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Blepharoplasty

Eyelid surgery is performed on adults of any age to correct problems associated to aging or to receive treatment for inherited traits. People that may be a good candidates for eyelid surgery might have:

  • excess skin obscuring the natural fold of the upper eyelids
  • loose skin hanging down from the upper eyelids and possibly impairing vision
  • a puffy appearance to the upper eyelids that make the eyes look tired
  • excess skin and fine wrinkles of the lower eyelids
  • bags and dark circles under the eyes that are often with a depression along the bony border of the lower eyelids
  • droopiness of the lower eyelids that show the white below the iris

Eyelid surgery can normally fix these types of problems, but sometimes an eyelid surgery may be needed in combination with another treatment.

How is eyelid surgery performed?

When performing upper eyelid surgery, an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Excess skin and fatty tissue are removed through this incision. The incision should heal well because it follows the natural contour of the upper eyelid.

Lower eyelid surgery is performed by making an incision that is also hidden, but below the lower lashes. The excess skin, muscle, and fat are removed, or fat may be redistributed to eliminate any puffiness or bulges. If muscle laxity is an existing problem, this will be performed also. The incision will heal well in lower eyelid surgery also because the natural creases camouflage it.

It is also possible for the plastic surgeon to make an incision inside the lower eyelid to remove the excess fat. This type of eyelid surgery does not require an external incision, but it cannot be used to remove excess skin. A laser may be used along with this technique to tighten the lower eyelid skin.

Eyelid Wrinkles Surgery

Eyelid wrinkles surgery is a cosmetic plastic surgery procedure that can be done to enhance the appearance of a patient's eye area. Genetics, sun damage, and aging are some of the main culprits leading to fine lines and wrinkles around the eye area. These wrinkles can make a person look tired or visually add years to his appearance. There are a few types of eyelid surgeries that can be performed to address the issue of eyelid wrinkles and fine lines.

Eyelid enhancement surgery is one eyelid wrinkles surgery option that removes excess fat, skin, and muscle in the upper and lower eyelid to reduce sagging and puffiness in the upper and lower eyelid areas. This type of eyelid wrinkles surgery does not specifically address the issue of fine lines and wrinkles around the eyes, nor can it eliminate the dark circles around a patient's eyes. This eyelid wrinkles surgery is a good option for patients with droopy upper eyelids or puffiness under the eyes. This procedure can also be performed in conjunction with other eyelid wrinkles surgery techniques to deliver a patient's desired results.

Another eyelid wrinkles surgery option to reduce fine lines and wrinkles around the eyes is laser eyelid wrinkles surgery. This eyelid wrinkles surgery technique uses laser technology to reduce the appearance of fine lines and wrinkles in the lower and upper eyelid area. This procedure is more cost effective and less invasive than traditional surgical procedures. Laser eyelid wrinkles surgery may be appropriate for patients who are dissatisfied with eyelid wrinkles but do not have excessive puffiness or bagging in the eye area.

Eyelid wrinkles surgery may also be achieved through non-invasive facelift technologies such as bio-ultimate procedures. These eyelid wrinkles surgery procedures deliver safe and gentle electric stimulation to the facial areas to reduce the appearance of fine lines and wrinkles, in addition to several other benefits. There are also dermal fillers and skin resurfacing techniques that can be employed in order to reduce the appearance of fine lines and wrinkles in the eyelid area.

Mini Eyelid Surgery

Mini eyelid surgery is the surgical aesthetic enhancement of the upper or lower eyelids. Mini eyelid surgery can also be performed for medical reasons when eyelid imperfections cause vision problems. This procedure is medically termed blepharoplasty and is the third leading cosmetic procedure performed in the United States. Mini eyelid surgery is a very desirable procedure that is less expensive and highly satisfying to patients who seek this plastic surgery option.

Mini eyelid surgery can be performed on the upper or lower eyelids. People who have droopy upper eyelids may benefit from mini eyelid surgery. The upper eyelids can droop as a result of genetics and aging that can be corrected through mini eyelid surgery. The procedure can also be performed to reduce or eliminate the bagginess and puffiness under the eyes by removing excess skin and fat in the lower eyelid. The traditional eyelid surgery procedure usually corrects both eyelids, but a mini eyelid surgery will be restricted to the upper or lower eyelids.

A mini eyelid surgery procedure is generally less expensive than the traditional and more complex procedure. Upper mini eyelid surgery averages approximately $2,100, while lower mini eyelid surgery averages $2,500 nationally. This cost of mini eyelid surgery does not include related expenses, such as surgeon fees, facility fees, and other costs. For comparison, the traditional eyelid surgery costs average four thousand dollars.

After your Eyelid Surgery

Overnight hospital stays are rare following blepharoplasty. You will spend some time after the surgery in recovery, but only usually a couple of hours at the longest. Immediately after the surgery is completed your board-certified surgeon will wash and moisten your eyes with a special lubrication. Additional bandages or cotton may be applied as well. These usually come off when you leave.

During the first week following your surgery you will probably have some amount of bruising.  The bruising should not be severely painful or swollen, however.  This usually subsides after about a week of recovery. Any stitching that you may have had will usually be taken out after a couple of days, but may require up to a week of setting in. The swollen sensation around your eyes will generally decrease following your stitching removal.

Your sight will eventually return to normal but the first few days will have some degree of sight related issues.  After a day or two, these problems usually disappear.  You will have to take off work, if you work, for about 10 days maximum.  This is to let your eyes recover from the stress of surgery and to avoid any additional strain on your wounds.  People do, however, return to their work schedules or normal activities as soon as three days after the surgery.

Strain or rigorous activity should be avoided for some time after your blepharoplasty, about four to six weeks.  This may include such minor activities as lifting or walking briskly.  Your eyes may be affected by other factors as well including light, wind, or other sight related concerns.   Sunglasses help prevent light exposure problems and may be effective in keeping particles out of your eyelid area as well.

Blepharoplasty Risks

Risks and side effects rarely occur but can be unpleasant. Most of these risks are readily treatable, however. You should be aware of signs, because many of them occur after you go home. These include:

  • infection
  • excessive bleeding
  • wound separation
  • swelling
  • cosmetic risks

Other cosmetic problems include asymmetry, wherein the eyes may not match correctly in size or shape. Insufficient or excessive skin removal can result in difficulties involving eye closure or blinking. Insufficient or excessive fat removal can result in blemishes, or other cosmetic unattractiveness.

Scarring can occur on the eyelids or around them, even inside the eyelids and this may lead to problems with eye movement and vision. A drooping eyelid may occur as well, leading to cosmetic issues.

Double vision and loss of vision are visual related side effects that may occur with blepharoplasty, but are very uncommon and, if they do occur, are usually temporary. Complete and total vision loss is a very rare, but occurring, risk of eye surgery and it is usually caused by issues arising from bleeding.

Make sure that your board certified surgeon covers all of the risks, especially those that are most likely to occur with your personal surgery. Follow through on pre- and post-operative care and any problems or risks will be severely minimized.

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