What is Blepharoplasty?

Blepharoplasty is a surgical procedure to improve the appearance of the eye lids in people who have prominent fat deposits and /or excess skin giving them a tired look. It is also indicated in people who want to change the oriental look or have defects and deformities in the eyelids. Changes in the eye lid caused by droopy or saggy skin as well as bags around the eye can be corrected by eye lid surgery or blepharoplasty. Upper and lower eye lid can be corrected simultaneously and the procedure rejuvenates the eye. Protruding fat and excess skin can be addressed simultaneously by excision. Eyelid surgery, or blepharoplasty (BLEF-uh-ro-plas-te), repairs droopy eyelids by removing excess skin, muscle and fat. To help decide if this surgery is right for you, find out what you can realistically expect and explore the benefits and risks involved.

What is eyelid surgery?

Eyelid surgery or Blepharoplasty is undertaken to remove the excess skin and eye bags in the upper and lower lids so as to correct the aging changes. It may also be needed to correct congenital deformities like eyelid ptosis or double eyelids.

Eyelid surgery cost?

Cosmetic eyelid surgery cost includes a Surgeons cost of USD 1000- 3000. This depends on extent of surgery, whether upper and/ or lower lids are operated on and if Laser or RF technology is used for the surgery. The final cost is based on an in person consultation and examination.

Eyelid surgery candidate or health condition for eye lid surgery.

People having puffy upper lids, lower eyelid bags, excess upper lid skin causing a double eyelid or have absence of an eyelid fold are good candidates for eyelid surgery. This is usually undertaken as a day care surgery under sedation.

how long does it take to recover from eyelid surgery?

Recovery from eyelid surgery is usually a few days. There is usually no pain after this surgery but expect swelling and bruising in the upper and lower eyelids along with oozing from the stich lines. The swelling starts reducing in 3-4 days at which time stiches if placed are removed. There is no restriction with normal activity and you are allowed to go out after wearing dark glasses. There are no signs of surgery in a few weeks except that the eyes look more open with absence of eye bags.

Eye lid Surgery results?

The results of eyelid surgery are well appreciated as early as 2 weeks and lasts for many years. This procedure is usually combined with a Browlift. People who have undergone lower lid surgery may need autologous Fat grafting after 3 months for volumization of the area.

Eye lid surgery procedure steps?

Step 1- of eyelid surgery is to assess the requirements and mark the fat pockets and the amount of excess skin. This has to be done in a sitting position as everything looks good when lying down.
Step 2- Anaesthesia which includes injecting local anaesthesia in the upper and/ or lower lid.
Step 3- Making incisions in the upper and lower lid so as to expose the fat pockets. Excess fat is trimmed and haemostasis is achieved.
Step4- Excess skin and muscle which has been pre marked is excised.
Step 5- Closure is done in a single layer. Compare results in both eyes by checking the eye opening.

Eyelid surgery risks and safety?

Possible risks and complications associated with eye lid surgeries include - Bleeding and bruising, irritation and dryness in the eye, difficulty in closing eyes, scarring and asymmetry of the lids and rarely abnormal vision like double vision and inability to see.Surgery if done with precautions in a well equipped center with an experienced surgeon is very safe.

Preparing for eye lid surgery?

Preparing for eyelid surgery includes-
A complete eye examination
Blood tests to check for bleeding tendencies and other routine tests.
Stop aspirin like medications and also smoking.
Stop all herbal medications, Isotretinoin and NSAID’s.

When Should Surgery Be Done?

Younger patients undergo surgery because of the fat deposits protruding through the wall orbital septum either in the upper or lower lid, making the eyes look dull and tired. Older people normally have age changes such as excess eye lid skin with and without protruding fat. Most patient seeking surgery wants a rejuvenated appearance that require re establishing the normal architecture of the eyes that was present when they were younger. Some also have restricted vision because of droopy lids, although more common in women, it’s also performed on men as well.

How Is The Operation Done?

Marking of excess skin and fat bulges is done in a standing position. The surgery can be done under local or general anesthesia and the incision is made in the natural crease of the lid. The excess skin is removed and the fat excised or relocated and the incision closed by sutures. This leaves a very thin scar in the area which fades over time. Surgery on the lower lid depends on the preoperative condition. Bulging fat from lower lid without excess skin is treated by a transconjunctival blepharoplasty (Scar less and stitch less). Excess skin and muscle require excision of the same and will leave a scar very close to the edge of the lid. Some time there may be too much laxity of the lid exposing the conjunctiva and causing tearing which may require tightening of the lid in the horizontal direction at the corner of the eye called canthoplasty.

Post Operation Care

Ice application over eyes keeps bruising and swelling down and sutures are removed in 5 days time. Local antibiotic cream and eye droops are prescribed. The bruising can be covered by a make up and sunglasses.

Post Operation Care

Ice application over eyes keeps bruising and swelling down and sutures are removed in 5 days time. Local antibiotic cream and eye droops are prescribed. The bruising can be covered by a make up and sunglasses.

Risk of Operation

Due to scar contraction, rarely there is pulling of lid downwards called ectropion. Dryness of eyes and visible scarring are rare.

Result of Eyelid Surgery

A fresher and more youthful appearance of the eyes with reduced bags and pouches is the norm. Some actually experience an improvement in their eye sight as a result of removal of excess skin. Crows feet may be less visible but can only be improved further by laser, chemical peel or botox.

After Care:

Need a Lubrication ointment at night to prevent dryness and irritation. Sutures are removed in 5-7 days.

Wound Care

Upper blepharoplasty incision may be cleaned with dilute peroxide and coated with bactroban or Neosporin ointment using a Q-tip applicator twice a day.

Activity

Avoid exercise and activities that increase heart rate or blood pressure significantly for first 7 -10 days. Elevate the head of the bed. Ice application over your eyes off and on much as possible every hour for a day will help.

Special Instruction

Contacts may be worn after about one week. Bloody tears and drainage are normal, especially the first few days. So if you are looking to get a Blepharoplasty Surgery in India then your best option is Cosmetic Surgery Institute in India. You may visit our centers in Mumbai, Pune and Goa for a consultation on procedures for Blepharoplasty Eyelid Surgeryby our expert cosmetic surgeons.

Contact us for more information or booking your appointment with our expert.

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