Blepharoplasty, meaning removing excess fat and fixing skin sagging around eyes due to aging and genetic factors, is operated on the upper and lower eyelids and can be used for lifting periorbital skin and fixing its wrinkles. It can also treat ptosis and remove excess skin and fat around the eyes. This cosmetic surgery is performed in about 60 to 90 minutes while not needing any hospitalization. It can be done either with local or general anesthesia and the patient will be hospitalized only for a few hours.

Blepharoplasty is similar to ptosis surgery and they are often mixed up with each other. While ptosis surgery is a therapeutic procedure and improves the patient’s vision, blepharoplasty is a cosmetic one and has a positive effect on the appearance of the individual.

How is it performed?

In upper lid blepharoplasty, the surgeon makes an incision on its crease to leave no scar on that site. After the incision, the surgeon removes all the excess fat vesicles and excess skin and sutures the cut site with a special thin thread.

In lower lid blepharoplasty, the surgeon makes an incision in the posterior aspect of the lower lid to remove or spread excess fat tissue. The incisions made in this surgery are very fine. Also for sutures, absorbable threads or surgical stiches are used. The sutures are often removed after a week.

 

 

Blepharoplasty preoperative care

  1. Before surgery, the surgeon will first read the patient’s file and ask about problems such as dry eye, history of allergies and certain medications
  2. Then, physical and visual examinations are done and specific tests are run. The patient is then prohibited from smoking and alcohol consumption for 6 weeks till the day of surgery.
  3. The patient must avoid anticoagulants and blood thinners before surgery
  4. The patient must not put on any makeup in the surgery day.
  5. Although the procedure is an outpatient one and there is no need for hospitalization,someone should be with the patient and take care of her for a few hours.

Blepharoplasty aftercare

After the surgery, the patient should adhere to some dos and don’ts to speed up the convalescence process. Here are some tips to help you get the most out of your blepharoplasty:

  • The patient ought to put on ice packs to reduce bruising and inflation.
  • Eyes should always be kept clean.
  • Blurred vision and photosensitivity will be normal for the first few days after surgery. But if they persist, you should see your doctor.
  • Contact lenses must not be used for a little time after surgery.
  • The patient should not wear any makeup until the time determined by the doctor.
  • The patient should regularly take medications prescribed.
  • The patient must avoid devices like TV, cellphone and computers.
  • Smoking and alcohol intake should be avoided a few weeks after surgery.
  • The patient should control the position of her head during sleep and posit her head with 45 degrees above her chest.
  • Bed rest is recommended until two weeks after operation.
  • The patient should avoid vigorous activities like exercise and swimming.
  • The patient should always wear sunglasses leaving home and avoid severe and direct sun exposure

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What are the side effects?

Do not forget that blepharoplasty is performed on the most sensitive part of ​​the face, therefore some side effects will occur like many other cosmetic procedures. However, if patients search for a skillful doctor and a reasonable way, the side effects will be reduced.

Having difficulty closing eyes or inability to do so, itching and dryness around the eye are of the side effects of this surgery and will be resolved after a few weeks.

The main complication of this surgery is the scar left after the procedure. Also, if visiting an amateur surgeon while having no proper consultation before, you’ll experience complications like blurred vision, infection and ocular muscles injury.

Who is a candidate for blepharoplasty?

Most candidates for blepharoplasty surgery are elderly. This surgery is usually operated on people over the age of 30. However, if ptosis is genetic causing serious problems for the patient, it can also be done at an early age with the recommendation of the doctor.

People having no palpebral fissure congenitally with mongoloid eyes can also benefit from blepharoplasty.

 

Contraindications

In patients having following conditions, blepharoplasty is contraindicated:

  • Diabetes mellitus
  • Hypothyroidism
  • Hypertension
  • Glaucoma
  • Retinal detachment
  • Cardiovascular diseases
  • Dry eye

How long is the durability of this surgical treatment?

It is not possible to prevent aging, skin alteration and sagging forever. But with blepharoplasty, aging process and sagging is slowed down. Therefore, it takes a long time for the skin to return to its previous state and the effect of the surgery go away. To say in nutshell, durability of this procedure is about ten years.

 

How much will it cost for you?

The cost depends on many factors like surgeon proficiency, upper and lower lids examination and site of operation. The final cost is determined after periorbital skin examination.

What is plasma pen blepharoplasty?

Now it’s the time to know about a novel and safe procedure. This procedure, also known as non-surgical eyelid lift, is performed with Plasmage – a fractional plasma device. Using this device there will be no need for laser light and surgical scalpel! In this procedure, the doctor first desensitizes the eyelid skin. Then, with the help of Plasmage, he burns skin in very small spots close to each other. During the procedure, the patient feels a slight heat because of the sparks made by the device. However, take the note that this burning cause no wounds or scars on the skin. Applying small burning spots and sparks on the eyelid will cause collagen production and skin rejuvenation. This device is the only approved one for fixing lower lid wrinkles. There is no need for incisions in this procedure. It is also a suitable method for individuals seeking medical care for fixing ptosis, while fearing surgical procedures.

In whom, plasma blepharoplasty is contraindicated?

This surgery is not suitable for pregnant women, cancer patients, epilepsy patients, individuals suffering from varicose veins and cardiovascular conditions and patients undergone arthroplasty.

Plasma blepharoplasty contraindications

Swelling and redness in the eyelids for two or three days are known transient complications of plasma blepharoplasty. Therefore, this method, just like blepharoplasty, does not lead to that many side effects. Also, no bleeding will occur.

 

Plasma blepharoplasty benefits

  • No need for any incisions.
  • No need for general anesthesia
  • No indication for bed rest and no long-term convalescence
  • The cost of plasmage treatment is much less than eyelid lift.
  • A totally painless procedure
  • Plasma sessions are one or two sessions and lasting a short time i.e. less than 30 minutes.
  • After the first session, the patient will see the results of the therapy.

Any questions? Ask AFA company.

In the recent past, treating puffy eyes and ptosis was unobtainable. However, today, given the advancement of medical science and technology, eyelid lifting surgery (blepharoplasty) can be performed easily in a few hours. In this article, we mentioned all you should know about blepharoplasty. For further information, you can comment your questions in the website. Our experts in the AFA (Aftab Forouzan Aria) company will immediately answer to you.