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Eyelid Surgery- Blepharoplasty

If you’ve tried every remedy thinkable to get rid of bags under your
eyes, you may want to consider eyelid surgery. Known as
blepharoplasty, the procedure can minimize the under-eye
bagginess and eliminate excess skin from the eyelids.

Primarily a cosmetic procedure, blepharoplasty is also done to
improve the vision in elderly patients whose eyesight has been
obstructed due to sagging eyelids. The procedure involves
removing excess muscle, fatty tissue and skin.

Patients should be aware that blepharoplasty won’t get rid of dark under-eye circles, wrinkles or crow’s feet. Many surgeons do this procedure together with other procedures such as a forehead lift or laser resurfacing.

The Aging Process of the Eyelid

Skin becomes less and less elastic as we grow older. It is this lowered elasticity, along with the pull of gravity that makes excess skin gather in the upper and lower eyelids. When excess skin begins to grow on the lower eyelids, bulges and wrinkles will form. When it develops on the upper eyelids, an extra fold of skin can be formed, which can grow down over the eyelashes and block eyesight.

Are You Right For Eyelid Surgery?

People who want to have the blepharoplasty procedure should be in good physical health, and have a realistic understanding of what the surgery can and cannot achieve. The majority of candidates for this procedure are 35 or older; however, if you are younger than that and have inherited droopy or baggy eyelids, you may be a good candidate for the surgery despite your age.

It’s essential to understand that while eyelid surgery can enhance your appearance and boost your self-esteem, it won’t dramatically affect the way you look or be instrumental in making people treat you any differently.

Is Eyelid Surgery Permanent?

Your eyes will continue to show signs of aging, whether you have blepharoplasty or not. That said, the effects of this procedure tend to last a long time. Upper eyelid surgery can last as long as 5-7 years, or even a lifetime. And you only need to have lower eyelid surgery done once in your life.  

If you discover that your eyelids are beginning to sag again, it’s most likely that you should have a forehead lift rather than another blepharoplasty.

Pre-Eyelid Surgery Preparations

You won’t be able to drive after your surgery, so plan to have someone else take you home. It’s also a good idea to have someone stay with you the night after your procedure, as you may have trouble seeing and negotiating your way around your home.

You should plan to be at home for a number of days following your surgery, and you won’t be able to work or do most of your other routine activities. Dry eyes are a complication that some people experience following this surgery, but this usually clears up in a couple of weeks. If your dry eyes persist, talk to your doctor.

You should have the following items ready at home following your surgery: ice cubes, ice packs, over-the-counter pain medication, eye drops or artificial tears, and clean washcloths and towels.

How Is the Procedure Performed?

In general, blepharoplasty involving both upper and lower eyelid takes about two hours. Most surgeons give patients a local anesthesia together with oral sedation. If you have your blepharoplasty done in a hospital or surgical center, most likely intravaneous sedation will be used.

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