Blepharoplasty, also known as eyelid surgery, is a surgical procedure that corrects eyelids that are sagging or drooping. Because the skin of the eyelid is thinner than other areas of the face, it tends to show the first signs of aging.
Eyelids that sag or droop can affect your peripheral vision and make daily activities more difficult. A blepharoplasty will remove excess skin and fat and tighten the muscles and tissues of the eyelid. It eliminates the skin that is drooping into the visual field and improves peripheral vision.
You should have realistic expectations before undergoing a blepharoplasty. While the procedure can improve the appearance of your eyelids, it does not dramatically alter your face.
If you are considering a blepharoplasty, you need to have a comprehensive consultation with your surgeon to discuss realistic expectations from the procedure, recovery and although rare, possible complication. You should also be in good overall health, not smoke, not have any serious eye conditions, and have facial tissue and muscle that is healthy.
Blepharoplasty is typically performed in an outpatient setting and requires local anesthesia and sedation. The procedure can take around 1.5 hours, during which time you will be kept warm and comfortable. If your upper eyelids are being operated on, the incision lines are typically made along the natural crease lines of your eyelids. Once the incisions have been made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed.
After a blepharoplasty, your eyelids may be covered with gauze and a lubricating ointment and cold compresses may be applied. You will be given specific instructions to follow including the medications you should apply or take orally and a date and time for a follow-up examination. You can expect to experience some swelling, bruising, irritation or dry eyes. Most of the swelling subsides within two weeks.
You will not be able to wear contact lenses or eye makeup for two weeks after surgery. Your stitches will usually be removed by the seventh day after surgery.
It may be recommended that you wear dark sunglasses for the next two weeks to protect your eyes from sun and wind. You can return to work in a few days to a week but will need to avoid exercise and strenuous activities for at least two weeks.