Blepharoplasty (Eyelids)
WHAT IS IT AND WHO IS IT FOR?
Blepharoplasty surgery is intended to improve the appearance of the eyelids, whether the upper, lower, or both, providing a rejuvenated look around the eyes and making the eyes appear less tired, swollen, or droopy.
SURGICAL PROCEDURE
In the case of upper blepharoplasty, the surgery is performed through two cuts along the natural creases of the eyelids, followed by the removal of skin and fat that appear as swelling in the eyelids. The skin is then sutured to fit the new structure.
For lower blepharoplasty, the surgery is done through an incision just below the lower lash line. Through this incision, excess skin is removed. A transconjunctival incision, hidden within the lower eyelid, is an alternative technique used to correct lower eyelid imperfections and redistribute or remove excess fat.
In both cases, the suture is done with non-absorbable thread, which should be removed between the 5th and 7th post-operative day. The results of eyelid surgery will gradually appear as swelling and bruising decrease.
POST-OPERATIVE RECOMMENDATIONS
- The bathwater should be cold to lukewarm;
- High-impact physical exercises are prohibited for 30 days, but walking is allowed;
- Do not expose yourself to the sun while you still have bruises (purple marks);
- After removing the stitches, you will go home with just micropore tape, which should be kept dry after bathing and removed daily for disinfecting the surgical area;
- Sleep or rest with your head and back slightly elevated, avoiding side positions;
- Do not apply any ointment or other product to the scars unless recommended by the doctor.
RECOVERY TIME
There will always be more swelling in the first two to three days, which will gradually decrease. Generally, seven to ten days is enough for the patient to resume social and work activities.
It is important to note that tissue healing and repositioning in the new location will continue for some time. At least three months are necessary to observe the final result of the treatment.
MOST COMMON ISSUES THAT CAN OCCUR WITH BLEPHAROPLASTY
When eyelid surgery is performed by a qualified surgeon, complications are rare and usually mild. Nonetheless, there is always a possibility of complications, including infection or a reaction to anesthesia.
We can reduce your risks with a good pre-operative evaluation and by strictly following the surgeon’s recommendations. With these precautions, the risks are greatly reduced.
Minor complications that occasionally occur after blepharoplasty include:
Blurred or double vision for a few days; temporary swelling at the corner of the eyelids; and slight asymmetry. Changes in the eyelashes may also occur.
Swelling and bruising are temporary.
In any case of complication, it is important to remain calm and understanding, trusting the doctor with the responsibility to resolve the issue. Comments with friends or family, besides being unhelpful, may create a situation of anxiety and distrust.
The occurrence of any of the issues mentioned above is part of what is called a “calculated risk,” which applies to all types of surgery. Fortunately, these occurrences are infrequent and typically do not compromise the results permanently.
