Eyelid surgery (technically called blepharoplasty) is a procedure used to remove fat usually along with excess skin and muscle from upper and lower eyelids. Surgery can fix the separation of the upper eyelids and puffy bags below your eyes which are features that can make you look older and more tired than you feel, and may even interfere with your vision. However, this procedure does not eliminate wrinkles or so called "crow's feet," and does not eliminate dark circles under the eyes or lift sagging eyebrows. Though it can help increase an upper eyelid fold in the eyes of Asian people, can not eliminate the evidence of their ethnic or racial. Blepharoplasty can be performed alone or at the same time as other facial surgical procedures, perhaps as a facial skin lift or a browlift.
If you're considering eyelid surgery, this brochure will give you a basic understanding procedure when it can help, how it performe and what results to expect. The brochure can not answer all your questions, since a lot depends on the individual patient and surgeon. Please ask your surgeon about anything you do not understand.
The Best Candidates for Eyelid Surgery
Blepharoplasty can enhance your appearance and the confidence you have in yourself, not necessarily change their appearance in an ideal way, or cause other people to treat you differently. Before deciding to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable and realistic in their expectations. Most are 35 years or more, but if droopy eyelids are typical features of their families may decide to have eyelid surgery at a younger age.
There are certain medical conditions make blepharoplasty more risky, these include thyroid problems such as hyperthyroidism and Grave's disease, problems of lack of moisture in the eye or lack of sufficient tears, high blood pressure or other disorders circulation, cardiovascular disease and diabetes. A detached retina or glaucoma is also reason to have caution, check with your ophthalmologist before you have surgery.
Any type of surgery carries some uncertainty and risk
When a qualified plastic surgeon performs eyelid surgery, complications to occur are infrequent and usually minor. However, there is always the possibility of complications, including infection or a reaction to anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.
The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days, temporary swelling at the corner of the eyelids and a slight asymmetry in healing or scarring. Tiny white dots may appear after stitches are removed, your surgeon can remove them easily with a very fine needle.
After surgery, some patients may have difficulty closing their eyes when they sleep, in rare cases this condition may be permanent. Another very rare complication is ectropion, a pulling down of the lower eyelid. In this case it may be necessary to perform additional surgery.
Planning your surgery
The initial consultation with your surgeon is very important. The surgeon will need your complete medical history to check their files before the operation. Be ready to provide the necessary information. Be sure to tell your surgeon if you are allergic to anything, if you are taking vitamins, medications (whether prescription or other drugs) also tell if you smoke.
During this consultation, your surgeon or nurse will test your vision and assess your tear production. You must also provide any relevant information from your ophthalmologist or the results of its review of most recent eye. If you wear glasses or contact lenses, be sure to bring them.
You and your surgeon should carefully discuss your goals and expectations for this surgery. Should discuss whether it is necessary to treat all four eyelids or just the upper or lower and if additional procedures are appropriate.
Your surgeon will explain the techniques and anesthesia use, the type of facility where the surgery was performed and the risks and costs involved. (Note: Most insurance policies do not cover eyelid surgery unless you can prove that the collapse of the upper eyelids interfere with your vision. Check with your insurance company).
Feel free to ask your doctor any questions you have, especially those to do with their expectations and concerns about the results.
Preparing for Your Surgery
Your surgeon will give specific instructions on how to prepare for surgery, including guidelines on eating, drinking, smoking and certain vitamins and medications to take or avoid. Carefully following these instructions will help your surgery go more efficiently and smoothly.
In making preparations, be sure to arrange for someone to drive you home after surgery and to help for a few days if necessary.
Where Your Surgery Is Done
Eyelid surgery can be performed for a surgeon in a surgical center for patients who are hospitalized or in a hospital. Rarely does it require an inpatient stay.
Types Of Anesthesia
Eyelid surgery is usually performed under local anesthesia ¬ which numbs the area around the eyes ¬ together with oral or intravenous sedatives. Will be asleep during the surgery, relaxed and insensitive to pain, although it will be airing their own lungs and may wake up in case of verbal stimuli.
Some surgeons and patients prefer general anesthesia. In that case, you sleep deeply over the operation, but need to be connected to a mechanical ventilator
Blepharoplasty usually takes one to three hours depending on the degree of the surgery. If you are going to work on all four eyelids the surgeon probably start with the upper lids first, then the lower.
In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids: the folds of your upper lids and just below the lashes in the lower eyelid. The incisions may extend into the crow's feet or lines that form when he smiled at the outer corners of her eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.
If you have a pocket of fat beneath your lower eyelids but do not need any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside the lower eyelid, leaving no visible scar. This is usually performed on younger patients who have skin thicker and more elastic.
After surgery, your surgeon will probably lubricate your eyes with ointment and will apply a bandage. Probably your eyes feel tight and sore as the anesthesia dissipate, however your surgeon may prescribe medications to reduce pain and discomfort. If you experience severe pain, call your surgeon immediately.
Your surgeon will tell you to keep your head elevated for several days and use cold compresses to reduce inflammation and blood clotting. (The Bruising varies from person to person, it reaches its peak during the first week and usually lasts two weeks to a month.) You will be taught how to clean your eyes, which may gett a little sticky for a week or so. Many doctors recommend eyedrops, since your eyes will feel a little dry at first and you feel that your eyes may burn or itch. For the first few weeks you may also experience excessive tearing, light sensitivity and temporary changes in vision such as blurring or double vision.
Your surgeon will make a close monitoring of their progress during the first or second week. Sutures will be removed two days to a week after surgery. Once these are removed, the swelling and discoloration around your eyes will gradually start to look and feel much better.
Back to Normal
You must be able to read or watch television after two or three days. But you can not use contact lenses for about two weeks, and even then they may feel uncomfortable for a period of time. Most people feel ready to go public (and back to work) in a period of one week to ten days. At that time, depending on the rate at which you are recovering and instructions from your doctor, you can probably use makeup to cover the blood clotting that still remain. May be sensitive to sunlight, wind and other irritants for several weeks, therefore, when it comes to use sunglasses and apply a special protector before the sun made for eyelids.
Your surgeon will probably tell you to keep your activities to a minimum of three or five days and avoid more strenuous activities for at least three weeks. Especially important to avoid activities that increase blood pressure, including bending, lifting and rigorous sports. Probably be told to avoid alcohol, since it causes fluid retention.
Your new look
Healing is a gradual process and your scars may remain slightly pink for six months or more after surgery. Subsequently, however, will fade to a thin white line that will be almost invisible.
On the other hand, the positive results of eyelid surgery are a more alert and youthful appearance will last for years. For many people these results are permanent.
When advancing age, the eyelid skin stretches, muscles weaken and fat accumulates around the eyes causing them
to form "pockets" at the top and bottom.
The best candidates for eyelid surgery.
Before surgery, the surgeon marks the incision sites, following the natural lines and creases of the upper and lower eyelids.
The fat just beneath the skin and excess skin and muscle can be removed.
The surgeon closes the incisions with very fine sutures, which leave scars that are almost invisible.
In a transconjunctival blepharoplasty, is made a small incision in the lower lid by removing the fat with fine forceps. No skin is removed and the incision is closed with stitches that dissolve on their own.
After surgery, the upper eyelids no longer fall and skin under the eyes has a flat and firm.
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