Eyelid surgery or eye lift or blepharoplasty is for reducing the bagginess of lower eyelids and removing excessive skin from the upper eyelids. It is normally done for cosmetic purposes. Sometimes it’s also done for improving vision in older people when it is obstructed by the sagging eyelids.
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Process of Aging of Eyelids
With aging, skin slowly loses its elasticity. Plus the continuous pull from gravity makes the excess skin to gather on the eyelids.
Excessive skin on the lower eyelid causes bulges and wrinkles, whereas an extra fold of skin on upper eyelids can hang over the eye and come in the way of seeing.
The fat that acts as a cushion for the eyeball from the skull may also give rise to bulge in upper as well as lower eyelids. With age, the thin membrane holding the fat in place weakens allowing the fat to come forward in the lids like a hernia.
Preparation of Eyelid Surgery
You will have to arrange a person to accompany you at night after the procedure and also someone for driving you back home.
Expect to take a leave from work and stay at home limiting your activities for a number of days after surgery. Sometimes dry eyes are experienced after surgery but it hardly lasts more than a couple of weeks. If you experience them for more than two weeks, you should contact your doctor.
Keep the following items at hand at home:
- Ice pack (or freezer bags filled with frozen peas or corn, or just ice)
- Ice cubes
- Small gauze pads
- Clean towels and washcloths
- Eye drops or artificial tears (consult your doctor to know a type that will meet your specific needs)
- Over-the-counter painkillers (preferably recommended by your doctor)
Know the cost of upper eyelid surgery from Dr. Naveen Somia along with that of lower eyelid surgery so that you can keep money ready.
If surgery is performed on both upper and lower eyelids, it may take around 2 hours. Most probably your doctor will use local anaesthesia with an oral sedative, though at a surgical centre or a hospital, you will most probably get an IV sedative.
If you are to undergo a procedure for all four eyelids, your surgeon will work first on upper eyelids probably. The surgeon will cut along the natural lines of the lids and through the cuts, s/he will separate the skin from tissue below and take out excessive skin and fat. Then s/he will close the cuts using very small stitches.
Stitches in upper eyelids will remain for 3 to 6 days. The lower eyelids may or may not need stitches, based on the technique used.
For lower eyelid surgery may be done with one of many techniques. One technique includes a cut inside the lower eyelid through which fat is removed. This cut isn’t visible. Your surgeon may then diminish fine lines there with a CO2 or erbium laser.
Read complete information of droopy eyelid fix by Dr. Naveen Somia on his website.
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Swelling is common after eyelid surgery and occasionally bruising too. However, your eyelids should look normal just within a week or two.
Complications rarely take place in eyelid surgery, but do occur sometimes. They may include:
- Abnormal coloring of eyelids
- Dry eyes
- Eyelid skin folding in or out abnormally
- Loss of vision
- A pulled down lower eyelid lash line
- Inability to close eyes fully