Blepharoplasty, or eyelid surgery, is a procedure to improve the appearance of the eyelids. This surgery can enhance the upper eyelid, the lower eyelid, or both. It is typically performed to remove excess skin and fat that may cause drooping or puffiness of the eyelids.
The blepharoplasty procedure involves the following steps:
– Anesthesia: The surgery begins with either local or general anesthesia. Your medical history is very important in choosing the type of anesthesia. Remember to inform your doctor of all medications you take.
-Incisions: Incisions are made in the natural lines of the eyelids to make scars less noticeable.
-Tissue Removal or Relocation: Excess skin, fat, and sometimes muscle are removed or repositioned.
-Closing Incisions: The incisions are closed with fine sutures.
– Upper Eyelid Blepharoplasty: This procedure removes excess skin and fat from the upper eyelid.
– Lower Eyelid Blepharoplasty: This procedure removes or repositions fat under the eyes and reduces puffiness in the lower eyelid.
Ideal candidates for Blepharoplasty are individuals who:
– Have excess skin and fat on their eyelids.
-Experience vision problems due to drooping eyelids.
-Are in good overall health and have realistic expectations about the surgery results.
causing dissatisfaction with appearance. Surgery aims to remove excess skin and fat, preserve a natural look, and avoid over-correction to prevent a hollow appearance or lagophthalmos.
– Ptosis: Upper eyelid ptosis, particularly in the elderly, is another reason for surgery. In these cases, the upper eyelid partially covers the pupil, obstructing vision.
– Ectropion: In the lower eyelid, ectropion (outward turning of the eyelid) exposes the conjunctiva, often due to reduced elasticity and increased eyelid laxity. The lower eyelid return test helps diagnose this condition. If the eyelid doesn’t return properly, lateral canthopexy or canthoplasty may be necessary.
Patients often report drooping, loosening, and tired eyelids, interfering with daily activities. In severe cases, patients may need to lift the skin to improve their field of vision manually. Before surgery, a complete medical and ophthalmic history is taken, including:
– Effects of upper eyelid changes on daily activities.
-Previous eye conditions and surgeries.
-Systemic diseases that may affect surgical outcomes, such as rheumatologic, vascular, collagen disorders, and diabetes.
-Prior cosmetic surgeries.
-Symptoms and treatments for dry eyes.
-Full list of medications, including blood thinners and herbal supplements.
-Smoking and alcohol use.
-Psychiatric history.
If you are interested in cosmetic surgery, discussing your motivations for surgery and expectations is essential to determine if you are a suitable candidate.
The best age for Blepharoplasty is typically after 35, when aging signs appear on the eyelids. However, due to genetic factors, younger individuals may also need this surgery in some cases.
After surgery, arrange for someone to drive you home. As with any surgery that affects your vision, you must allow sufficient recovery time before driving or engaging in activities that require clear vision.
During recovery, ensure you rest, keep your head elevated, and apply ice to the eye area to minimize swelling and bruising. Different patients experience varying levels of pain, but this surgery should cause only mild pain; consult your doctor if you experience severe pain. Use over-the-counter pain relievers like acetaminophen as needed.
Recovery time from Blepharoplasty may vary, but the skin on the upper eyelid usually heals quickly. Most patients find they can resume normal activities within three to four days. Some patients may experience dry eyes for one to two weeks. If dry eye symptoms persist longer, consult your surgeon. Overall, follow your surgeon’s instructions for post-operative care after Blepharoplasty.
The cost of Blepharoplasty can vary depending on the location the surgery takes place, the surgeon’s experience, and the complexity of the procedure. Generally, the costs include hospital fees, anesthesia, and the surgeon’s fees.
Dr. Sara Arzhang, one of the best blepharoplasty surgeons in Tehran, has years of experience and uses advanced techniques to help you achieve your desired appearance.
