Plastic Surgery

Upper and lower eyelids correction (Blepharoplasty)

What is the Upper and lower eyelids correction (Blepharoplasty)?

Blepharoplasty is a popular cosmetic surgery procedure, undertaken by both men and women. It involves surgery on either the upper or lower eyelids. In the case of the upper eyelids, this is usually to lift drooping lids, or remove wrinkles. If it is carried out on the lower lids, then it is usually done to reduce the puffiness or 'eye bags' that are commonly seen under the eyes. This procedure can be performed on its own or as part of a facelift.

What is the procedure?

Surgeon makes an incision along the natural lines and folds of the skin around your eyes while under local or general anesthetic. The incision is done with precision to ensure minimal scarring. Excess fat, skin and muscle are removed before the wound is carefully sutured to ensure that the eyelids look fresher and more youthful.

If only upper eyelid surgery is performed, the incision is made in the natural crease line that occurs 1 cm above the eyelashes. The incisions might extend into the crow's feet or laughter lines at the outer corners of your eyes. Working through the incisions your surgeon will separate the skin from the subcutaneous layers and remove excess fat and trim sagging muscle and skin. The incisions will then be closed with very fine sutures.

If only lower eyelid surgery is performed, the incision starts underneath the eyelashes and extends out 1 cm or so outwards into the crow's feet area, the skin is then lifted upwards and outwards, gently tensioning the area and overlapping skin removed. Again the incisions will then be closed with very fine sutures.

What kind of result can you expect?

The aesthetic appearance of the eyes is subject to such factors as the ageing process, environmental (such as sun and pollution) and genetics. In these cases, blepharoplasty can help to address these problems by eliminating that tired look, correcting any droopiness and puffiness underneath the eyes, and improving your field of vision.

You will find that after the surgery, your eyes will look less tired, feel refreshed and generally, enhance your existing facial appearance, i.e. a younger looking you.

The vast majority of patients are happy with their new and improved appearance and state that they feel more confident, enjoy a greater sense of well being and overall, an improved quality of life.

Recovery period and recommendations

In the post-operative stage, you will experience some bruising and swelling. This is entirely normal and is likely to last for up to two weeks though it usually subsides in the first 10 days.

You may find that your eyelids are dry at first but eye drops can help with this. Stitches are usually removed after 4-5 days. There will be some scarring which will heal quickly though this depends on the individual.

Recovery time varies from one patient to another though in all cases you will be advised to rest and takes things easy in the first week after the surgery. You should be able to return to your social activity after 7-10 days. Any physical activities should be kept to a minimum and in the case of contact sports, avoided for about 3 weeks.

Possible side effects and complications

Most side effects from Blepharoplasty surgery are temporary, such as:

  • - blurred vision which may last up to 2-3 days;
  • - bruising and swelling around the eyes;
  • - dry and itchiness to the eyes.

Most patients don't have any problems during the recovery period but in the rare case the following complications occur which require immediate consultation with your surgeon:

  • - infection;
  • - blood clot behind the eyeball (haematoma);
  • - loss of eyelashes;
  • - ptosis (drooping eyelids);
  • - eyelid skin loss;
  • - severe pain.

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