Blepharoplasty is the procedure to correct droopy eyelids caused by ageing or hereditary factors. The procedure may only involve the upper eyelids, the bottom ones or all four.
The most common reasons for surgery
Upper eyelids : excess skin creates fold over the eyes; the eyes always look “puffy”.
Lower lids : withering, fat herniation (pockets under the eyes).
For better results, the blepharoplasty can often be combined with another facial procedure such as a facelift, chemical peel or other.
Before the procedure
Examination of eyes and eyelids will ensure that there is no pathology and determine the best procedure. A pre-surgery assessment is done in line with prescriptions. There is also a meeting with the anaesthesiologist at least 48 hours before the procedure.
D DAY – 30: It is highly recommended that patients quit smoking.
D DAY – 10: Medicines containing aspirin and anti-inflammatory drugs can no longer be taken.
Some types of anaesthesia require fasting six hours prior to surgery.
Blepharoplasty: the procedure
Average duration: between half an hour and two hours
Blepharoplasty is done as follows:
- Incision to the upper eyelids in the groove between the moving and fixed parts of the eyelid. The incision to the lower eyelids is 1-2mm below the eyelashes, and can be extended a little outwards.
- The incisions are where scars will form later, and these are hidden in the natural folds of the skin.
- During the procedure, unsightly fat protrusions are removed, along with excess muscle and skin.
- Suture is done with very fine, non-absorbable thread
Blepharoplasty: after the procedure
There is no distinct pain following a blepharoplasty, however there can be a slight discomfort with a localised pressure, irritation or slight disturbance in vision. It is recommended to rest as much as possible in the first few days after the procedure, whilst avoiding any strenuous activity and keeping your head straight.
After the procedure an edema (swelling), bruising and lacrimation are to be expected. Patients also usually experience a difficulty in shutting their eyelids entirely or a slight detachment of the external angle of the eye; usually these signs can be rapidly reversed.
The threads are removed between the 3rd and 7th day post-operation, after which the marks rapidly heal. During the first few weeks the scars can keep a pink tint, but the use of product to cover them up is authorised after a week. A slight induration of the surgically operated zones can remain for a few months, but the latter would not be perceptible to those around you.
Blepharoplasty: the results
The results will be optimal after a delay of 3 to 6 months, after the tissues have had the time to regain their flexibility and the scars have healed. With realistic expectations in mind, the patients who undergo this procedure often mention the satisfaction of a more relaxed, awake and rested appearance.