Eyelid surgery or blepharoplasty
Plastic surgeons specialists in blepharoplasty in Málaga
Eyelid surgery, technically known as blepharoplasty, is a procedure that removes fat and excess skin and tissue from lowed and upper eyelids.
It can correct fallen upper eyelids and bags under the eyes – issues that make us look older and more tired than we really are. In some cases they may interfere with our vision.
However, blepharoplasty does not help with “crow’s feet”, other wrinkles and fallen eyebrows. Other facial aesthetic procedures can be performed with eyelid surgery, such as facial lifting.
The best candidates are the ones that are looking for an improvement in their looks and not absolute perfection.
If you are of good general health, are psychologically stable and realistic with your expectations, you will be a good candidate. Usually, the patients are 35 years old or older, however, patients may also be younger if bags under the eyes are a tendency in the family.
Blepharoplasty will improve your looks and self-confidence but it will not make you look like someone else or make you be treated any differently. Before the surgery you need to think what you want to achieve and discuss it with your surgeon. There are some medical conditions that make the surgery riskier, such as thyroid problems, lack of tears, high blood pressure, heart disease and diabetes.
Glaucoma and retinal detachment may also pose a risk; in some cases, a prior ophthalmologic examination to blepharoplasty may be necessary.
A good communication between you and your plastic surgeon is essential. In the first consultation we will evaluate your vision and tear production, as well as your overall health. You should inform your surgeon if you take any medication, if you smoke and if you are allergic to any medications. You must also say if you wear glasses or contact lenses and provide, if possible, the results of your last eye exam. The possibility of operating all four eyelids, lower eyelids or higher eyelids will be discussed and whether it will be necessary to associate some other procedure.
You will be explained the techniques and the type of anaesthesia to be used, where the surgery will be performed, risks and costs of the intervention.
The Spanish Social Security does not include blepharoplasty. Do not hesitate to ask your surgeon all the questions you have, especially those regarding your expectations and results. Your plastic surgeon will provide specific instructions on how to prepare for the surgery, including rules on food and liquids, tobacco, drugs, vitamins and face wash.
It is important to stop smoking at least one or two weeks before surgery. Careful compliance with the rules will set better conditions for the surgery. In addition, make sure that a family member or companion is able to take you home when you are discharged and, if necessary, help for a few days
Blepharoplasty is performed in the operating room, within a clinic or hospital. Normally, it is not necessary to stay in the clinic more than a few hours after the surgery. It is usually performed under local anaesthesia with sedation, or less frequently, under general anaesthesia, depending on the preferences of your surgeon. If done with local anaesthesia and sedation, the patient feels relaxed and eyelids are insensitive to pain; with general anaesthesia the patient is asleep during the operation.
The intervention usually lasts between one and three hours, or more when combined with other interventions. If you are going to do all four eyelids, the superiors are usually treated first.
Most of the time the incisions are placed in the natural lines of the upper eyelids and just below the lashes in the lower; in some cases they may extend into the “crow’s feet”. From these incisions, skin and underlying muscle fat is separated, removing excess fat, skin and muscle. The incisions are closed with very fine sutures.
In young patients who only have excess fat, a transconjunctival blepharoplasty of the lower eyelids can be performed; the incision is placed inside the lower eyelid leaving no visible scar.
After surgery, an ointment is applied to the eye to oil them, and in some cases, a soft bandage is applied.
You may feel discomfort on the eyelids; however, this can easily be relieved with medication prescribed by your surgeon (if it is severe or causes persistent pain, you should see your surgeon).
You should keep your head elevated for several days after the surgery and apply cold compresses to reduce swelling and bruising. You will be taught to wash the eyes and told if ophthalmic eye drops should be applied to keep the eyes hydrated.
During the first few weeks you may notice excessive tearing, sensitivity to light, and temporary changes in visual acuity, such as blurred or double vision. During the first two weeks your plastic surgeon will oversee its evolution. The stitches are removed between 2 days and a week.
Swelling and bruising gradually diminish and disappear completely, and start to look and feel much better. Most patients who undergo a blepharoplasty begin to read or watch TV in 2 or 3 days. However, you will not be able to wear contact lenses up to 2 weeks, and they may still feel uncomfortable for a while. Usually patients return to work in a week or 10 days; then, makeup can be applied to hide the bruises.
It may be necessary to wear sunglasses for a few weeks and apply sunscreen on the eyelids. You must rest for 3 to 5 days, and avoid strenuous activity 3 weeks.
When this procedure is performed by a qualified plastic surgeon, the complications are infrequent and minor. However, there is always a chance of complications, such as infection or anaesthetic reactions.
Following the instructions of your plastic surgeon carefully, both before and after surgery, can minimize risks. Minor complications that can occur after blepharoplasty include double or blurred vision for a few days, temporary swelling of the eyelids and slight asymmetry in healing.
After surgery it may appear difficult to completely close the eyelids during sleep; only in rare cases is this complication permanent.
Another rare complication is ectropionise, which may require surgical correction.
Scars may look pink during the first months. They will disappear gradually into a clear and almost invisible line. The results of blepharoplasty are a younger and more awake look and in many cases, the results are permanent.
Blepharoplasty is performed as an isolated procedure or as part of another operation, generally a facelift (lift). Depending on this, the intervention will be performed under local or general anaesthesia.
The operation starts by making incisions in the skin on the eyelids to release and remove the excess skin and orbicularis muscle. Then the fat is removed in the right amount to remove eyelid bags. Finally, the skin is sutured.
The information contained on this page cannot, in any case, replace the information provided individually by your plastic surgeon. In case of doubt, our plastic surgeon will provide appropriate clarifications.
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The information contained in this page in no case can, nor does it pretend, to replace the information provided individually by your plastic surgeon. In case of doubt, your plastic surgeon will provide you with the necessary clarifications. If you are thinking of undergoing a Plastic or Aesthetic Surgery, go to a Specialist in Plastic, Reconstructive and Aesthetic Surgery.
Aesthetic blepharoplasty is the operation aimed at correcting the signs in the eyelids that manifest facial aging: sagging of the skin of the upper eyelids and «bags» in the lower eyelids and in the internal portion of the upper eyelids.