Home | Procedures | Blepharoplasty
Published on 14 July 2022

Article Context

  1. Blepharoplasty Surgery
  2. Blepharoplasty Procedure
  3. Blepharoplasty Recovery Time
  4. Blepharoplasty Precautions
  5. Frequently Asked Questions

Blepharoplasty Surgery

  • Blepharoplasty, also known as eyelid surgery, is a surgical procedure used to treat blepharoptosis, a condition in which your eyelids droop and bend down. It is used to treat eye problems as well as to remove excess skin, muscle, and fat. Certain medical conditions require blepharoplasty such as droopy eyelids, excess skin on the upper and lower eyelids. It also serves as a cosmetic procedure, treating the bags under your eyes, lifting your brows, and giving your eyes a resurfaced appearance.
  • Blepharoplasty Procedure

    Before surgery

  • The first step in diagnosing is a physical examination. It is also necessary for the doctor to be aware of your medical history, such as chronic systemic diseases and medications currently being used.
  • Ophthalmologic history should include vision, corrective lenses, trauma, glaucoma, allergic reactions, excess tearing, and dry eyes.
  • Vision chart test, slit lamp examination, blood test, and X-rays are required during the preparatory stage.
  • To prepare for the surgery, you will be asked to stop taking blood thinners and to quit smoking.
  • Assessment of your old photographs aids the surgeon in restoring the youthful appearance of your eyes.
  • During surgery

  • Most eyelid surgeries are performed using local anesthesia. Mild sedation may be used for some patients to keep them comfortably asleep during the surgery. If the procedure is more complicated and involves an additional surgery, or the patient’s anxiety levels are high, the surgeon may choose general anesthesia.
  • There are three main types of eyelid surgeries-
    • 1. Lower blepharoplasty
    • 2. Upper blepharoplasty
    • 3. Transconjunctival Blepharoplasty

    1. Lower Blepharoplasty

    lower-blepharoplasty
  • The first step in lower blepharoplasty is placing of discreetly located incisions. The eye surgeon may place small and inconspicuous incisions in the natural skin creases beneath the lower eyelashes.
  • Excess skin and fat is removed through these incisions and underlying muscles are tightened.
  • If the surgeon reveals hollows beneath the lower eyelids, they may fill them with facial fat transfer or dermal filler injections.
  • Sutures are used to close these incisions.
  • 2. Upper Blepharoplasty

    upper-blepharoplasty
  • After giving local or general anesthesia, the surgeon creates incisions in the natural creases of the upper lids.
  • The second step will be to remove the saggy appearance of the eyelids and correct any vision obstruction issues by trimming away the excess skin through the incisions. At the same time, weak or loose underlying muscles may also be tightened.
  • After removing the excess skin, the surgeon will lift and reattach the remaining skin to create a smooth, youthful upper lid appearance.
  • Later, the incisions will be closed with fine sutures.
  • Sometimes, both upper and lower eyelid surgery procedures may be performed together.
  • 3. Transconjunctival Blepharoplasty

  • If loose skin around the eyelids is not an issue, and the patient has pockets of excess fat in the area, a transconjunctival eyelid surgery may be advised. This procedure is relatively less invasive. Ideally, this surgery is suited for patients who do not require under eye bag reduction.
  • After giving your local anesthesia, the surgeon places several tiny incisions inside the lower eyelid.
  • Through the incisions, excess fat deposits are removed. Skin removal and muscle tightening is not performed.
  • The procedure leaves no visible scars because the incisions are placed internally within the eyelids.
  • After the surgery

  • You may initially experience blurred vision, wet eyes, double vision, light sensitivity, surgical skin sensitivity, numbness, swelling, and pain.
  • You will be given pain medication and eye drops to relieve the condition. You will also be advised to wear sunglasses.
  • Blepharoplasty Benefits

  • Blepharoplasty surgery is used to treat sagging and drooping eyelids. You will most likely notice a difference in your appearance after the surgery and your eyes will look younger and more refreshed.
  • It can be a long-term solution to many functional problems.
  • Risks of Blepharoplasty

