What is eyelid surgery?
Eyelid surgery‘s is technically called Blepharoplasty or, an Eye Lift or, an Eyelid Tuck with Laser/Surgitron. It is a popular cosmetic procedure that removes excess skin, fat, muscle or ligaments from droopy upper and lower eyelids.
An Upper Blepharoplasty improves descending upper eyelids or drooping eyelashes. In severe cases, drooping upper eyelids (Ptosis) can hang very low and cause blocked vision.
A Lower Blepharoplasty improves the appearance of excess skin and fat bags under the eyes.
An upper procedure treats drooping eyelids, but not drooping eyebrows or wrinkles which, is why it is often performed with other cosmetic procedures like, a non surgical and surgical brow lift, or a face lift to improve droopy eyebrows, crow’s feet and facial sagging.
Another type of Blepharoplasty is called Asian Eyelid Surgery. This procedure is popular amongst persons of Asian ethnicity whereby, a single eyelid fold is made into a double eyelid fold.
Benefits of having Blepharoplasty
As we age skin loses its elasticity, and excess skin is formed around the eyes causing puffy, wrinkling, and sagging eyelids. Fatty tissue can accumulate or reposition itself under the skin. This ageing process can leave your eyes looking tired and older.
Regardless of our skin care routine, wrinkles, puffiness and drooping eyelids will eventually appear. Ageing after all is inevitable.
Genetic factors and body physiology can and do cause those same ageing effects amongst younger people as well.
Once this tendency begins to occur, the condition progressively worsens. Skin and tissues become more lax so, repairing the situation is much more difficult. And as a consequence, the results will not be as good if, an earlier surgical intervention had been implemented.
Surgery can restore a refreshed and youthful appearance to your eyes, whilst preventing later complications associated with ageing eyelids.
Who should have Blepharoplasty?
Persons who are physically healthy, emotionally stable and have a good knowledge base concerning the procedure.
Persons that demonstrate early signs of eyelid ageing.
Relative contraindication in those people with dry eyes, high blood pressure, Hypothyroidism, Cardiovascular disease, Diabetes, Glaucoma, or Graves’ disease.
The procedure is often performed under local anesthetic. Fine incisions are made along the line creases of the upper eyelid and possibly, along the outer lower rim’s area of the eye as well.
When removing the fatty tissue, and not the skin, a Transconjunctival Blepharoplasty incision will be made inside the lower rim of the eye’s skin.
A Transconjunctival procedure is often combined with Erbium Laser Resurfacing and performed on the lower eyelids after the baggy fat has been removed to improve any loose skin.
These incisions often reach the outer corners of the eyes. A division is then made between the fatty tissue and muscle from the skin, so that excess skin, fat or muscle can be removed.
How long is the operation?
Between 1 to 2 hours and possibly longer if, both the upper and lower eyelids are treated at the same time.
View More Before & After – Eyelid Surgery (blepharoplasty)
(Real Patients of Dr. Nguyen, click to view detail)
Eyelid Surgery cost
Eyelid tuck surgery cost vary from individual to individual, and also depends upon which procedures are chosen. For example:
- Upper Blepharoplasty (upper eyelid tuck, eyelid tuck with laser/surgitron) $2500.00;
- Lower Blepharoplasty $2800.00; and
- Asian Blepharoplasty $3000.00.
Some of the eyelid surgery costs can be covered by insurance if, the Blepharoplasty is related to Ptosis or other medical conditions.
However, Blepharoplasty for purely cosmetic reasons is not covered by insurance.
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Major medical illnesses and medications must be discussed with your doctor. You should stop all aspirin, blood thinners, and anti-inflammatory medicines 1 week prior to the procedure. However, first please speak with your doctor.
Excessive drinking and smoking should cease 2 weeks before and after the procedure.
Your eyes will likely be lubricated and covered with bandages after surgery.
Oral medications will help with any pain and discomfort during and after the procedure.
Report any unmanageable pain or blurred vision to your doctor immediately.
The doctor will also prescribe antibiotics (topical cream and oral tablets) to prevent infection and the following care needs to be undertaken as follows:
- Clean your eyes;
- Use cold compresses;
- Use lubricating eye drops;
- Head elevation; and
- No makeup/alcohol/television/contact lenses for at least 1week.
Stitches will be removed about 5 days after surgery.
Sunglasses and a protective sun block are required to be used for several weeks.
Normal activities can resume after around 10 days, although strenuous activities such as lifting, bending need to cease for a period of three weeks.
FAQsComplications and risks associated with Blepharoplasty
Lubricating eye drops can relieve these complications.
There will also be some swelling and redness around the eyes.
Scarring is another possible complication.
Sometimes, patients have difficulty closing their eyes whilst sleeping; although rare, this complication can be permanent.
On rare occasions, the lower lids may appear to be pulled down (called Ectropion) and if so may require additional surgery.
The eyes may also look somewhat asymmetrical.
As with any surgery, eyelid surgery risks include bleeding, infection and reaction to the anaesthesia.
Sutures will come out in 5 days.
The incision site becomes less obvious after a few weeks.
Best results will be noticed around the 6 month mark.
In the case of a Laser Resurfacing procedure an extra 2 days will be required.
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