Blepharoplasty (eyelid surgery)

Blepharoplasty (Eyelid / Eyelid Lift Surgery)

Procedure: This corrects drooping upper eyelids and puffy bags below the eyes by removing excess fat, skin and muscle.
Duration of procedure: About 2 hours.
Anaesthesia: Usually local with sedation, but general when indicated.
In/Out Patient: Usually an outpatient procedure after which one returns home.
Post-operative: Temporary discomfort, tightness of eyelids, swelling and bruising; and temporary dryness, burning and itching of the eyes. Copious tearing and light sensitivity for the first few weeks.
Recovery: One can read after 2 – 3 days and return to work after 5 – 10 days.
Results: Overall rejuvenation of the face, and a less fatigued appearance.
Before/After Images: Owing to recent legislation, these photo’s have had to be removed until the situation has been clarified. For example images, please contact:ingrid@plasticsurgerysa.co.zadeb@plasticsurgerysa.co.za

Blepharoplasty is a relatively simple surgical procedure for rejuvenating the eyes. It involves removing excess skin from the upper and lower eyelids, and fatty tissue from the lower lids. Eyelid surgery is done for both cosmetic and functional reasons. Bear in mind that most wrinkles around the eyes are etched into the skin and cannot be removed by this procedure. Laser resurfacing can be done if you wish to decrease wrinkles & crows feet wrinkles on the outer aspect of the eyelids.

The following questions are commonly asked about blepharoplasty.

Will I have to go to hospital?

You’ll be admitted to the clinic as a day case and can return home after the procedure. You may not drive, however, so need to arrange that someone fetches you.

Blepharoplasty can be done under either local or general anaesthetic; most patients prefer local anaesthetic with intravenous sedation.

Will I have scars?

The incision on the upper eyelid falls within the natural eyelid fold so the final scar is effectively invisible. On the lower eyelid, the incision and thus the final scar are just below the eyelashes and extend into the crow’s feet lines. The scars are red at first but fade over 7 – 14 days, but the extension to the crow’s feet remains visible for longer, disappearing with time (14-21 days)

Tissue oil should be massaged into the scars from 10 days after the operation to improve their appearance and expedite their maturation.

What care is necessary after the operation?

You may return to work after 7 – 10 days. There’ll be bruises and swelling after the operation but minimal pain. For the first 2 nights, you should sleep in a sitting position, propped up with 2 or 3 pillows.This position will help with the swelling. The best treatment for bruising is to apply ice packs, and you may also take anti-inflammatories and medication for pain, if necessary.

The incisions may weep slightly; dab them lightly with cottonwool buds. Apply the prescribed eyedrops to the eyes 3-6 times daily or as often as necessary.

I will check you after 48 hours and replace dressings if necessary. You should not remove these yourself as you might loosen the stitches. These will be removed five days after the operation.

I will do a follow-up after 48 hours and replace dressings if necessary. Do not remove these yourself as you might loosen the stitches; these will be removed 5 days after the operation.

If you have any further questions, I will be glad to answer them