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Blepharoplasty

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by McCoy K

(Eyelid Surgery; Repair of Droopy Eyelids)

 

What to Expect

Prior to Procedure

Your doctor will likely do the following:
  • Physical exam
  • Vision tests
  • Exam of the eyelid and supporting structures
Leading up to your procedure, your doctor may recommend that you:
  • Follow a special diet.
  • Take certain medicines.
  • Arrange to have someone drive you home.
  • Arrange for someone to help you at home.
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
  • Anti-inflammatory drugs
  • Blood thinners

Description of the Procedure

Your doctor will make incisions in your eyelids. In the upper eyelid, the incision is usually made in the crease. In the lower eyelid, the incision is usually made just below the lashes or on the inside of the eyelid. The excess fat will be removed. The excess skin and muscle will be trimmed. The incision will be closed with sutures.

How Long Will It Take?

60 minutes or more depending on the amount of skin and fat to be removed

Will It Hurt?

Anesthesia will minimize pain during the procedure. You may feel some tightness and soreness after the procedure.

Post-procedure Care

At the Care Center
Your doctor will apply ointment. A bandage may be applied over your eyes.
At Home
When you return home, do the following to help ensure a smooth recovery:
  • You will receive instructions about limiting your activity. You may also be advised to avoid alcohol and certain medicines.
  • Your doctor will likely suggest that you keep your head elevated for several days.
  • You can use cold compresses to reduce swelling and bruising.
  • Your doctor will show you how to clean your eyes and may suggest using ointment.
  • Ask your doctor about when it is safe to shower or bathe.
  • You will be able to read and watch television after the procedure.
  • You will not be able to wear contact lenses or participate in difficult activity. Ask your doctor when you can resume your normal activities.
  • Your stitches will likely be removed in 5-7 days.
  • Since you may be sensitive to sunlight, wind, and other irritants, your doctor may recommend sunglasses and a special sunblock for your eyelids.
After about six months, your scars will likely fade to a nearly invisible white line. The results of a blepharoplasty are permanent. Your doctor may still be able to do extra surgery as needed or desired. Sometimes, blepharoplasty is combined with another procedure called canthopexy. This is used to improve the shape and positioning of the lower eyelid. Blepharoplasty may also be done with ptosis repair. This is the repair of the upper eyelid muscle to correct drooping of the upper eyelid.
 

RESOURCES

The American Society for Aesthetic Plastic Surgery
http://www.surgery.org/

US Food and Drug Administration
http://www.fda.gov/

 

CANADIAN RESOURCES

The American Society of Plastic Surgeons
http://www.plasticsurgery.org/

Health Canada
http://www.hc-sc.gc.ca/

 

References


Eyelid surgery: blepharoplasty. American Society of Plastic Surgeons website. Available at: http://www.plasticsurgery.org/patients%5Fconsumers/procedures/Blepharoplasty.cfm?CFID=72759379&CFTOKEN=79245372 . Accessed January 10, 2013.


Nahai F. The Art of Aesthetic Surgery: Principles and Techniques . St. Louis, MO: Quality Medical Publishers; 2005.


6/3/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.

 

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