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Blepharoplasty

Know more about Blepharoplasty

Factors such as age, skin texture, impaired visual acuity, and other emotional problems, can result in leaving their mark on the eyelid region. The skin of the eyelids are very thin, causing them to be the first to show signs of facial aging. The plastic surgeon will make a thorough analysis to intervene only in those areas that may benefit from surgery. The eyelid plastic surgery or blepharoplasty corrects the excess of skin, fat and muscle flaccidity of the eyelid area, and in certain cases can also help to improve the functional aspect, such as when sagging skin in this region affects the visual field.

Indication

A blepharoplasty can help with the accumulation of eyelid bags, drooping eyelids and loss of definition in the eyelid crease. Blepharoplasty also fixes the fall of the upper eyelid skin that can hinder vision.

Anesthesia

Most cases of eyelid plastic surgery or blepharoplasty are operated under local anesthesia and sedation. Depending on the wishes of the patient, general anesthesia can be used. The patient should make their decision about anesthesia accordingly when a blepharoplasty is being performed simultaneously with other operations.

Are any scars visible? Where are they located?

The skin of the eyelids are very thin and the scars tend to be practically disguised in skin furrows after a blepharoplasty. Therefore, the patient should expect scar maturation period of about 3 months. They can usually be disguised with light makeup treatment, during the first few days.

Surgical time

Normally, eyelid plastic surgery or a blepharoplasty lasts around 90 minutes. Depending on the case, there are some details that may prolong this time. However, the time of surgery should not be confused with the patient’s length of stay in the operating environment, as this includes the period of preparation for anesthesia and postoperative recovery. Your doctor will inform you about the total time.

Length of hospital stay

Generally, 6 to 12 hours.

Recovery time

Depending on their postoperative course, you can return to normal activities within 3 to 4 days after a blepharoplasty.

Final result

Generally, the final results from the eyelid plastic surgery or blepharoplasty can be seen after 3 months. The first month, however, will produce a substantial improvement from the initial appearance.

Learn more about Blepharoplasty.

Is there pain during the postoperative?

Usually there is slight pain during the postoperative period of a blepharoplasty. Cold saline compresses can be used to get rid of the discomfort from surgery.

Do the eyes get very swollen? For how long?

Edema (swelling) of the eyes varies from patient to patient after a blepharoplasty. There are those who might present some natural aspects after the 4th or 5th day. The use of sunglasses may be helpful during this stage as well as the use of cold compresses, which decrease the intensity of edema. Only after the 3rd month can we say that the residual swelling is discrete.

What are the “purple spots” observed in certain cases?

They are nothing more than the infiltration of blood in the underlying skin, and even in the ocular conjunctiva, due to surgical trauma itself. These spots disappear quickly.

Will the eyes be occluded after surgery?

No. Cold packs may be recommended for several minutes, several times a day, which can be controlled by the (a) patient for the prophylaxis of edema.

Are the results worthwhile?

If you are aware of what you want and the surgeon can provide you what you asked for, then it is well worth it. However, it is important to take into account the fact that eyelid surgery does not provide general rejuvenation of the face, when performed in isolation. Many patients expect this result (rejuvenation) only with a blepharoplasty. The plastic surgeon will only improve that area. The “crow’s feet” will never disappear completely, due to the action of the orbicularis.

Is there an ideal age to operate on the eyelids?

There is no ideal age to perform plastic surgery of the eyelids or blepharoplasty. This is determined by the presence of a defect to be corrected and usually occurs after the third decade.

Recommendations for Blepharoplasty:

PREOPERATIVE

– Attend a surgical site (hospital, clinic) on schedule according to your surgical plan;

– Report any abnormalities that may occur, regarding their general condition until the day before

admission.

– Do not use any makeup on the day of admission;

– Bring sunglasses;

– In the event of being admitted to hospital on the same day of the operation, be sure to fast prior to admittance;

– Arrive to the hospital accompanied by friend or family member for admission.

POSTOPERATIVE

– Cold compresses on the eyes may be useful to shorten the swelling and provide some comfort after surgery;

– Eat freely after the second postoperative day. Meat, milk and eggs (protein) are recommended, as well as vitamins in the form of fruit;

– Wear sunglasses when you expose yourself to natural light and wind;

– Avoid sun and wind for 8 days;

– Obey the prescription;

– Return to the office for review in the days stipulated;

– Do not traumatize or “scratch” the eyes;

– Depending on the postoperative course, you can return to normal activities after 3 to 4 days.

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