Eyelid Surgery (BLEPHAROPLASTY)

Blepharoplasty is plastic and cosmetic surgery to remove the bags of fat of the lower eyelids, the excess skin that causes upper eyelids to sag or the fat that accumulates around the eyes. All these features can contribute to a tired, older appearance that does not reflect reality.

Candidate

Women and men 40 years of age and over who have excess skin or fat on or under their eyelids, but otherwise conserve a good facial structure. These people tend to be active, which is why it is so irritating for them to wake up each morning with a tired appearance that in no way reflects their high spirits.

Preoperative Period

During the first visit, an exhaustive assessment of the patient’s vision and overall state of health is performed. His or her everyday habits (use of glasses or contact lenses, smoking, medications, allergies, etc.) are also studied, as they may influence the assessment.

The surgeon will moreover provide the patient with guidelines to follow in the weeks prior to the surgery regarding diet and routine.

Surgical Technique

The surgery is performed in an operating room under local anesthesia or local anesthesia with sedation, depending on the patient. Blepharoplasty surgery tends to last approximately 1 and a half hours.

Upper Blepharoplasty
The skin is marked and the incisions are made at the edge of the natural fold of the upper eyelid, where the scar will be concealed. Next, a crescent-shaped area of excess skin is removed, along with a sliver of the orbicularis oculi muscle in order to locate the pockets of fat and remove the necessary amount. The skin is then carefully sutured with tiny internal stitches to maintain the tension. Finally, thin band-aids are placed over the area to protect the scar until the stitches are removed, usually four to seven days after the surgery.

Lower Blepharoplasty
The surgery is usually performed using a transconjunctival approach, that is, by making an incision behind the eyelid, measuring approximately one centimeter, to access the bags of fat directly. Next, the three fat compartments are searched and the appropriate amount is removed from each, one at a time. Once the excess fat has been eliminated, the surgery is completed by placing a small stitch through the conjunctiva or by leaving the wound to heal without suturing, according to the surgeon’s preference, as this area of the body heals quite easily.

Postoperative Period

The patient can usually return home within 24 hours of the surgery, with an anti-inflammatory treatment, cold pads and protective eye drops. To stop inflammation and possible bruising, lubricating ointment should be applied to the eyelids.

After the first week, the patient will be able to use makeup and expose him or herself to sunlight, provided he or she takes the appropriate precautions and uses sun block. He or she should get plenty of rest, refrain from smoking and avoid toxic agents. The estimated recovery time needed to regain a normal appearance is from one week and ten days.

However, this will not be the definitive appearance, as the different structures gradually settle into place over the period of several months.

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