The most common causes of premature eyelid ageing include heredity, aging, chronic sun exposure and sun damage, pollution, irregular sleeping habits, chronic lack of sleep, sigificant fluctuations in weight, dietetic indiscretions, alcoholism, smoking, and medical problems like hyper or hypothyroidism and liver diseases.
Recent advances in cosmetic surgery now allow us to reduce and remove these changes around the eyes, a process called surgical rejuvenation or Blepharoplasty. This relatively minor cosmetic surgery procedure can refresh the appearance of the face and leave it looking years and evendecades younger. An eyelid reduction or tightening removes excess skin and fat from around the eyes to create a more wide-awake, younger look.
Blepharoplasty can selectively be done for either the upper or lower eyelid. Usually both the eyelids of both the eyes are done together for a complete rejuvenation. More often, it is combined with other procedures like face-lift and brow lift for a comprehensive rejuvenation of the face.
Please note that Blepharoplasty will not help reduce the effect or appearance of crow’s feet or laughter lines: you may wish to consider other aesthetic enhancement options to address these concerns.
Who is an Ideal Candidate ?
If you have droopy upper eyelids with excess skin that make you appear sad sleepy or simply adds years to your age or persons with lower eyelid sagging, bulging, wrinkles, folds then cosmetic eyelid surgery may benefit you. In general, adults with the above eye problems, of any age who are in good health without concurrent serious medical conditions, moderately fit and overall have good muscle tone are good candidates for eyelid rejuvenation.
The First Consultation
During your firstconsultationyou will learn how eyelid surgery can improve the appearance of your eyelids and the surrounding area. Your goals and expectations for undergoing blepharoplasty will be discussed and understood. You will be fully educated about the benefits and risks of the procedure and the likely outcomes of the operation. At this stage you should fully disclose your health history, current medications, allergies and the use of drugs and smoking.
Pre operative photographs will be taken to help in planning the procedure and to allow you to compare the results after surgery.
Before eyelid surgery, your surgeon may ask you to see a specialist eye surgeon to test for glaucoma, and any problems with tear production.
General Guidelines prior to your Blepharoplasty
- Detailed Facial and Eye examination and measurements
- Pre-Operative Photographs will be taken
- Obtain laboratory testing or a medical evaluation
- Pre-op anaesthetic assessment to ascertain fitness for surgery under anaesthesia.
- Agreement to proceed with the surgery by signing an informed Consent Form
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they increase risk of bleeding.
Blepharoplastysurgery can be done under local anaesthetic, but I prefer a general anaesthetic for your improved comfort. Your eyelid surgery should ideally be performed in a major hospital. Usually It can take up to 2 to 3 hours for surgery on the upper and lower eyelids of both eyes.
Upper Eyelid Surgery
During upper eyelid surgery, an incision will be made in the natural skin fold of your upper eyelid. Next unwanted skin, fat, and muscle are removed to give the eye more shape. Once the incision is closed, the scar will be hidden inside the natural fold of your eyelid.
Lower eyelid surgery
During lower eyelid surgery, excess fatis removed from under-eye ‘bags’ either through a direct incision just below the lower lashes (sub ciliary) or through an incision made inside the lower eyelid (intratarsal). If required excess skin and muscle will be excised.
You can go home on either the same day as your eyelid surgery or the next morning. There might be bruising and swelling after surgery that should subside in 2-3 weeks. Immediately after surgery, due to the swelling, you might experience some difficulty in opening your eyes. Incisions normally heal within a week from the operation, and the results can last for approximately 15 years for most patients. You will be advised to apply an antibacterial ointment to the eye and protect the eyes from sun, wind and dust by wearing sunglasses.
To speed your recovery and help prevent any complications, it is important to follow post-op instructions carefully. These instructions will include the following recommendations:
- Apply cold compresses to the eyes to help reduce swelling.
- Bathe the area around the eye to keep it clean
- Apply eye drops and antibiotic ointment as directed to help with dry or itchy eyes and to reduce the risk of infection in the treated area.
- Avoid exercise and strenuous activities for as long as your surgeon recommends.
Schedule a Consultation
If you would like to schedule aEyelid Rejuvenation consultation, please contact online or by phone today. Dr. Biraj will be happy to answer your questions and talk with you about all aspects of the procedure