Blepharoplasty

What is blepharoplasty

Blepharoplasty or plastic surgery of the eye lids is a surgical procedure to remove excess skin in the area of the upper or lower eyelids. Around the eyes, the signs of ageing appear very early because the eyelids are subject to constant and high strain. The skin loses its elasticity, it starts to relax and unsightly skin folds are formed. They can spill over the eyelid all the way to the eyelashes and the whole face looks tired, run-down and sad. The rate of eyelid ageing is affected by face-play, heredity, skin type, as well as allergies, the kidney condition, the lifestyle in general and, last but not least, by age.

Who is a good candidate for the procedure

If you experience increased eye fatigue and a feeling of heaviness and if the overhanging upper eyelid skin prevents you from looking upwards, you are a suitable candidate for blepharoplasty.

Before the procedure

If you consider a blepharoplasty, it is always necessary to undergo a non-binding initial consultation with a plastic surgeon, who will assess whether the procedure is right for you, explain the technique of the surgery, the type of anaesthesia, as well as the possible risks associated with the surgery. During the consultation you can ask any questions, in particular those related to the course of the surgery, as well as your expectations and concerns about the blepharoplasty results.

When making a binding appointment, you will be given and explained instructions on how to prepare for the procedure, as well as information regarding eating, drinking, smoking and taking or withdrawing from certain medications. Compliance with all these instructions is necessary and will facilitate a smooth procedure and seamless healing of the eyelids.

How is a blepharoplasty performed

The procedure is usually performed under local anaesthesia. The surgery of the upper eyelids involves the removal of excess skin, possibly also muscle, as well as of fat pockets if they are prominent. The surgery of the lower eyelids involves the removal of fat pockets and the tightening of the orbicularis oculi muscle.

After the procedure

After the blepharoplasty, you may temporarily experience bruises, swelling, numbness, itching, redness, watery eyes and photophobia. Permanent visible scars may develop in the bend line of the upper eyelids and/or under the edge of the lower eyelids. A semi-seated position preferably on the back and cold compresses on the treated sites over the bandage are recommended. Apply eye ointment over the stitches and, after healing, on the scars as needed. It may take several weeks before the swelling disappears completely. After a blepharoplasty, return to normal activity is usually possible within 4 – 7 weeks. You can read in 1 – 2 days.