blepharoplasty take?

Usually, patients who undergo this procedure only require a short recovery time. Bruising or swelling may appear on the day after treatment, but they start to disappear a few days after. Cold compresses may be applied during the first 48 hours to alleviate swelling on the eyes and face. To speed up healing, light exercises like walking can help. Depending on your surgeon, stitches done on the incision sites may remain until about a week, although self-absorbing stitches may also be used to make removal unnecessary.

After blepharoplasty, most patients can already resume their normal daily activities within 7 to 10 days. After about 2 weeks, most of the swelling and bruising are usually gone.

What symptoms may be present after blepharoplasty?

Dryness may occur, so your doctor may advise you to apply a lubricating ointment over the treated area. Blepharoplasty can also cause light sensitivity, excessive tearing, and double vision right after treatment. Initially, the incisions may appear red and the eyelids puffy and numb for a couple of days. However, cold compresses can counter these symptoms.

Minimal pain may be present as well. A pain reliever may be prescribed to alleviate pain. However, it is advised that the patient avoids aspirin, ibuprofen, and other anti-inflammatory medications as they can increase the risk for bleeding.

What precautions should I follow after blepharoplasty?

A week after surgery, you may be advised to take the following precautions:

  • Avoid strenuous activities, such as heavy lifting, jogging, or swimming.
  • Protect the eyelids from environmental factors by wearing sunglasses.
  • Keep the head elevated by sleeping with the head above the chest.
  • Use eye drops and ointments as prescribed by your doctor in order to cleanse the eyelids.
  • Immediately seek medical attention once symptoms, such as chest pains, shortness of breath, visual disturbance, and increased heart rate occur.

What potential complications should I expect from blepharoplasty?

Just like any other surgery, blepharoplasty comes with potential risks and complications, including:

  • Infection
  • Scarring
  • Bleeding
  • Dry eyes
  • Inability to close eyes
  • Double vision
  • Abnormal position of the eyelids
  • Loss of vision