Blepharoplasty

(eyelid surgery)

Indication: 

The eyelid structures tend to become loose with time, which leads to excess skin and protrusion of underlying fat bags. These changes may be evidenced by the presence of skin folds and bulging of the area, giving the face an appearance of sadness and tiredness. Eyelid surgery corrects such changes by removing excess skin and reducing fat bags, making the eyelids more firm and smooth, and thus reestablishing a more relaxed and happy look.

Type of anesthesia: 

Anesthesia may be local, local plus sedation or, in rare cases, general.

Length of hospital stay: 

Up to 12 hours, in case of local anesthesia. It may extend to 24 hours in case of general anesthesia or depending on the physician’s orientation.

Postoperative:

There is always some degree of edema (swelling) and bruising (purple spots), which may vary in intensity. Usually these signs disappear after one or two weeks. To minimize their appearance, ice cold saline compresses or borated water may be used in the first two days postoperatively. Another important measure is to avoid heat (hot showers, cooking, etc.), which favor the formation of edema and bruising. Sunlight exposure should be avoided for 3 months (use sunglasses).

Complications: 

They are rather uncommon. But, as every surgery bears some risks, we should mention: hematoma, infection, dehiscence (separation of the suture edges), ectropium (inversion of the lower eyelid) and scleral show (the whites of the eyes become more visible).
However, when the surgery is correctly indicated, the surgical technique is well performed and postoperative care is followed, very seldom there are complications.

Definitive result: 

As a general rule, every plastic surgery takes 6 months to achieve the definitive result, since this is the time require for maturation of the scar. In the case of blepharoplasty, 80% of the result may be achieved earlier, after 3 months.