of the Eyelids
Every year, one hundred thousand men and women choose
blepharoplasty to improve the way they look. Droopy
eyelids can make you look older and can also impair
vision. Blepharop lasty corrects these problems and
also removes puffiness and bags under the eyes that
make you look worn and tired. This procedure cannot
alter dark circles, fine lines and wrinkles around the
eyes, nor can it change sagging eyebrows. Though blepharoplasty
is often performed as a single procedure, your surgeon
may also recommend a browlift, facelift, or skin resurfacing
to achieve the best results.
you are wondering how blepharoplasty can change the
way you look, you need to know how eyelid surgery
is performed and what you can expect from this procedure.
This pamphlet can address many common questions and
provide you the information to begin considering blepharoplasty.
facial plastic surgery is a result of good rapport
between patient and surgeon. Trust, based on realistic
expectations and exacting medical expertise, develops
in the consulting stages before surgery. Your surgeon
can answer specific questions about your specific
Blepharoplasty For You?
As with all facial plastic surgery, good health and
realistic expectations are prerequisites. Blepharoplasty
removes the excess fat, muscle, and skin from both
upper and lower lids. The results can be a refreshed
appearance, with a younger, firmer eye area.
with circulatory, ophthalmological, or serious medical
conditions must rely on the diagnostic skills of their
own personal specialists to determine whether blepharoplasty
is an option to consider. Consultation with the facial
plastic surgeon can help you decide whether any additional,
complementary surgery would increase the success of
the surgery. Your surgeon might recommend planning
a simultaneous forehead lift to correct a drooping
brow and smooth the forehead, or skin resurfacing
to remove the fine line wrinkling in the eye area.
the Decision For Blepharoplasty
Whether the surgery is desired for functional or cosmetic
reasons, your choice of a qualified facial plastic
surgeon is of paramount importance. The patient must
also make the commitment to follow the pre-surgical
and post-operative instructions of the surgeon.
the pre-surgical consultation, you will be examined
or asked to answer queries concerning vision, tear
production, use of lenses, and your desires for surgery.
Your surgeon will explain what you can expect from
blepharoplasty and take a complete medical history.
Factors to be weighed include age, skin type, ethnic
background, and degree of vision obstruction. Furthermore,
you can expect an open and honest exchange between
you and your surgeon, which will establish the basis
for a successful outcome.
a mutual decision is made by both you and your surgeon,
the technique indicated for your individual surgery
will be discussed. The type of anesthesia, the surgical
facility, any supportive surgery, and the risks and
costs inherent in the procedure will be outlined.
In upper eyelid surgery, the surgeon first marks the
individual lines and creases of the lids in order
to keep the scars as invisible as possible along these
natural folds. The incision is made, and excess fat,
muscle, and loose skin are removed. Fine sutures are
used to close the incisions, thereby minimizing the
visibility of any scar.
lower eyelid surgery, the surgeon makes the incision
in an inconspicuous site along the lashline and smile
creases of the lower lid. Excess fat, muscle, and
skin are then trimmed away before the incision is
closed with fine sutures. Eyelid puffiness caused
primarily by excess fat may be corrected by a transconjunctival
blepharoplasty. The incision in this case is made
inside the lower eyelid, and excess fatty material
is removed. When sutures are used to close this kind
of incision, they are invisible to the eye. They are
also self-dissolving and leave no visible scar. Under
normal conditions, blepharoplasty can take from one
to two hours.
to Expect After the Surgery
Immediately after the surgery has been completed,
your surgeon may apply tiny sterile bandages. This
is not done for transconjunctival blepharoplasty.
It is not crucial that the eyes be covered. However,
an ointment to prevent dryness of the eye area may
be used. A certain degree of swelling and bruising
is normal. Cold compresses, as well as head elevation
when lying down, will enhance healing and relieve
discomfort. Your surgeon will prescribe medication
For a week and a half following blepharoplasty, you
will clean the eye area (the eyes may feel sticky,
dry, and itchy). Eyedrops may be recommended. Your
surgeon will also list activities and environments
to avoid in the weeks immediately following surgery.
Permanent stitches will be removed in three to five
days after surgery. Self-absorbing stitches will dissolve
on their own.
Facial plastic surgery makes it possible to correct
many facial flaws and signs of premature aging that
can undermine self-confidence. By changing how you
look, facial plastic surgery can help change how you
feel about yourself.
Insurance does not generally cover surgery that is
done purely for cosmetic reasons. Surgery to correct
or improve vision or surgery for eye deformity or
injury may be reimbursable in whole or in part. It
is the patient's responsibility to check with the
insurance carrier for information on the degree of
Copyright 2000 American Academy of Facial and Reconstructive