What
Is Blepharoplasty?
Blepharoplasty refers to eyelid
surgery and is designed to
remove the excess fat, along with skin and muscle, from
the
upper and lower eyelids. It is the second most common
aesthetic procedure performed by plastic surgeons.
What Are the Goals of
Blepharoplasty?
A properly performed blepharoplasty
procedure will brighten the face and restore a more youthful
appearance. In some patients the procedure will improve vision
by removing the excessive skin of the upper eyelids, which can
hang down and interfere with peripheral vision.
How Is the Procedure Performed?
Eyelid surgery is usually performed
using local anesthesia and light intravenous sedation. It is
commonly done in a doctor s office, outpatient surgical center
or, in some cases, in a hospital. The procedure is most often
performed on an outpatient basis.
Are There Scars From the
Blepharoplasty Procedure?
Scars are a result of any surgical
procedure. The incisions made to accomplish the goals of the
procedure are barely visible after several months as they are
placed within the normal creases and folds of the upper and
lower eyelids. In patients who only need removal of fat from
the lower eyelids, the incision can be made on the inside of
the eyelid, and will therefore result in an invisible scar.
Will the Fine Wrinkles Around My
Eyes Go Away After Blepharoplasty? What About
My Sagging Eyebrows and Dark Circles Under My Eyes?
The blepharoplasty procedure will not
eradicate the wrinkles around the eyes (crow s feet) nor will
it elevate droopy eyebrow. There are other procedures designed
for these purposes. Dark circles under the eyes may improve a
bit if this is related to large bags, but most often the dark
appearance of the lower eyelid skin remains.
Can Anyone Have a Blepharoplasty?
The best patients are those who are
healthy, psychologically stable and well motivated. Some
medical conditions may increase the risk of blepharoplasty
surgery such as thyroid disease, high blood pressure and
patients who do not make sufficient tears to keep their eyes
well lubricated.
What Are the Risks Involved With
This Procedure?
Fortunately, when performed by a
competent plastic surgeon, complications are infrequent and
minor. All patients will experience some bruising and swelling
for a few days after the surgery. In addition, a temporary
problem with closure of the eyelids is usually seen. Some may
have temporary blurring of their vision, usually due to the
ointments applied to the incisions post operatively. In rare
instances, the lower eyelid may be pulled down causing an
ectropion. If this does not resolve on its own, further
surgery may be necessary. The theoretical complications of any
surgical procedure, such as bleeding, infection, wound
disruption and heavy scarring are also possible, but rare.