  • Possible risks associated with eyelid surgery may include the following:
  • Temporary vision problems: Following eyelid surgery, patients may experience double or blurred vision. This usually lasts for a few days after the surgery.
  • Eye closure problems: Some patients may have trouble closing their eyes at night and in rare cases, this condition may become permanent.
  • Swelling or asymmetry changes: There may be temporary swelling and a slight imbalance of one eye in relation to the other during the healing process.
  • Acne: Tiny whiteheads may appear after the stitches are removed. The whiteheads can be removed by the surgeon using a very fine needle.
  • Ectropion: The pulling down of the lower lids is an extremely rare complication. This symptom may necessitate additional surgery.
  • Blepharoplasty Recovery Time

  • You will recover at home following surgery. You'll need someone to drive you because you won't be able to drive yourself.
  • Your eyelids may feel tight in the short term, and you’re likely to have some swelling and bruising. You must keep your head elevated and apply cold compresses for 2-3 days.
  • Dryness, itching, overactive tears and sensitivity to light are possible. These usually subside within several weeks.
  • You can read or watch TV in two or three days and return to work in about 7-10 days.
  • You can usually resume strenuous activity in about two weeks.
  • Blepharoplasty Precautions

  • Due to the sensitivity of the surgery, blepharoplasty requires a lot of precautions to be taken. Few such precautions are listed below.
  • Apply ice packs to your eyes for 10 minutes every hour the night after surgery. Apply ice packs to your eyes 4 to 5 times throughout the day, next day.
  • Use prescribed eye drops or ointments.
  • You should use painkillers and antibiotics prescribed by the doctor to control pain and infection.
  • You should not do anything strenuous such as heavy lifting, swimming, jogging or aerobics for a week.
  • You should not smoke.
  • You should not rub your eyes.
  • For about two weeks, you should avoid wearing contact lenses.
  • Blepharoplasty at Medicover

  • At Medicover Hospitals, we have the most experienced team of ophthalmologists delivering exceptional eye care to our patients. Our opthamologists at Medicover use a multidisciplinary approach to diagnose and treat conditions with utmost precision. We provide wide varieties of eye treatments using the most advanced technologies and world-class infrastructure bringing out the best results.
  • Frequently Asked Questions:

    Once you undergo blepharoplasty, you can expect to spend approximately seven to fourteen days resting and recovering.

    When you reach the age of 30, your eyelids begin to droop. Although younger people can also have blepharoplasty. However, most doctors recommend that the patient should be at least 18 years old to undergo the procedure.

    People who have chronic dry eyes, hypertension, circulation disorders, thyroid disorders, diabetes, or heart disease are not good candidates for eyelid surgery.

    Common but temporary side effects after blepharoplasty include light sensitivity, double vision, watery eyes, bruising, inflammation, and discomfort. You may also experience blurred vision due to the lubricating drops you are given.

    Yes. You can wear eyeglasses.

    Eyelid surgery should be performed at least 3-6 months after cataract surgery.

    Working out during the recovery period is not advised because it can put pressure on your incision sites, causing bruising, swelling, and the development of seroma. Working out too soon after eyelid surgery can interfere with the healing process and lead to serious complications.

    Pickled foods should be avoided because they contain bacteria that causes surgical wounds to be inflamed and infected. Avoids eating eggs as well as seafood after surgery.

    Ideally, the appearance of your eyes should improve in 1 to 3 months.

    For the first few days after surgery, drink plenty of fluids such as water and fresh juices. Caffeine, carbonated drinks and alcohol should not be consumed for the first week after surgery.

    For a little time after surgery, your vision may be blurry. After two or three days, it usually returns to normal. It takes two to four weeks to fully recover. You may experience some bruising around your eyes during this time.

    The cost of blepharoplasty surgery may vary depending on the type of hospital and the city you choose. Generally the cost of blepharoplasty in India ranges from INR. 80,000 to 2,00,000.

    References

    By Dr GVK Prasad, Consultant Ophthalmologist