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Blepharoplasty

Blepharoplasty 

The blepharoplasty (the surgical correction of eyelids) aims at removing the excess skin and adipose tissue of the upper and/or lower eyelids. The folds of skin and fat on eyelids give usually a tired look on the eyes, sometimes the excess skin can even cut down the visual field. The surgical correction can be done as the same time on the t upper and lower eyelids with or without face-lift.

Indications 

The overall age of the patients is 35 years, but there are certain situations when the procedure can be done an earlier age. In this case usually are removed fat pads that predominate under the skin. It is very important having a good health before the intervention, also is necessary an eye exam, especially for those patients that wear glasses.

Risks 

Any surgery involves risks. Blepharoplasty should be performed by an experienced surgeon, in that way the risks can be minimalized, but most of the time, they are unpredictable. Among them may be bleeding, which is very rare, due to the application of mild intraoperative maneuvers and a specialized instrument. Excessive removal of excess skin, especially in the lower eyelid, causes lagophthalmos – the inability to close the eyelids completely, which, if don’t get better within 1 month, should be surgically remedied.

PRE-OP Instructions 

2 weeks before surgery, stop taking aspirin or other medicines that can affect blood clotting. Surgery is performed anytime except the menstruation. If you have medical problems (tension, vascular disease, diabetes, epilepsy, allergies to various medicines, etc.), inform the doctor. Avoid smoking at least 2 weeks before surgery, as well as exposure to sun or solarium. Superior blepharoplasty is usually practiced with local anesthesia, associated or not with mild intravenous analgesia. The patient has a superficial sleep from which he can quickly wake up, work with the surgeon on the operating table, and is insensitive to pain. Upper and lower blepharoplasty can also be performed with general anesthesia for maximum comfort for both the patient and the surgeon.

The duration of surgery is between 1-3 hours depending on the difficulty of the intervention. Almost always it starts with the upper eyelids, then it goes to the lower ones. Incisions are made at the level of the upper palpebral canal, on the lower eyelid is made 2 mm below the edge of the genes. The skin is separated from the underlying muscle, excess fat are extracted and excess skin is removed. The suture is made with very fine yarns, which is removed at 4-5 days, the edema is maintained in about 7-12 days.

POST-OP Hospitalization 

If surgery is performed with local anesthesia, the patient may go home provided that they respect resting directions. If the intervention is performed with general anesthesia, it is recommended to be hospitalized for one day. During hospitalization, apply special glasses and local antibiotic drops. As swelling and bruising quickly appear postoperatively, it is recommended to have protective dark glasses at the time of discharge.

POST-OP Recovery 

Postoperative edema and ecchymoses disappear within 7-18 days, during which it is recommended not working (at least 3 days). Intense physical activity may cause increased blood pressure, favoring the occurrence of bleeding. Because the eyes are sensitive to sunlight and wind, we recommend wearing protective dark glasses until bruises pass. The scars remain white and thin after a few weeks of surgery.