Blepharoplasty

What is Blepharoplasty? 

Blepharoplasty, also known as cosmetic eyelid surgery, is a procedure to create double eyelids, correct drooping upper lids, or reduce puffy bags beneath the eyes. As we age, the skin on our eyelids stretches, muscles weaken, and fats accumulate, resulting in a tired appearance and potential vision impairment. Blepharoplasty can significantly enhance facial aesthetics by eliminating excess, wrinkled skin beneath the eyes, thus rejuvenating the eyes and giving a more youthful appearance. While blepharoplasty is commonly performed as a standalone procedure, it can also be combined with facelifts or brow lifts to achieve the desired looks.

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Blepharoplasty is an effective procedure for correcting a variety of eyelid-related concerns, including:

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1. Excess skin on the upper eyelids that impairs peripheral vision.

2. Baggy or droopy upper eyelids.

3. Puffy eyelids.

4. Asymmetric or absent upper eyelid crease (commonly known as "double eyelid").

5. Excess skin on the lower eyelids.

6. Bags under the eyes.

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The surgery can be performed on the upper eyelid, lower eyelid, or both simultaneously, depending on the patient's specific needs. In cases where eyebrows are droopy and deep forehead creases are present, the surgeon may also recommend a brow lift in conjunction with blepharoplasty to achieve optimal results.

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What To Expect During A Blepharoplasty Procedure?

Blepharoplasty is typically conducted on an outpatient basis under local anesthesia and lasts approximately one to two hours. Patients remain conscious during the procedure. Before the surgery, the surgeon will make precise markings to indicate the locations of surgical incisions and areas where tissue will be removed. 

Incisions are strategically placed along the natural lines of the eyes to minimize visible scarring. For the upper eyelid, the incision is typically hidden within the natural fold of the eyelid. If a patient does not naturally have a double eyelid crease, the surgeon may create one during the procedure. For the lower eyelid, the incision can be made just below the lower lashes (known as a subconjunctival incision) or hidden inside the lower eyelid (transconjunctival incision). After the incisions are sutured, excess fats and sagging skin are removed, resulting in a refreshed and rejuvenated appearance.

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Post-Surgery Recovery

You will be monitored for complications in the recovery room for a period of time, and discharged afterwards on the same day to recuperate at home if you feel well.

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The bruising and swelling generally subsides after 14 days of surgery. Redness of the scars is normal after surgery and typically fades over several months. During this time, it is important to avoid excessive sun exposure on your delicate eyelid skin. It will take several months before the optimal result is achieved.

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How Visible are Scars After Eyelid Surgery?

Scarring is a possibility with any surgical procedure, but blepharoplasty typically results in minimal scarring compared to other cosmetic surgeries. This is due to the thin and delicate nature of the skin around the eyelids, which heals more quickly and effectively.

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• Upper Eyelid Surgery: Scars from upper blepharoplasty are often hidden within the natural fold of the eyelid. Once healed, these scars are usually only noticeable to those who know what to look for, and even then, only when the eyes are closed.

• Lower Eyelid Surgery: Incisions for lower eyelid surgery are often made just below the lower lashes or inside the lower eyelid, further minimizing visible scarring.