The aim of the Eyelid Surgery is to normalize or rejuvenate the area around the eyes to get a bright and natural look.
The patient may have one or two of the following anatomical components altered, which can be treated with surgery:
- Excess skin: Excess skin of the upper eyelids and / or lower.
Puffy Eyes or Bags: herniation or protrusion of the pockets of fat or fatty compartments of upper and / or lower surrounding the eyeball.
Preoperative evaluation is important to determine the possible asymmetry preexisting laxity or lack of support of the eyelids, tear capacity, the vector of the eye relative to the maxilla, etc …, to rule out contraindications and avoid possible complications.
Excess skin of the upper eyelids is usually treated by removing excess skin, with a small incision located right in the crease of the eyelids, whose scar is not apparent.
The fat pad that appears most frequently in the upper eyelid is internal, which can be removed through a small incision in the skin, whose scar is not apparent, or with the same incision used to remove excess skin from the upper eyelid .
In certain cases, to treat fat bags of the eyelids in patients in which there is excess skin on the lower lid, we can use the Transconjunctival technique.
The sutures are usually removed after 5 days, and the patient can lead a normal life after one week.
On occasion, you will need to keep the patient’s eyes closed after intervention by a dressing or a “point of Frost”, which will be removed after a few hours or the next day.
It is highly recommended, once after about 7 days, perform light massage in the area to facilitate the accommodation of tissues.
The possible complications that can occur in the eyelid surgery are usually temporary, but they must be kept in mind also, very rare complications such as the accumulation of blood or retrobulbar hematoma should be treated immediately and could produce blindness; excessive retraction of the skin that could lead to a “round eye” or eschleral show, the excessive removal of eyelid bags which could exacerbate the concavity of the resulting orbit “cadaver eye”; muscle injury that could alter the mobility of the eyeball, the reduced ability to produce tears which could lead to a “dry eye”.
Most of the complications that may occur are avoidable if done proper surgical indication and if you use proper technique, and are treatable if you act quickly at the same time starting to appear.
Blepharoplasty is usually performed using local anesthesia, without need for admission to the clinic.
Postoperative is slightly annoying (due to swelling that occurs after manipulation of the tissues around the eyes and lasts about 48 hours) and completely painless. The lateral crow’s feet can not be improved with blepharoplasty, but can be treated with injections of Botulinum Toxin Type A (BOTOX) that weaken temporarily (2-6 months), the muscles causing wrinkles expression that is closely attached to the skin, or one Facelift.
Blepharoplasty or Eyelid surgery can be done alone or in combination with other interventions, such as face lift , to get a more harmonious outcome.
KEY POINTS BLEPHAROPLASTY
Local + Sedation or General anesthesial.
Discharge in the afternoon (outpatient operation)
Swelling and bruises until the second week, but it will only be evident during the next 10 days after surgery
At the 4th month.