by Krisha McCoy, MS
En Espaol (Spanish Version) Blepharoplasty is a procedure to lift the eyelids and/or remove excess skin and fat tissue from the eye area.
2008 Nucleus Medical Art, Inc.
Eyelids
Blepharoplasty can correct:
- Drooping upper eyelids
- Puffy bags below the eyes
Your doctor will likely do the following:
- Physical exam
- Vision tests
In the days leading up to your procedure, your doctor may recommend that you:
- Follow a special diet.
- Take certain medications.
- Avoid certain medications.
- Arrange to have someone drive you to and from the procedure, as well as for help when you arrive home.
You will be given a local anesthetic to numb the area around your eyes and sedatives to help you relax. In some cases, general anesthesia will be used, and you will be asleep for the duration of the procedure.
Your surgeon will make incisions in your eyelids. In the upper eyelid, this is usually done within the crease. In the lower eyelid, this is usually done either just below the lashes or on the inside of the eyelid. He or she will then likely separate the skin from the tissue beneath, remove excess fat, and trim excess skin and muscle. Your surgeon will usually close the incision with sutures.
After ProcedureYour doctor will apply ointment and possibly a bandage to your eyes. How Long Will It Take?-3 hours Will It Hurt?You may feel some tightness and soreness as the anesthesia wears off. Possible ComplicationsInfection or reaction to anesthesiaTemporary blurred visionTemporary swelling of the eyelidsTemporary bruising of the eyelidsAsymmetry in healingScarringDifficulty closing eyesDry eyesEctropion (a pulling down of the lower lids)Decreased or loss of vision Average Hospital StayYou will usually be able to go home after your procedure. Postoperative CareYou will receive instructions about restricting your activity. You may also be advised to avoid alcohol and certain medications.Your doctor will likely recommend that you keep your head elevated for several days. You can use cold compresses to reduce swelling and bruising. Your doctor will show you how to clean your eyes and may recommend using ointment.You will be able to read and watch television after the procedure.You will not be able to wear contact lenses or participate in strenuous activity until cleared by your surgeon.Your stitches will likely be removed anytime from five to seven days after surgery.Since you may be sensitive to sunlight, wind, and other irritants, your surgeon may recommend sunglasses and a special sun block for your eyelids when you go out. OutcomeYour scars will most likely fade to a nearly invisible white line after about six months. The results of a blepharoplasty are permanent, although your surgeon may still be able to perform extra surgery as indicated or desired.
Call Your Doctor If Any of the Following OccursSigns of infection, including fever and chillsRedness, swelling, increasing pain, or discharge from the incision siteSevere painDecrease or loss of visionDouble visionAny other problem or concern RESOURCES: American Society for Dermatologic Surgeryhttp://www.asds.net American Society of Plastic Surgeonshttp://www.plasticsurgery.org CANADIAN RESOURCES: Canadian Society of Plastic Surgeonshttp://www.plasticsurgery.ca Cosmetic Procedure Guidehttp://www.cosmeticprocedureguide.ca References: Aging eyes. American Society for Dermatologic Surgery website. Available at: http://www.asds-net.org/Patients/FactSheets/patients-Fact_Sheet-aging_eyelids.html . Accessed February 28, 2007. Blepharoplasty. American Society of Plastic Surgeons website. Available at: http://www.plasticsurgery.org/patients_consumers/procedures/Blepharoplasty.cfm?CFID=72759379&CFTOKEN=79245372 . Accessed February 28, 2007. Last reviewed February 2008 by Christopher Cheyer, MDPlease be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
