BLEPHAROPLASTY

EYES

This procedure is also known as blepharoplasty and improves the appearance of the upper eyelids, lower eyelids or both by removing excess skin and fat bags.  Blepharoplasty can result in a more youthful appearance but it should be noted that only wrinkles in the skin which is excised will be removed and any crow’s feet will remain.

 

For upper eyelids, an incision is made within the natural crease of the eyelid, excess skin and any fat deposits are removed and the muscles and tissue are tightened.  The scar should be concealed within the eyelid crease.

 

In respect of the lower eyelids, the incision is made just below the lower lash line, through which excess skin and fat is removed.

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The Procedure

 

The procedure can be carried out under either local or general anaesthetic.

 

For upper eyelids, an incision is made within the fold of the eyelid, excess skin and any fat deposits are removed and the muscles and tissue are tightened.  The scar should be concealed within the eyelid crease.

 

In respect of the lower eyelids, the incision is made just below the lower lash line, through which excess skin and fat is removed.

 

Risks/Complications

 

Any invasive treatment carries its own risks and complications.  Also, every procedure has limitations and the risks should be compared to the potential benefits before undergoing a surgical procedure. 

 

Possible risks and complications include:-

 

  • anaesthesia risks including depression

  • scars and keloid/hypertrophic scarring

  • infection 

  • skin necrosis and wound breakdown

  • fluid build-up as in a seroma or bleeding as a haematoma

  • swelling and bruising

  • pain and discomfort

  • permanent numbness 

  • skin discolouration

  • asymmetry

  • development of a blood clot as in deep vein thrombosis, thromboembolism or pulmonary embolism

  • limit to skin removal

  • potential for scleral show/round eye

  • ectropion

  • blindness

  • loss of sensitivity 

  • dry or sensitive eyes

  • residual ptosis

  • persistent crow’s feet and malar bags

  • blepharitis 

  • loss of eye lashes 

  • need for further surgery

 

Recovery

 

Recovery time can vary between patients.  Pain, bruising and swelling is to be expected and vision may be blurred.  Swelling can be reduced by keeping the head elevated for the first few days.  The eyes may also feel dry and itchy but lubricant eye ointment can relieve this.

 

Contact lenses should be avoided for 1-2 weeks.

 

The final results should be apparent in 1-2 months and the scars will, in most cases, continue to fade and improve over time.

 

The skin will continue to age so wrinkles will return.  

© M W PAYNE 2019

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