Eyelid Surgery (Blepharoplasty)
What is eyelid surgery?
Eye bag and eyelid surgery, or blepharoplasty, is a popular and commonly undertaken procedure that can lift droopy upper lids and reduce puffiness of bags under the eyes by removing excess skin and improving smoothness and contours.
Why choose eye bag removal treatment?
Your eyes are probably the most important part of your face. They are the first thing that most people notice when they look at you, and offer a central focus point when we talk to one another. The appearance of your eyes, and the surrounding areas, often provide an insight into your age, and can have an effect on your vitality and attractiveness.
Over the course of your life, many factors can contribute to the condition of your eyes, eye bag or eye lid. Ageing, gravity, sun damage, muscle weakening and stress can result in puffiness, bags and folds, and wrinkles. These effects can often cause an unnaturally tired appearance, or make you look older than you are. This can lead to a loss of confidence and embarrassment. Eye bag and eye lid surgery in the UK offers a satisfying remedy for these symptoms and can greatly improve one’s self image.
Is blepharoplasty right for me?
If you are considering having eye bag removal treatment, then it’s very important to book a consultation with an accredited and highly experienced surgeon. A top surgeon knows that over-zealous removal of excess fat from the upper eyelid can sometimes lead to a hollow, doll-like appearance. He or she should also understand that a youthful appearance is not achieved simply by removing the bags, but from a complex reduction of volume and redraping of tissues that restores a smoother contour between the cheek and the lower eyelid. The surgeon must also be aware that totally eradicating all eyelid creases would result in excess tension on the eyelids, and would be an overcorrection.
Once you have found a suitable surgeon, and have communicated your needs honestly with him or her, you are then able to effectively formulate achievable and realistic goals. The surgeon will assess which technique is best suited for your individual case, and proceed from there.
It’s now possible to lift and support the lateral part of the eyebrow using an upper eyelid procedure, combining a forehead lift and an upper lid blepharoplasty in a smaller procedure. Additionally, it’s sometimes possible to reduce frown lines between the eyebrows during an upper eye lid blepharoplasty by accessing and weakening the muscles that cause the lines.
What does eyelid surgery involve?
Upper eyelid surgery involves an incision made roughly one centimetre above your eyelash in the natural crease line, and extending out to the crow’s feet area. The surgeon then trims excess skin and removes unwanted fat, before closing the area with fine sutures.
Lower lid surgery involves an incision below the eyelashes and out to the laughter lines or crow’s feet. The skin is elevated and any excess fat or tissue is removed or redraped, and the cheek is often carefully lifted for optimal results. The skin is then lifted upwards and outwards to make sure there is sufficient tension in the area before the incisions are sewn.
In certain cases a procedure known as transconjunctival blepharoplasty can be performed on the lower lid. This allows contouring of the lower lids and the circles beneath the eyes without leaving any external scars. This technique can be accompanied by resurfacing of the lower eyelid using a laser or chemical peel.
What happens after eyelid surgery?
You may experience various forms of discomfort after surgery. There may be swelling or bruising, but this should go within 2 weeks. Painkillers can be prescribed to manage symptoms, but aspirin should be avoided as it can promote bleeding.
Sometimes patients experience abnormal skin pigmentation on the eyelid or excess tears, but these are normally temporary conditions, and you should be advised about precautions.
You should apply antibiotic eye ointment for three or four days, and should avoid makeup for the first couple of weeks.
You may experience difficulties in closing your eyes, but this is normally temporary and can be managed with eye drops.
Large sunglasses should be worn after your procedure, and contact lenses are prohibited for some time.
It’s beneficial to avoid stooping or doing strenuous activity for five days as this reduces the risk of bleeding.
It’s best to sleep in a semi-reclined position at night as this reduces the tendency for retention of facial fluids and excess swelling.
Are this any complications or risks?
No surgery is completely safe, and eye bag removal for upper and lower lids can result in certain complications. Infection and bleeding can sometimes occur, and these can usually be dealt with by using antibiotics and drains. Other complications include:
- Corneal abrasion. This is a scratch on the eyeball’s surface leading to a gritty sensation. It can be treated with eyedrops.
- Double vision. Occurs in less than 1% of cases.
- Milia. These are small cysts that sometimes form along the scar lines. They may disappear of their own accord, but sometimes require surgery.
- Dry Eye Syndrome. This can potentially cause damage to the cornea and lead to impairment of vision, but is very rare and should be treatable with eye drops.
- Retrobulbar haematoma. An extremely rare complication where a blood clot forms behind the eyeball, requiring further surgery. If this complication isn’t treated it can threaten your sight.
- Blindness. Permanent blindness following surgery is extremely rare: less than 1 incident in 10, 000 cases. The common cause is bleeding following fat removal from the eyelid. Blurred vision is seen in less than 1% of cases and is usually a temporary problem.
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