Eyelid Surgery or Blepharoplasty

Dr. Hootan Daneshmand

The eyes are the focal point of the face. Eyes that appear tired have a profound impact on a person’s appearance. Eyelid rejuvenation (blepharoplasty) can have a dramatic effect on a person’s appearance. This type of Orange County eyelid surgery can commonly be performed alone or in combination with other procedures for facial rejuvenation, such as Botox treatments and nose surgery.

What is Blepharoplasty?

Blepharoplasty is an outpatient surgical procedure that removes excess skin, fatty tissue, and muscle from the upper and lower eyelids. The incisions are very small and typically can not be seen. After the excess skin and muscle are removed, the fat is sculpted to create a smooth contour. Tiny sutures are then used to close the incisions.

Am I a candidate for blepharoplasty?

The doctor will need a complete medical history and physical examination in order to determine whether blepharoplasty is right for you. For example, patients with glaucoma or uncontrolled high blood pressure should avoid this surgery. Be sure to come prepared with all information, and bring any glasses or contact lenses with you to your consultation.

What Can Blepharoplasty Do For Me?

If the skin above your eyes droops onto your eyelids, blepharoplasty can correct it and make your eyes appear more youthful and rested. If you have puffy skin under your eyes, the excess skin, muscle, and fat can be removed with blepharoplasty. Unlike some procedures which only last a few months, the results of blepharoplasty are permanent. While it cannot prevent future wrinkles from developing, its effects are long-lasting. Blepharoplasty does not correct dark eye circles or fine wrinkles around the eyes.

What Does Blepharoplasty Feel Like?

In most cases, you are awake for the surgery, and a local anesthetic is used to numb the area around the eyes. You may feel some discomfort when the skin is tugged during the surgery, but you will not experience any pain. The surgery typically will take one to two hours.

What Can I Expect After the Procedure?

If only a local anesthetic is used, you may go home immediately after surgery. You will be able to return to work within a week or two. Your vision will be slightly impaired for a few days, so be sure to have someone drive you home. You should avoid driving until your eyesight is clear and your eyes no longer water. Your eyes may itch, water, and feel somewhat sticky for a week or two after the surgery, but this can be relieved with eye drops. Your eyes may be more sensitive to light for a few days, which will make reading or watching television uncomfortable. You may have to apply an ointment after surgery to prevent dryness, and the doctor may apply small bandages over your eyes. You may experience some swelling and bruising, which can be relieved by elevating your head and/or applying a cold compress or ice pack. Your doctor will prescribe pain medication to relieve the discomfort from the bruising. Stitches that are non-dissolving will be removed a few days after surgery. Contact lenses should not be worn for at least two weeks after surgery. Eye makeup should not be worn until all of the stitches are gone. The incision areas may be red for a few weeks but will eventually fade. If small whiteheads develop along the incision line, the doctor can remove them with a needle.

What are the Risks of Blepharoplasty?

Blepharoplasty is a very safe surgery, and complications are rare. Of course, there is a small risk of infection or bleeding with any surgery. However, since the instruments used in blepharoplasty create such fine incisions, they are designed to control bleeding. In the case of surgery around the eye, there is always a small risk of eye damage. In extreme cases, a pool of blood can develop under the skin in the eye area, necessitating an operation to drain it. Rarely, the lower lid will swell until it pulls away from the eye (ectropion). This usually corrects itself within a few days, but can also be corrected surgically if necessary. The most extreme and rare complication is difficulty closing the eyes, which can be corrected with additional surgery.

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