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What Is Blepharoplasty?
Blepharoplasty refers to eyelid surgery and is designed to remove the
excess fat, along with skin and muscle, from the upper and lower
eyelids. It is the second most common aesthetic procedure performed by
plastic surgeons.
What Are the Goals of Blepharoplasty?
A properly performed blepharoplasty procedure will brighten the face
and restore a more youthful appearance. In some patients the procedure
will improve vision by removing the excessive skin of the upper eyelids,
which can hang down and interfere with peripheral vision.
How Is the Procedure Performed?
Eyelid surgery is usually performed using local anesthesia and light
intravenous sedation. It is commonly done in a doctor s office,
outpatient surgical center or, in some cases, in a hospital. The
procedure is most often performed on an outpatient basis.
Are There Scars From the Blepharoplasty Procedure?
Scars are a result of any surgical procedure. The incisions made to
accomplish the goals of the procedure are barely visible after several
months as they are placed within the normal creases and folds of the
upper and lower eyelids. In patients who only need removal of fat from
the lower eyelids, the incision can be made on the inside of the eyelid,
and will therefore result in an invisible scar.
Will the Fine Wrinkles Around My Eyes Go Away After
Blepharoplasty? What About
My Sagging Eyebrows and Dark Circles Under My Eyes?
The blepharoplasty procedure will not eradicate the wrinkles around
the eyes (crow s feet) nor will it elevate droopy eyebrow. There are
other procedures designed for these purposes. Dark circles under the
eyes may improve a bit if this is related to large bags, but most often
the dark appearance of the lower eyelid skin remains.
Can Anyone Have a Blepharoplasty?
The best patients are those who are healthy, psychologically stable
and well motivated. Some medical conditions may increase the risk of
blepharoplasty surgery such as thyroid disease, high blood pressure and
patients who do not make sufficient tears to keep their eyes well
lubricated.
What Are the Risks Involved With This Procedure?
Fortunately, when performed by a competent plastic surgeon,
complications are infrequent and minor. All patients will experience
some bruising and swelling for a few days after the surgery. In
addition, a temporary problem with closure of the eyelids is usually
seen. Some may have temporary blurring of their vision, usually due to
the ointments applied to the incisions post operatively. In rare
instances, the lower eyelid may be pulled down causing an ectropion. If
this does not resolve on its own, further surgery may be necessary. The
theoretical complications of any surgical procedure, such as bleeding,
infection, wound disruption and heavy scarring are also possible, but
rare.
© Copyright American Society of Plastic Surgeons
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