Blepharoplasty, or eyelid surgery, is a common surgery performed to rejuvenate the eyes.
As we age the skin loses its elasticity, becomes thinner and increasingly wrinkly. The other significant change that occurs is the visibility of fat pockets. These are more commonly known as bags, and they start to herniate through the skin as their supporting structures become weaker
We have two sets of eyelids: Upper and lower. The type of surgery required for each is different, as is the amount of recovery required for each
The surgery aims to produce a soft and smooth contour to the eyelid, which is in harmony with the rest of your face, removing the tired and sagging appearance.
You will initially attend a consultation with Dr. Faisal, explaining your concerns. He will run through your medical history and examine your eyes.
Following this, he will explain what is and what is not possible. Only if you are a suitable candidate and if your expectations can be met with the surgery will Dr. Faisal suggest an operation
Upper Eyelid Surgery (Upper Blepharoplasty)
Upper eyelid surgery is normally performed while you are awake under local anesthetic.
This can be performed in the clinic setting or the hospital, depending on whether it is performed alone or with other procedures
The procedure involves carefully planning the incision so the scar is not visible.
Dr. Faisal will carefully resect just the right amount of skin- Not too little so that the deformity persists, but not too much that you look unnatural
If there is excess fat contributing to the appearance of the eyelid, then this will be judiciously removed
The wound will then be closed with sutures and glue applied to act as a dressing
You will be allowed to return home very soon after the surgery
Lower Eyelid Surgery
Lower eyelid surgery requires a general anesthetic and will be performed at the hospital. The surgery is more complex than upper eyelid surgery.
Dr. Faisal will perform the surgery from the inside of the eyelid or outside depending upon what is the cause of the problem.
If the issue is just excess fat pushing on the skin, then he will use a scar on the inside of the eyelid and rather than removing the fat, he will redrape across the junction between the eyelid and the cheek, resulting in a smoother and more youthful appearance
If there is an excess amount of skin then this will necessitate an external scar just beneath the lash line and extending laterally into the crow's feet
Lower blepharoplasty can be associated with more problems than upper eyelid blepharoplasty. The initial examination will highlight to Dr. Faisal if any additional procedures need to be performed to keep the lower eyelid in the correct position and the shape of the eye natural
The wound on the insisted of the eyelid will be closed with dissolving sutures and the skin will be closed with sutures that will be removed in 7-10 days
Careful selection of patients is vital to success with eyelid surgery. Below are issues which may cause problems in the recovery following surgery
A history of dry eyes- This will be exacerbated postoperatively
Laser eye surgery in the last 6 months- This will cause dry eyes
Contact lenses- This may cause dry eyes
Thyroid eye disease- This may cause the lower lid to pull down
The use of blood-thinning medications such as warfarin, aspirin, and Plavix can increase the risk of bleeding, which very very rarely causes blindness. These have to be stopped 1 week before surgery
Medical problems such as diabetes can lead to poor wound healing
Medications such as steroids interfere with wound healing
Smoking will need to be stopped 3 weeks before surgery, as this negatively impacts wound healing
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