Eye Bag Removal Surgery - Blepharoplasty

One of the most popular cosmetic surgery procedures out there is Blepharoplasty. This involves surgery of the eyelids. Fat, excess skin and muscle is removed from the upper and lower eyelids. If you want to reduce the puffy eye bags below your eyes and the drooping upper lids then you may have to go through eyelid surgery. You can have this procedure done alone or have it done in combination with other facial cosmetic surgery procedures like facelifts.

Surgical Procedure to Remove Eye Bags

For upper eyelids, an incision is made in the natural crease line that starts at about one centimetre above the eyelashes. These incisions may extend to the crow’s feet or laughter lines at the outer areas of your eyes. The surgeon will work through the incisions and remove the excess fat and trim the sagging muscle and skin. These incisions will be closed with very fine sutures.

For lower eyelids, an incision is made about one centimetre below the eyelashes and may extend to the outer areas of the eye into the crow’s feet area. The skin is lifted upwards and outwards so that the area overlapping the skin gets the needed tension. This tension will make the skin look tighter and firmer. The incisions will be closed with very fine sutures.

How long will the surgery take?

A blepharoplasty procedure normally takes around one and a half hours to three hours. On most occasions, the patient is required to have an overnight stay at the hospital. If only the upper eyelids are worked on then the patient may only have to stay for the day.

What should be expected from the surgery?

You have to be realistic when it comes to surgery. You will certainly have positive results with your refreshed eyes. You won’t look so tired and you can experience a boost in your self esteem. This newfound confidence may last you several years.

Cosmetic surgery demands a lot of knowledge from the patient. Learn more about cosmetic surgery by requesting for more information from your surgeon or doing extensive reading.

Recovering from Blepharoplasty surgery

What happens during the recovery period from blepharoplasty?

The surgeon will lubricate your eyes with an ointment right after the surgery. In some cases, your eyes may even be bandaged. You will experience bruising and swelling for the first two weeks but fortunately, most of the swelling will be gone in the first week. There may be times where your eyes will feel extra dry. You can solve this by applying drops. The sutures are normally removed after five days. There will be scars just like any other surgery. These scars will heal differently depending on the patient.

How long does it take to recover from blepharoplasty?

The time to recover from blepharoplasty will vary from patient to patient. The best thing to do is to relax after the surgery. One week to two weeks is a good rest period. Do not do any strenuous activities for the first three weeks. If you can return to work then make sure to take it easy also.

What are the benefits one can obtain from blepharoplasty?

Benefits from the eye lid surgery are not merely physical but psychological as well. Your eyes and your vision are affected by ageing, the environment, pollution, the sun, and your genes. Through blepharoplasty, you can reduce the negative effects of these elements. Surgery can help you reduce the problems that develop on your lower and upper eyelids.

The goal of surgery is to remove the excess skin and fat that develops on the upper and lower eyelids. The aforementioned elements cause the eyes to look tired and puffy. Eye bags and wrinkles make the patient look old.

The physical benefits that can be derived from blepharoplasty are:

  • correction of puffy bags below the eyes and drooping eyelids
  • elimination of the tired look which is caused by the upper and lower eyelid bags
  • eyes will light up once more as the face becomes tighter and more youthful
  • significant improvement of one’s field of vision

The psychological benefits that can be derived from blepharoplasty are:

  • confidence in one’s appearance and looks
  • psychological relief and relaxation

The people who usually undergo blepharoplasty are aged men and women.

How is blepharoplasty performed anyway?

Blepharoplasty is not a complicated operation. If it is done by an experienced surgeon, it can take about an hour or two to finish. You will be given general or local anaesthesia in order to numb the pain.

Two types of blepharoplasty are performed by surgeons nowadays. The more popular one is called transconjunctival blepharoplasty. This involves making an incision in the lower eyelid to remove excess fat. Skin is not removed.

The second type is called transcutaneous blepharoplasty. This involves making an incision through the skin. This involves both the upper eyelids and the lower eyelids when excess skin is there.

When the incisions are made, they are hidden in the natural crease of the upper eyelid and just under the lashes of the lower eyelid. In some cases, they are hidden in the lower lid. These incisions are very tiny and are hardly noticeable.

What are the risks that are associated with blepharoplasty?

