OBJECTIVES:

As people age, the eyelid skin stretches, muscles weaken, and fat accumulates around the
eyes, causing "bags" above and below. Eyelid surgery (technically called blepharoplasty) is
a procedure to remove fat-usually along with excess skin and muscle from the upper and
lower eyelids.

The eyelid surgeries can be customized according to the problem. If only the upper eyelids
are affected there is no need to operate on the lower eyelids, and vice versa.

Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features
that make you look older and tired, and may even interfere with your vision. However, it
won't remove crow's feet or other wrinkles or eliminate dark circles under your eyes.

Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures .A
forehead lift is recommended if the upper eyelid condition is accompanied by sagging of the
eyebrows.

CANDIDATES FOR EYELID SURGERY:

Adults of all ages can benefit from blepharoplasty. Patients with excess skin or puffy
appearance on the upper eyelids; excess skin, bags and dark circles on the lower eyelids.

Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to
have eyelid surgery at a younger age. Younger patients in their 20s or 30s might improve
their inherited traits that can make them look older or tired.

CONSULTATION & PREPARATION:

We will discuss your goals and expectations for this surgery; whether to do all four eyelids
or just the upper or lower ones, whether skin as well as fat will be removed, and whether any
additional procedures are appropriate.


RISKS & COMPLICATIONS:

Complications are infrequent and usually minor. You can reduce your risks by closely
following our instructions both before and after surgery.

Hematoma (accumulation of blood under the skin that may require removal), infection or a
reaction to the anesthesia; minor complications that occasionally follow blepharoplasty
include double or blurred vision for a few days; temporary swelling at the corner of the
eyelids. Some patients may have difficulty closing their eyes when they sleep; in rare cases
this condition may be permanent. Another very rare complication is, a pulling down of the
lower lids (ectropion); in which case, further surgery may be required.

HOSPITAL STAY/OUT-PATIENT:

Eyelid surgery is usually done on an outpatient basis.

ANAESTHESIA:

Eyelid surgery is usually performed under local anesthesia, which numbs the area around
your eyes-along with oral or intravenous sedatives.

OPERATING TIME:

Blepharoplasty usually takes 1 - 3 hours, depending on the extent of the surgery.

THE SURGERY:

The technique will depend on the problem, the excess fat and skin in the eyelid areas, and
the position of the eyebrows.

In a typical procedure, an  incision is made following the natural lines of your eyelids; in the
creases of your upper lids, and just below the lashes in the lower lids. Through these
incisions, the skin is separated from the underlying fatty tissue and muscle, excess fat is
removed, and often the sagging skin and muscle is trimmed as required. The incisions are
then closed with very fine sutures.

After surgery, the upper eyelids no longer droop and the skin under the eyes is smooth and
firm.

If you have a pocket of fat beneath your lower eyelids but don't need to have any skin
removed, we perform a transconjunctival blepharoplasty. A tiny incision is made inside the
lower eyelid and fat deposits are removed with fine forceps. No skin is removed, no sutures
are required; leaving no visible scar.

THE RECOVERY PERIOD:

After surgery, we lubricate your eyes with ointment and apply a bandage. Your eyelids may
feel tight and sore as the anesthesia wears off. Any discomfort  or pain can be controlled
with the pain medication.

You have to keep your head elevated for several days, and use cold compresses to reduce
swelling and bruising. (Bruising varies from person to person: it reaches its peak during the
first week, and generally lasts anywhere from two weeks to a month.) We recommend
eyedrops, since your eyelids may feel dry at first and may burn or itch;you may also
experience excessive tearing, sensitivity to light, and temporary blurring or double vision.

The stitches will be removed 3 days to a week after surgery. Reading & watching TV: 2 or 3
days. Back to work: 7 to 10 days. Contact lenses: 2 weeks. Keep your activities to a
minimum for three to five days. Bruising and swelling may take several weeks to disappear,
but usually with makeup or dark glasses one looks almost normal.

THE NEW LOOK:

Healing is a gradual process, and your scars may remain slightly pink for 6 months or more
after surgery. Eventually, though, they'll fade to a thin, nearly invisible white line.

The positive results of your eyelid surgery- the more alert and youthful look-will last for
years. For many people, these results are permanent.

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Brow Lift - Cosmetic Surgery india
Cosmetic Surgery India
BLEPHAROPLASTY
(Eyelid Surgery)