Eyelid Surgery — Blepharoplasty

This procedure is not performed at the Centurion Clinic for Cosmetic Surgery. This information is for educational purposes only.

Nature is often a little unkind: the eyes, our most prominent feature, are the first to show those disconcerting signs of age. Blepharoplasty, one of the most common cosmetic procedures can erase many of the lines, bags and wrinkles that blight the eye

The eyes are the most expressive elements of the face. They can transmit a person’s inner feelings and are a means of silent communication. Blepharoplasty is an operation whose aim is to correct heavy, wrinkled or baggy eyelids and restore a fresher, more youthful look to the eyes. The operation consists of the removal of excess eyelid skin as well as the removal of bags under the eyes when needed, while preserving the natural expression. Results may last for many years.

Baggy eyelids are caused by the protrusion of the normal fat pads around the eyes. This problem may be encountered in patients of comparatively young age if it is familial trait. Generally speaking, the correction of the bags under eyelids is permanent. One of the earlier signs of the ageing process, as related to the eyelids, is the sagging of the eyebrows with a fullness of skin of the upper eyelid. Swelling of the eyelids which is normally seen in the early morning, will often persist longer over the course of the day and make-up does not hold up as well. Sometimes the skin folds may be heavy enough to partially obstruct vision.

Eyelid Surgery

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Preparation

It is important that your doctor be informed if you are being treated by an ophthalmologist. No make-up should be applied to the eyelids for at least twenty-four hours before the surgery. If a face-lift is being done at the same time it is recommended that you shampoo your hair the day before and on the morning of the operation. Wear clothing that you do not have to pull over your head. Excessive bleeding is a possibility. It is therefore necessary to avoid any medication, which may alter the coagulation of the blood (aspirin, anti-inflammatory medication) for at least two weeks before the surgery and one week after. If you are smoking, please stop smoking for at least 2 months before the procedure date. This will help expidite your recovery period and encourage better healing on cellular level.

The surgery

Blepharoplasty is performed under general anaesthesia and surgery will last for one hour. The doctor measures the amount of skin to be removed from the eyelids. On the upper eyelid the incision is made along the normal folds of the lid. The excess skin is then removed. On the lower lid the incision is just under the eyelashes. Protruding fat is removed as necessary. The amount of skin removed is usually very small. The incisions are then closed with fine sutures. The eventual scar will thus be hidden.

Post-op

There is usually little pain associated with eyelid surgery. Only the medication prescribed by your doctor should be used. Your doctor may recommend that you apply cold compresses to your eyelids for the first few hours after the operation. This increases comfort and reduces swelling and bruising. Complete healing will normally take four to six months. The scars on the eyelids usually heals excellently and are almost invisible. If you are smoking, please stop smoking for at least 2 months before the procedure date. This will help expidite your recovery period and encourage better healing on cellular level.