Blepharoplasty Eyelid Surgery

Blepharoplasty, also known as eyelid surgery or eyelid lift, is a plastic surgery procedure performed to correct deformities, defects, or signs of aging around the eyelids. This surgical procedure involves the removal or repositioning of excess skin, fat, or muscle from the upper and/or lower eyelids, improving the overall appearance of the eyes and making them look more refreshed, youthful, and alert.

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Blepharoplasty Surgery Procedure

There are two major types of eyelid surgery:

Reconstructive Blepharoplasty – to restore eyelid function or correct vision-obstructing eyelid sagging due to trauma, aging, or medical conditions.
Cosmetic Blepharoplasty – to enhance appearance by improving puffiness, wrinkles, or drooping skin.

Reconstructive surgery is often recommended for individuals with congenital eyelid abnormalities, injury-induced deformities, or conditions affecting vision. Cosmetic blepharoplasty is typically chosen for aesthetic improvements like reducing bagginess or tightening drooping skin around the eyes.

Blepharoplasty is generally performed as a daycare procedure and lasts about 1 to 2 hours, depending on whether upper, lower, or both eyelids are treated.

Blepharoplasty Surgery Process

Blepharoplasty is usually performed under local anesthesia with sedation or general anesthesia, depending on the patient's comfort and extent of surgery.

Upper Eyelid Surgery: An incision is made in the natural crease of the eyelid to remove or reposition excess skin, fat, or muscle.
Lower Eyelid Surgery: The incision is made just below the lower lash line or inside the lower eyelid (transconjunctival) to remove fat and tighten skin.

Once the corrections are made, fine sutures are used to close the incisions. In some cases, fat repositioning and laser skin resurfacing may also be done to enhance results.

Bandages or cold compresses are applied post-surgery to reduce swelling and support healing.

Ideal Candidates for Blepharoplasty Surgery

Good candidates include:

Individuals with drooping upper eyelids or puffiness under the eyes
Those who appear tired or aged due to eyelid sagging
People with impaired vision caused by overhanging upper eyelids
Non-smokers in good overall health with realistic expectations

Patients with thyroid eye disease, dry eyes, or other medical concerns should undergo thorough evaluation before proceeding.

Preparing for Blepharoplasty Surgery

If you’re considering blepharoplasty, clear communication with your surgeon is essential. Discuss your expectations, share full medical history, including:

Past eye conditions or surgeries
Current medications or allergies
Smoking or alcohol habits

Your surgeon may ask you to:

Stop certain medications
Avoid smoking and alcohol weeks before surgery
Arrange for someone to assist you after the procedure

Potential Post-Surgery Complications

Though generally safe, some potential risks include:

Swelling and bruising
Dry or irritated eyes
Temporary blurred vision
Infection or bleeding
Visible scarring or asymmetry

In rare cases, complications like difficulty closing the eyes or changes in eyelid position may occur, often requiring follow-up treatment.

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