Blepharoplasty (eye lid surgery) is performed since 1970 and since then a large number of men and women benefit from the results of this intervention. This surgical intervention aims to remove excess of skin and fat on the upper and lower eyelid. This skin and fat excess determines a decrease of the field of vision, along with wrinkles and bags under the eyes creating a tired look. Eyelid surgery can be performed on the upper and lower eyelid separately and together in the same intervention. In the same manner, eyelid surgery can be associated to face lifting procedure.
WHO CAN BENEFIT FROM BLEPHAROPLASTY?
Usually, the surgical intervention is performed on patients over 35 years but if the case it can be performed even earlier. The intervention is not recommended in hyperthyroid, cardiovascular diseases, diabetes and ophthalmologic affections as retinal detachment or glaucoma.
SURGICAL INTERVENTION RISKS
There are risks involved in undergoing any surgery. When an experienced surgeon performs the surgical intervention, the complications are rare and usually minor. There are great differences between patients as regards the healing capacity, thus the outcome is never completely predictable. Just like minor complications, double sight or foggy sight might appear after a couple of days after surgery. If the tissue removed was more that the necessary amount ectropin might occur, a lower eyelid retraction might impede closing the eyelid. Before the surgical intervention an ophthalmologist should be consulted in order to verify the sight and tear secretion.
- Do not eat or drink after midnight before the surgical intervention
- Taking aspirin and drugs containing aspirin with two weeks before the surgical intervention is forbidden;
- Usually, for women, the surgical intervention must be performed besides menses;
- The surgeon and the anesthetician must be notified if any medical problems exist (blood pressure, vascular problems, heart attack, diabetes, lung problems, bleeding problems, epilepsy, neurological problems, allergies for different drugs);
- The doctor must be notified if you have a set of plates or eye lenses;
- If you smoke, plan to quit 1-2 weeks before the operation and do not start to smoke again for at least 2 weeks after the surgery;
- Avoid sunbathing in excess before surgery, particularly in the facial area;
- Do not follow a strict diet before surgery because it might delay the healing process;
- If you catch a cold or have any infection the surgery must be rescheduled
Blepharoplasty is generally performed under local anesthetic combined with light intravenous anesthetic. You will be awake but insensitive to pain. The intervention takes from 1 to 3 hours. Usually the lower eyelid surgery is performed then the upper one. The incisions are made in the natural folds of the upper eyelid and immediately and just below the lashes on the lower. The tegument is separated from the eye muscle and the excess fat tissue on the upper and lower eyelids is removed. Finally, the excess tissue is being removed and stitching can be performed. If on the lower eyelid there can be found only fat excess without any tegumentary excess, trans-conjunctiva blepharoplasty with an incision in the inner eyelid can be performed.
Following the eyelid surgery a one-day hospitalization is required in order to remain under medical supervision and during this period antibiotics will be preventively administrated and ice will be applied locally.
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