Blepharoplasty

Cosmetic surgery of the eyelids is known as blepharoplasty. It is a surgical procedure through which we improve the appearance of the upper eyelids, lower eyelids or both and gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

Are you full of energy, yet appear to be tired and aged?

We often hear that the eyes are the mirror to our soul. In reality, the eyes do not always reflect the youthfulness of your soul. People ask you if you are tired, sad, if you have an allergy or are not feeling well. 


Perhaps you are really tired and sad, but luckily, you do not always have to give this impression. Small changes to your eyelids can cause incredible changes to your appearance. With the help of various eyelid surgery techniques, excess skin and fat are removed; bags and eye circles are eliminated. It can correct damaged or torn muscles, allow younger features (contour) to show; in some, it can even correct vision or eye function.

Eyelid surgery can be done at any age; it is most frequently done after the age of forty. The fullness of the upper eyelid at the age of twenty, thirty or forty can actually be the result of the lowering of the forehead and eyebrows and in such a case, a brow lift operation is appropriate. 

With blepharoplasty, we remove excess skin, but this does not improve its quality. Lines and wrinkles can be reduced through chemical peeling or laser resurfacing; for the smoothing of so-called "crow's feet", we can use botox.

About

Blepharoplasty Description and characteristics
Short description of the procedure In operating on the upper eyelid, the incision is made within the natural crease; in operating on the lower eyelid, the incision is made just below the lid or a few millimetres below the lashes. In a transconjunctival procedure, the incision is hidden on the inside of the lower eyelid, so there is no scarring of the skin.
Possible combinations with other procedures Brow lift, facelift, mid facelift, chemical peeling, laser rejuvenation, botulinum toxin
Variations and techniques Classical blepharoplasty, transconjunctival blepharoplasty, blepharoplasty with maintenance or redistribution of excess fat, blepharoplasty with lypofilling, blepharoplasty with canthopexy, functional blepharoplasty.
Duration of procedure 1 - 2 hours
Post procedure Swelling, suffusion, dry eyes, tearing; return to work in 1—2 weeks.
Pain Minimal
Possible complications Infection, excessive correction, inability to close the eyes, dry eyes, asymmetry
Anaesthesia Local, local with sedation, general
Hospitalization Outpatient procedure or one day of hospitalization
Duration of results 5 - 10 years

Variations and techniques

UPPER BLEPHAROPLASTY

LOWER BLEPHAROPLASTY

TRANSCUTANEOUS OR SUBCILIAR BLEPHAROPLASTY

TRANSCONJUNCTIVAL BLEPHAROPLASTY

SOOF (SUB ORBICULARIS OCULI FAT)

BLEPHAROPLASTY WITH THE REDISTRIBUTION OF FAT (RELEASE OF ARCUS MARGINALIS)

BLEPHAROPLASTY WITH MAINTAINING OF FAT

BLEPHAROPLASTY WITH LYPOLIFTING

CANTHOPLASTY OR CANTHOPEXY

FUNCTIONAL BLEPHAROPLASTY

Post-procedure

In addition to information relating directly to blepharoplasty, we recommend that you also read about post-operation recovery and post-operational care.


Bandages
After the blepharoplasty procedure, the surgical wounds are dressed with antibiotic or vitamin ointment.

Glasses and vision
After blepharoplasty, due to the ointment that you will have in and around your eyes, your vision will be somewhat blurry for a day or two or for whatever amount of time the doctor advises you to use the ointment. It is important to use the ointment to prevent drying up and infections of the eyes. Due to the swelling and stitches, you will not be able to insert contact lenses for approximately one week. If your wear glasses, make sure that you will have them nearby. Dark glasses will not only serve as camouflage when you go out in public, but will also protect your sensitive eyes from the sun.

Swelling
The thin skin around the eyes is very prone to swelling and even a small amount of excess liquid can cause a great amount of swelling. In order to eliminate swelling and allow for a fast recovery, we recommend changing cold compresses every 20 minutes for the first 24 to 48 hours after the procedure and sleeping with your head and chest elevated. In order to prevent asymmetry, we recommend sleeping on your back, at least during the first week after the procedure. Do not lower your head to below shoulder level. If you must pick something up, it is better to squat than to bend over. It is recommended that you have lymphatic drainage performed around the eyes, which can be demonstrated by the doctor or performed by a qualified beautician.

Suffusion
As the skin of the eyelids is very thin, any surgical procedure around the eyes will cause suffusion. The bruises gradually disappear within a week.

Stitches
If you have stitches, which must be removed, this will be done by your surgeon three to five days after the procedure. Once the stitches have been removed, it is important to remember not to rub, scratch or pull the scars; if you have stitches on the inside of the eyelid, these will be absorbed within a few days. Internal stitches can irritate the eye and cause tears and redness. In this event, the doctor will have to remove them, as these problems could be a sign of infection.

Pain and discomfort
Recovery after the procedure is not painful; your doctor can prescribe painkillers for you to take when needed.

Results
After one to two weeks, the swelling goes down to an extent that the results of the procedure can be assessed; after about six weeks, you will be inspired by your new appearance. If you have undergone canthopexy, the swelling and feeling of tension in the corners of the eyes can last somewhat longer.