Just like any cosmetic surgery, one must understand the risks that are associated with such procedure. Complications that arise from blepharoplasty are not that common and can be treated easily. There are some aspects that may make your surgery more risky though. These are:

  • irregular thyroid hormone levels like hypothyroidism or Grave’s disease
  • dry-eye syndrome
  • high blood pressure
  • heart disease
  • diabetes

Here are some of the complications that can arise from blepharoplasty:

  • Infection – this is a very uncommon case and if your surgery happens to cause an infection, your surgeon will recommend some antibiotic ointments for a few weeks
  • Blood clots behind the eyeball or Haematoma – a very rare case where the patient experiences a steady, stabbing pain like glaucoma. Blood clots develop behind the eyeball or under the skin. When this happens, removal is needed.
  • Loss of eyelashes – a very uncommon complication that arises after eyelid surgery
  • Ptosis – also known as drooping eyelids, can be over treated surgically in some cases
  • Eyelid skin loss – a rare case which does not demand any additional operation. The skin heals naturally. Sometimes, the affected area may need a skin graft.
  • Eye sight alteration – eyesight is usually affected but only on a temporary basis
  • Pain – on rare occasions, people will experience pain but this can be easily treated with medication

What questions should I ask my surgeon about blepharoplasty surgery?

On your first visit to your surgeon, it is highly recommended that you prepare a list of questions. This is good for you and your surgeon. Your surgeon will understand you better and your surgeon will be able to assess if you are fit for surgery. You, on the other hand, will understand the procedures, the precautions to take, and you can also manage your expectations. Here are some of a few questions that you may ask your surgeon during your first visit.

  • Am I eligible for blepharoplasty?
  • What type of blepharoplasty are you going to perform on me?
  • Why are you recommending this type of blepharoplasty surgery on me?
  • What should I do in order to be well prepared for this operation?
  • Can you explain the procedure to me in detail?
  • What are the advantages that I can derive from this surgery?
  • What are the side effects, complications, and risks involved in this surgery?
  • Will the process be painful during and after the surgery?
  • When can I resume my day-to-day activities after the surgery is performed?
  • If my parents had puffy eyelids at a certain age then when should I expect to get puffy eyelids as well?
  • How long will the results of this operation last?
  • What are the other cosmetic procedures that can be performed in conjunction with blepharoplasty in order to have a greater effect?
  • What are some of the things that I should keep in mind after this operation?

What are the risks associated with blepharoplasty?

There is always a possibility of complication when it comes to surgical procedures. In blepharoplasty, here are some of the complications that you may experience:

  • Infection
  • Undesirable reactions to anaesthesia
  • Swelling at the corners of your eyelids close to the incision area
  • Uneven healing – one eye heals faster than the other
  • Scarring
  • Acne which usually comes in the form of whiteheads

Who are the unsuitable candidates for blepharoplasty?

Some medical conditions will increase the risk of complications during blepharoplasty. Here are some of them:

  • Hyperthyroidism
  • Problems with your tear ducts, commonly known as dry eye
  • Grave’s Disease
  • Heart problems like high blood pressure and hypertension
  • Diabetes
  • Cardiovascular disease
  • Glaucoma
  • Detached Retina
  • Ectropion which is a rare complication. It is the downward pulling on the lower lids. This requires additional surgical procedures.

Will I be sore after Blepharoplasty?

You will feel tightness in your eyelids right after the anaesthesia wears off. If you experience severe pain then you must contact your surgeon right away.

Will I experience bruising after the surgery?

Bruising is usually visible during the first few weeks of surgery. These bruises will be gone after two weeks

Will it be difficult to close my eyes?

Usually, it is going to be hard to close your eyes for the first few days. This is only temporary. In rare cases, it can be permanent and could lead to sleeping disorders

Will my vision and eyesight be affected after the surgery?

There will be temporary blurred vision for the first few days after the surgery but this will eventually clear out.

Will I experience swelling?

You will experience temporary swelling especially near the corners of your eyelids where the incisions were made.

When can I look normal again?

For the first two weeks, you will feel uncomfortable facing people. Your best look will come out from four to six months. Some people experience it later on by up to a year.

Are you suited for blepharoplasty?

