Blepharoplasty

Baggy eyelids (dermatochalasis) are caused by loose skin and fat, which produce a droopy and tired appearance. Blepharoplasty surgery can be performed on the upper or lower eyelids to remove excess skin and fat pouches from the around the eyes. The surgery is performed as an outpatient under local anesthetic with the use of a scalpel or laser. The incision is hidden along the natural skin crease of the eyelid. Blepharoplasty surgery may be combined with other procedures such as laser skin resurfacing to smooth wrinkles around the eyes.

Is the surgery painful and can I expect pain after surgery?

Most patients are quite comfortable during surgery. It is normal to feel some pressure sensation or movement, but the local anesthetic numbs the area and prevents pain. An oral sedative can be prescribed before the surgery if you are very nervous. There may be mild discomfort after surgery, which can be treated with Tylenol. If there is severe pain, you must contact the doctor immediately.

What can I expect following blepharoplasty surgery?

Bruising and swelling of the eyelids are expected and usually resolve over 10 to 14 days. Complete healing of the eyelids may take 2 to 3 months. After the surgery, cold compresses are applied to the eyelids for 3 to 4 days and antibiotic ointment is applied to the stitches 4 times daily for 1 week. Lubricating eye drops and ointment are used to prevent dryness. You can expect to be off work for one week on average.

Are there any complications from surgery?

As with any surgical procedure, there exists an element of risk. Fortunately, complications such as bleeding and infection are rare following blepharoplasty surgery. Severe bleeding within the eye socket leading to complete blindness is also an extremely rare event.

Are there any precautions before surgery?

Aspirin should be avoided for 2 weeks before surgery to minimize bleeding. Other substances such as Motrin, Advil, Naprosyn, Voltaren, Ginkoba and green tea may also increase bleeding and should be avoided. Smoking causes poor healing and should be stopped.

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