Eyelid Surgery

Eyelid Surgery

What is an eyelid surgery? Eyelid-Surgery 1

Known in medical terms as the Blepharoplasty, the eyelid surgery is basically a cosmetic procedure used for enhancing and correcting the appearance of the lower, upper or both eyelids. The most prominent effect of this surgery is the youthful, well rested and rejuvenated look that is seen around the eyes, creating alert and sharp features.

This surgery can be used for the effective treatment and management of various conditions including:

–          Removal of adipose accumulation in the upper eyelid region that produces the puffy eye effect

–          Elimination of fine lines and wrinkles that appear in the region of the lower eyelids with age

–          Effective treatment of drooping lower lips that exposes the iris of the eyes unnecessarily

–          Removes the folds of skin created by sagging of the tissues which not only give an unsightly appearance to the eyes, but also hinders vision

–          Eliminate bags or puffiness that appear under the eyes

The ideal candidates for eyelid surgery are both men and women that have healthy lifestyles as well as healthy tissues and musculature of the face for desired results, individuals who refrain from smoking and do not have a history of major conditions or surgeries associated with the eyes. It is also important to have a realistic approach to skin improvement expectations.

Patients who have previously been treated for conditions such as glaucoma, xerophthalmia, detached retina etc, thyroid conditions (hypo or hyperthyroidism), or conditions associated with the cardiac and pulmonary systems must inform their surgeons beforehand with complete, comprehensive medical histories.


What are the risks and complications of eyelid surgery?

Just like all other surgeries and invasive medical procedures performed globally, eyelid surgeries also have several potential risks and complications that patients must discuss with their surgeons prior to the procedure. All patients must ensure that their medical histories are assessed beforehand. Leading plastic surgeons around the world first acquire the consent of their patients before starting surgery as part of medical protocol.
Some of the common risks and complications that are seen before, during or after eyelid surgeries include:

–          Unwanted Scarring after surgery

–          Abnormal bleeding, or formation of hematoma

–          Accumulation of fluid within the tissues, a condition known as seroma

–          Infection at the site of incisions

–          Delayed healing of the wounds

–          Formation of blood clots

–          Deep venous thrombosis

–          Altered sensation in the region

–          Swelling at the surgical site

–          Pain during and after surgery

–          Chances of re-surgery due to unsatisfactory results

–          Loss of normal color or elasticity of the skin

–          Damage to nerves and vessels such as arteries, veins and capillaries

–          Impaired or altered vision

–          Disordered associated with the eyelid positioning such as ptosis and ectropion

–          Irritation at the site or sutures

–          Partial or complete loss of eyesight

–          Lid lag


What are the steps involved in eyelid surgery?

  1. Administration of Anesthesia: To ensure a completely painless and comfortable surgery, the surgeon will administer anesthesia to sedate the patient. Eyelid surgeries are generally performed on general anesthesia. The drugs and mode of anesthesia administration depend upon the surgeon’s preferences and the medical status of the patient.
  2. Creating Suitable Incisions: All leading plastic surgeons aim to create incisions for eyelid surgeries in areas where they can easily beEyelid-Surgery-Diagram concealed by the natural folds and contour of the skin. In case of dropping of the upper eyelids, the incision is made following the existing crease of the superior eyelid. Through this incision, effective fat removal can be managed in order to give the desired firmness and strength to the tissues.
    For all conditions associated with the inferior eyelid, the ideal incision is created along the lash line, or slightly below it. Once this incision is created, the surgeon can excise sagging skin in order to correct the condition and give a smooth, natural tone to the skin. Another incision which can be used in this case is known as the trans-conjunctival incision which is carefully created within the inferior eyelid and requires a significant amount of expertise and precision. This incision allows for easy and rapid removal of adipose in the region.
  3. Closing the incisions: Once the conditions have been successfully corrected, the skin is then repositioned and the incisions are closed. Incision closed can be achieved using various methods include suitable absorbable sutures, surgical tapes and skin adhesives.


Eyelid MedicalRecovery from having Eyelid Surgery :

Though the results of the surgery become immediately evident once the patient regains consciousness, it may take several weeks to months for the suture and incision marks to completely vanish. Surgeons may place bandages on the surgical site in order to promote better healing and ideal results.
It is important to follow all guidelines and instructions given by the surgeon, and to be present for follow-up visit after the surgery for evaluation of the results. Patients may also be prescribed analgesics to prevent and manage post-surgical pain.
Patients are advised to return to the hospital or medical centre in case of complications.

Results of Eyelid Surgery (Click here to view Before & After Photographs):

Once the suture marks and the swelling dissipate, patients can appreciate younger, more alert and fresher eyes devoid of sagging, drooping skin, puffiness, fine lines and wrinkles. The surgery works miracles in giving an overall toned, flawless appearance to the facial skin.
It is important to note that though these results are long lasting, they can be altered due to changed induced by age or weight fluctuations. Revisional surgeries are possible for restoring the even tone to the eyes once again in such cases.