Eyelid surgery is a surgical procedure that removes excess fold of skin of the upper lids and pouches under the eyes (lower lids). This helps to improve your appearance, vision or both. It also helps in tightening of tissues especially in the lower eyelid. After the surgery there is some bruising and swelling which subsides within 7-10 days. Client can usually be back to normal activities in 1-2 days.
Blepharoplasty also known as eyelid surgery is performed mainly for aesthetic reasons. Upper Blepharoplasty essentially removes skin and or fat depending upon the excess skin and or fat. Whereas in lower blepharoplasty the idea is to remove or reposition excess fat and give a contoured eyelid. We can combine lateral canthopexy along with lower Blepharoplasty in selected cases.
Upper Blepharoplasty /Eyelid surgery is performed through upper eyelid crease incision. The surgery is performed under local anaesthesia and is a day care procedure. The excess skin is excised as per preoperative markings. After the excess skin, the herniated fat pads are addressed and removed accordingly. The layers are closed carefully so that the final incision falls in the upper eyelid crease and gives a natural contoured look. Tapes are applied at the end and the sutures are removed in 10 days.
Lower Blepharoplasty/ Eyelid surgery is performed through subciliary incision or Transconjunctival approach. The surgery is performed under local anaesthesia and is a day care procedure. The Transconjunctival approach is done for younger individuals with only excess fat bulging, incision is placed Transconjunctivally, so that postoperatively no scar is seen. Subciliary incision is placed very carefully protecting the eyelashes and deepened to remove or reposition the excess fat. Some procedures like lateral canthopexy can be combined during this procedure to correct the canthal tilt.
4 Eyelid surgery refers to surgery of all the 4 eyelids (upper and lower) both sides simultaneously in a single sitting. It is usually done for late middle aged to elderly individuals who require not only correction of excess skin and or fat but also correction of canthal tilt and any other problem discussed during the preoperative counselling with your doctor. It’s a day care procedure and can be done under local anaesthesia.
Asian Blepharoplasty or Double Eyelid surgery as it is commonly called refers to creation of an eyelid crease in those Asian individuals descent who usually lack it. This is done for purely aesthetic reasons and is a day care procedure which is easily done under local anaesthesia. In this procedure, the double eyelid crease which is absent due to lack of attachment of the LPS muscle to the dermis, this attachment is recreated by applying permanent sutures so that fibrosis occurs and it remains permanent. In this procedure sometimes excess skin and fat are also excised to give a deep natural crease effect.
Any surgery outcome is determined by the scar placement as scars are permanent. Scars should be carefully planned or executed to give the best postoperative outcome. In upper Blepharoplasty the incision is placed in the upper eyelid crease so that it mimics a natural upper eyelid crease and no extra scars are visible. On Transconjunctival approach, the scars are never seen as they are in the conjunctival zone and heal uneventfully. The subciliary scar when placed well is hardly ever seen after a couple of days and heals uneventfully.
Some younger individuals do not wish to undergo surgery and they look out for some nonsurgical methods to correct the same. Thread lift is a new non-invasive method to lift your eyelids and eyebrows without surgery. This is a quick OPD procedure done for younger individuals and gives a decent look. Some mild swelling is seen in the post-operative period which rapidly subsides. Results are seen best at end of 3 weeks.
Eyelid fat cannot be removed without surgery, so the other way is to stretch the nearby skin by stretching the ligaments or reposition the fat. Fillers can be used for the same by placing at few strategic points and stretching the ligaments in the periorbital region. This not only pulls the fat in a lower plane but also helps in repositioning the fat in a favourable position.
Cost of any surgery depends on several factors. It depends on how many eyelids are being operated in one go, whether the procedure is being done under local or general anaesthesia, any combination procedures like lateral canthopexy being planned and duration of surgery. All these factors are discussed by your physician before surgery and any doubts are cleared.
Immediately after surgery, patient experiences heaviness of the eyelids and swelling is always an expected phenomenon. Sterile tapes are applied for few days to support the eyelids. Patients are told to wear black goggles and go to work from next day if they wish to do so. The swelling slowly subsides over few days and patient can do icing. Antibiotics and anti-inflammatory medications are given by your physician and eye drops or ointment to keep your eyes moist during sleep. Stitches are removed after 10 days, post which an anti-scar cream is given to patients to diminish the scar further.
The upper and lower Blepharoplasty surgery is a complicated procedure which should be done by experts and not any surgeon. Since its very close to the eyes, great care should be taken not to damage the cornea or conjunctiva at any stage of the procedure. Normally average time taken for upper/lower blepharoplasty ranges from 30-45 minutes and is easily done under local anaesthesia.
Upper Eyelid surgery or Blepharoplasty not only improves the aesthetic outcome of the patients opting for the same but only improves the vision especially in elderly patients since not only the excess skin excised but also the herniated fat which created pressure on the upper eyelid causing vision problems. So this is an excellent procedure both for aesthetic and functional reasons which the patients should ideally consider and not be afraid to take.
The Eyelid surgery procedure gives an excellent aesthetic and functional outcome which helps patients in long term. Blepharoplasty procedure usually lasts as long as 5-7 years or may be longer depending on how one ages that means how one takes care of the aging skin like regular application of moisturisers, sunscreens and serums which help to prevent skin from excessive photodamage. This is a highly recommended procedure for any patient desiring a good functional and aesthetic outcome in long run.
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