Eyelid surgery, technically known as blepharoplasty, is a procedure to extract fat and excess skin and muscle from the upper and lower eyelids. A blepharoplasty is a solution for eyelid droop and for bags under the eyes, features which give us an older, more tired appearance, and in some cases can even cause visual problems. However, blepharoplasty does not remove crow’s feet or other lines, nor eyebrow droop. The procedure can be done on its own or in combination with other facial aesthetic surgery, such as a cervicofacial lift or a frontal lift.
A blepharoplasty is carried out in an operating theatre, in a clinic or a hospital. It is not normally necessary to spend more than a few hours in the clinic following the operation. Although in some cases the procedure is done under general anaesthesia, it is usually carried out with sedation and local anaesthetic, thanks to which the patient feels relaxed and the eyelids are insensitive to pain. If general anaesthesia is used, the patient is completely asleep during the operation. Surgery usually lasts between one and three hours, or longer when combined with other procedures. Incisions are usually made along the natural line of the upper eyelid and just below the eyelashes in the lower eyelid.
After the operation, ophthalmological ointment and cold dressings are applied in order to reduce discomfort and swelling. However, these symptoms are common in the days following the surgery, as is some bruising around the eye area. Most patients can resume normal activity in ten to twelve days. At the beginning, the scars are visible as fine red lines in the fold of the upper eyelid and below the lashes on the lower eyelid. Some blurred vision may occasionally be experienced following the operation, which will disappear after two or three weeks. The eye may also become bloodshot, but this condition promptly disappears with the correct treatment. In the days following the surgery the eyelids may not close completely during sleep. This is normal situation and will cease when the orbicular muscle recovers its tone.
This operation has a high success rate and its effects are long lasting. The bags under the eyelids do not normally reappear.