Eyelid Surgery (Blepharoplasty)
Eyelid surgery, called blepharoplasty, is a method of restoring a youthful appearance to the eyes. The eyes are often seen as the most expressive feature of the face, and often function to transmit emotions to others. This procedure corrects wrinkles, puffy bags, and heaviness of the eyelids, leaving patients with an energized look, with eyes open wider.
The process of natural aging causes changes in the eyes over time, which can make a person look tired and worn. Heavily wrinkled eye skin can also be a genetic trait in a family as well as a natural result of aging processes. If baggy eyes is a familial trait, these changes can take place much earlier than normal, which can be disturbing for the patient.
AGE-RELATED EYE CHANGES
Please inform your surgeon if you are under the care of an optometrist or an ophthalmologist. Patients with corrective lenses, contacts, dry eyes should always identify themselves to the surgeon as this may change your candidacy for or approach to surgery.
Patients with dry eyes should identify this point to their surgeon. Eyelid tone and its ability to recoil against the eye may be a cause of dry eye. If this is the case, your surgeon may decide to Your surgeon will likely ask you to avoid make-up and alcohol consumption for 48 hours prior to surgery.
Blepharoplasty surgery is usually a one to two hour outpatient procedure performed under local anesthesia (with our without sedation) or under general anesthesia when in combination with other procedures.
Eyelid surgery involves removing excess fat, muscle, and skin from the upper lids, lower lids or both. The surgeon marks the eyelid creases, and creates incisions in the natural creases of the upper eyelids or below the eyelash line in the lower lids. Soft curved arch incisions are made into the lateral crow's feet of the outer eye. The surgical area is anesthetized and small strips of skin and muscle are removed to allow access to the deeper fat compartments. Selective removal of only excess fat allow of a rejuvenated and avoid a hollowed out eye appearance. Fat may also be redistributed to reduce the appearance of puffiness and bags while avoiding a hollowed-out look to the eye. In the lower lids, skin is separated from the underling structures; redundant skin and muscle are identified and removed. If the lower eyelid is very loose and easily falls away from the eye, your surgeon may perform a tightening (or Canthopexy) procedure to correct the laxity in the eyelid. Incisions are then closed with very fine sutures that often require removal in 3-5 days.
Recovery time is, rightly, a large concern for many. The standard expected recovery time following eyelid surgery is approximately 2 to 3 weeks. At that time, most patients should resume normal activity.
Although complications with blepharoplasty are uncommon, it is a possibility. Discussing potential complications with your surgeon is imperative. Listed below, divided into early and late complications, are a list of the most common complications with the procedure:
Please be aware that high blood pressure, diabetes, or thyroid problems may increase your risk of complications during these procedures. For a more detailed discussion on expected results, recovery, and possible complications, please see your surgeon.
Upper eyelid correction may be covered under the Canadian Health Care Plan, provided that the upper eyelid significantly obstructs vision. If this is the case, visit a doctor or an ophthalmologist. A certified letter stating the degree of obstruction is required by the provincial Medical Services Plans prior to approval of this coverage. The final decision on coverage will be made by the plastic surgeon.
IS THIS REALLY FOR ME?
Blepharoplasty surgery is one of the most successful cosmetic surgical procedures with a very high patient satisfaction rate. In isolation or combined with a brow lift, this procedure opens the eye shadow space and has one of the greatest rejuvenating effects of all facial plastic surgical procedures. Remember, that the initial rejuvenation changes are not permanent as the surgery reverses but does not stop the aging process.
This website does not cover all of the medical knowledge related to eye lid surgery (Blepharoplasty) nor does it deal with all possible risks and complications of surgery on the eyelids and associated structures. Although it is designed to provide the patient with greater depth of information in some areas, it is not intended to substitute for the in depth discussion between patient and surgeon that must occur prior to any surgical procedure. For a more detailed discussion on expected results, recovery, and specific complications, please see your plastic surgeon.
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