Eyelid SurgeryAlso known as blepharoplasty, eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both, and gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.
Table of Contents
- Why Eyelid Surgery
- What to expect during your consultation
- Preparing for surgery
- Procedural Steps
- Important facts about the safety and risks of eyelid surgery
- My recovery
- The results will be long-lasting
- How much will eyelid surgery surgery cost?
- Words to know
Why Eyelid Surgery?Enhancing your appearance with eyelid surgery Cosmetic eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. Specifically, eyelid surgery can treat:
- Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
- Excess fatty deposits that appear as puffiness in the upper eyelids
- Bags under the eyes
- Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
- Excess skin and fine wrinkles of the lower eyelid
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Individuals with a positive outlook and specific goals in mind for blepharoplasty
- Individuals without serious eye conditions
- Eye disease such as glaucoma, dry eye or a detached retina
- Thyroid disorders such as Graves' disease and under or overactive thyroid
- Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes
Procedural Steps:What happens during eyelid surgery? Step 1 Anesthesia Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you. Step 2 The incision The incision lines for eyelid surgery are designed for scars to be well concealed within the natural structures of the eyelid region. Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin.
Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed.A transconjunctival incision, one hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. Step 3 Closing the incisions Eyelid incisions typically are closed with:
- Removable or absorbable sutures
- Skin adhesives
- Surgical tape
Important facts about the safety and risks of eyelid SurgeryThe decision to have eyelid surgery is extremely personal and you'll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications. Possible risks of eyelid surgery include:
- Unfavorable scarring
- Temporarily blurred or impaired vision
- Dry eyes
- Difficulty closing your eyes
- Lid lag, a pulling down of the lower eyelid may occur and is often temporary
- Ectropion, rolling of the eyelid outwards
- Bleeding (hematoma)
- Poor wound healing
- Fluid accumulation
- Blood clots
- Numbness and other changes in skin sensation
- Anesthesia risks
- Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
- Pain, which may persist
- Skin discoloration and swelling
- Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
- Deep vein thrombosis, cardiac and pulmonary complications
- Possibility of revisional surgery
- Loss of eyesight
My recoveryAfter your procedure is completed, lubricating ointment and cold compresses may be applied, and in some cases your eyes may be loosely covered with gauze. You will be given specific instructions that may include: how to care for your eyes, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your overall health, and when to follow-up with your plastic surgeon. Initial healing may include some swelling, bruising, irritation or dry eyes and discomfort that can be controlled with medication, cold compresses and ointment. Irritation at the incision sites also is possible. A special note: You must practice diligent sun protection and use darkly tinted sunglasses until the healing process is fully complete.
The results will be long-lastingYour final results will appear within several weeks, but it may take up to a year for incision lines to fully refine. While eyelid surgery can be expected to correct certain conditions permanently, you will continue to age naturally. Life-long sun protection will help to maintain your results.
How much will eyelid surgery cost?Cost is always a consideration in elective surgery. Prices for eyelid surgery can vary widely. A surgeon's cost for blepharoplasty may vary based on his or her experience, the type of procedure used, as well as geographic office location. Many plastic surgeons offer patient financing plans, so be sure to ask. Cost may include:
- Surgeon's fee
- Hospital or surgical facility costs
- Anesthesia fees
- Prescriptions for medication, and
- Medical tests
Words to know
- Blepharoplasty: Eyelid surgery to improve the appearance of upper eyelids, lower eyelids or both.
- Ectropion: When the lower eyelid is rolled outward after eyelid surgery; often a temporary condition.
- General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
- Hematoma: Blood pooling beneath the skin.
- Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
- Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
- Transconjunctival incision: Incision hidden inside the lower eyelid.
- Skin resurfacing: Treatment to improve the texture, clarity and overall appearance of your skin.
- Sutures: Stitches used by surgeons to hold skin and tissue together.