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Blepharoplasty Surgery: Everything You Need to Know

11 Feb, 2025

Blepharoplasty is a surgical procedure designed to enhance the appearance of your eyelids. It helps reduce the look of tired eyes by removing excess skin from the upper lids and reducing bagginess from the lower lids. While the procedure is generally safe, it is essential to understand the risks involved. Consult Vijaya Netraseva Kolhapur’s expert ophthalmologists to discuss the benefits and potential risks of blepharoplasty.

Blepharoplasty Surgery: Everything You Need to Know

What is Blepharoplasty?

Blepharoplasty, commonly referred to as eyelid surgery, improves the area around your eyes. It corrects droopy eyelids by removing excess skin, muscle, and fat. With age, skin loses elasticity, and gravity leads to the accumulation of excess skin on the upper and lower eyelids. This procedure can be performed on either or both eyelids. In some cases, instead of removing fat, surgeons may reposition it for a more natural look. While often considered a cosmetic procedure, blepharoplasty can also enhance vision in cases where sagging upper eyelids obstruct the field of vision. Blepharoplasty does not eliminate dark circles or facial wrinkles. Other procedures such as fat repositioning, dermal fillers, or cheek lifts may be necessary for such concerns. It can also be combined with other facial cosmetic surgeries like brow lifts or laser resurfacing for optimal results.

What is the Best Age for Blepharoplasty?

The ideal candidates for blepharoplasty are individuals above the age of 30 who are in good health and do not have pre-existing eye conditions. If you have any of the following conditions, inform your ophthalmologist before considering the surgery: Eye diseases such as glaucoma, dry eyes, or retinal detachment. Thyroid disorders. Cardiovascular diseases, high blood pressure, or circulatory disorders. Diabetes. Having realistic expectations is crucial. While blepharoplasty can enhance appearance and boost confidence, it will not drastically alter facial features. Minor asymmetries naturally exist in all individuals, and the surgery will not change these underlying structures. Discuss your expectations thoroughly with your surgeon before proceeding.

Preparing for Blepharoplasty

Before undergoing blepharoplasty, your ophthalmologist or oculoplastic surgeon may ask you to: Undergo a medical evaluation or lab tests. Stop smoking. Adjust or begin specific medications. Avoid anti-inflammatory drugs, blood thinners, multivitamins, and herbal supplements to reduce bleeding risks. Arrange for a responsible adult to drive you home after the procedure.

Blepharoplasty Procedure Details

Blepharoplasty can be performed on the upper eyelids, lower eyelids, or both, depending on your goals and the surgeon’s recommendations.

Upper Blepharoplasty

During an upper blepharoplasty, the surgeon makes incisions along the natural crease of the upper eyelid. These incisions remain hidden when the eyes are open. Excess skin, fat, and muscle are removed before the incisions are closed.

Lower Blepharoplasty

For lower blepharoplasty, the surgeon makes an incision just below the lower eyelash line. Excess skin is removed, and fat may be repositioned for a smoother appearance. If necessary, a transconjunctival incision (inside the lower eyelid) may be used for fat redistribution without visible scarring.

Recovery and Aftercare

After surgery, stitches in the upper eyelids will remain for about a week. If the lower eyelid incisions are internal, stitches may not be required. Swelling and bruising are common and will subside over time. Patients should rest at home for several days to promote healing.

Post-Surgery Care Instructions:

Use cold compresses to reduce swelling. Apply antibiotic ointment as prescribed. Follow instructions on eye care and medication use. Avoid strenuous activities for a few weeks. Attend follow-up appointments with your surgeon.

Potential Risks and Complications

Although complications are rare, some potential risks include: Bleeding and infection. Dry eyes. Eyelid discoloration or scarring. Difficulty closing the eyes completely. Changes in eyelid shape. Vision loss (extremely rare). Discussing these risks with your ophthalmologist will help you make an informed decision.

How Long Do Blepharoplasty Results Last?

While blepharoplasty does not stop the aging process, its results are long-lasting. Upper eyelid surgery can last between 5-7 years or even a lifetime, whereas lower eyelid surgery is rarely repeated.

When Should You Contact Your Doctor?

Mild discomfort and temporary dryness are normal after surgery. However, if dry eyes persist for more than two weeks, consult your ophthalmologist immediately.

Is Blepharoplasty Painful?

Blepharoplasty is one of the least painful cosmetic procedures. Patients may experience mild discomfort on the day of surgery, but recovery is usually quick and smooth. If you’re considering eyelid surgery, Vijaya Netraseva Kolhapur’s expert eye specialists can guide you through the process, ensuring a safe and satisfying experience. Contact us today to schedule a consultation!