Blepharoplasty or eyelid surgery involves removing the excess fat, skin, and muscle from the lower and upper eyelids. This surgery is perfect for people who feel that their eyes are hooded, tired, or droopy. Through blepharoplasty, all of this can change. This procedure is suited to anyone with the following traits:

  • extra skin that is sagging on the upper lid and it interfering with vision
  • extra skin found on the upper lid that is hiding the eyelid skin located above the eyelashes
  • too much wrinkling on the upper lid which gives the look of ageing and fatigue
  • eye bags or puffiness on the lower lids that give the look of ageing and fatigue
  • too much skin and wrinkles on the lower lids

The candidates that are ideal for blepharoplasty are healthy men and women who are psychologically stable and have realistic expectations of the surgery.

What is the suitable age for blepharoplasty?

The suitable age for blepharoplasty are those that are thirty five years or older. There are cases where some younger people have blepharoplasty especially if they have droopy eyelids or very large eye bags.

What are my first steps in Bletharoplasty?

The first steps in blethroplasty are to meet with your surgeon and discuss whether you are fit for the procedure. You will discuss what you should expect from the operation, the risks involved, and the type of procedure that will be performed on you. You have to provide your surgeon with your medical history so that both of you are fully aware of any risks.

Will I look better and feel better after the bletharoplasty surgery?

You have to be realistic when you undergo surgery. Your eyelids and your eyes will look much healthier and vibrant after the surgery. Aside from the better look you get, there is also a functional purpose for the surgery as well. Drooping eyelids may obstruct your vision and through this surgery, your field of vision can be improved. Peripheral vision is usually altered when your eyelids begin to age and through bletharoplasty, this can be corrected.

What should I do to improve the chances of better results from the surgery?

Your surgeon will give you details advice on how to prepare for the surgery. Some of the tips may include:

  • following a strict diet on what to eat and what to drink
  • minimizing or completely quitting smoking
  • avoiding blood thinners like aspirin, ibuprofen, and Vitamin E for two weeks prior to the surgery

What are the other things that I can do in order to prepare properly for this procedure?

One of the most important things to do before surgery is to collect as much information about the topic as possible. This will allow you to make a fully informed decision regarding your surgery.

Before the surgery, your surgeon will conduct tests on how you can produce tears and your eyesight. You must:

  • bring your corrective lenses to the examination if ever you are using them
  • provide the surgeon with your latest eye exam

What should you do when you get home after blepharoplasty?

Your surgeon will lubricate your eyes with ointment after the surgery. When you get home, you should avoid any kind of activities that will dry up your eyes. These include:

  • Reading
  • Playing videogames
  • Watching television
  • Wearing contact lenses
  • Surfing the Internet
  • Typing on the Computer

If your eyes feel dry at any point in time, you can use eye drops.

How will I minimize the bruising and the swelling?

You must keep your head elevated as much as possible during the first few days from surgery. Most of the bruising and swelling will be experienced during the first two weeks. It will begin to subside after the first ten days

When are the sutures going to be removed?

The surgeon will remove the sutures after five days from surgery.

Will I experience scarring after the surgery?

Just like any other surgery, there will be scars. Scars from bletharoplasty are small and hardly noticeable anyway. These scars will heal well but may differ in speed from patient to patient.

When can I resume my day-to-day activities?

After ten days, you may be well enough to resume your daily routines and activities.

What are some ways to protect my eyes after blepharoplasty?

You may have to wear dark sunglasses after the surgery. This will prevent the eyes from getting irritated by the elements like dust, the sun, and wind. Throughout the entire month after surgery, you must also:

  • take a lot of naps because your eyes will likely tire easily
  • avoid crying and activities that involve increasing the blood flows to the eyes. This includes bending, lifting, and other sporting activities

When can I resume exercising?

You must avoid any strenuous exercise for the first three weeks.

When am I capable of returning to work?

You may be able to return to work after ten days from the day of surgery.

What should I do if something goes wrong?

You must contact your surgeon right away if you experience any of the following:

  • shortness of breath
  • chest pains
  • unusual heart beats
  • infection
  • bleeding
  • a remarkable increase in pain

You must get a lot of rest and allow your body to heal. It must spend most of its energy on the healing process than on other tasks.

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