Eyelids Surgery – Blepharoplasty
Blepharoplasty is a surgical procedure that corrects sagging or droopy eyelids. It may involve removal of excess skin, fat and muscle.
As a result of aging, eyelids may stretch and the eyelid muscles weaken. Excess fat therefore accumulates above and below the lids causing them to droop. This greatly affects the peripheral vision and can be improved by blepharoplasty.
You may consider blepharoplasty if you have a:
- Droopy upper eyelids
- Excess skin in the upper eyelids that limit peripheral vision.
- Excess skin on the lower eyelids
- Bags under the eyelids
Many times blepharoplasty is carried out alongside other procedures such as skin resurfacing, facelift or browlift.
What to expect
Before undergoing blepharoplasty, you will meet your surgeon and discuss your medical history. He will guide you on the best way to go about it. A thorough physical examination will be done to check your fitness for surgery. In the process, your vision will also have to be checked prior to the surgery.
During the pre operative visit, it is important to discuss your overall expectation with your surgeon. This makes your calm and relaxed before and after the surgery.
Several photographs of the eye may have to be taken from different angles. This will help with the planning of the surgery as well as assessing its short term and long term effects.
A few days before the surgery, you may have to stop taking drugs with increased risk of bleeding such as Warfarin, Ibuprofen, Aspirin and supplements or herbal medicines known to have the risks of bleeding. You may also have to stop smoking because smoking impairs healing.
What happens after the procedure?
After the procedure, you may stay in the hospital for a few hours for monitoring of complications after which you can go back home to recover on the same day.
You may temporarily experience the following:
- Blurred vision
- Watery eyes
- Double vision
- Pain or discomfort
If you experience such problems, you can:
- Use icepacks every hour after the surgery and about four to five times a day the next day. This helps in reducing the swelling. if you are unable to find ice packs, cool compress can be of help too.
- Clean your eyes gently and use the prescribed eye ointments or eye drops.
- Stay away from strenuous physical activities such as weight lifting or aerobics.
- Use sunglasses to protect your eyes from excess light.
- Avoid rubbing your eyes
- Avoid smoking
- Avoid drugs with risks of bleeding such as warfarin and ibuprofen. Use only drugs recommended by your surgeon
- After a few days, return to your surgeon for removal of stitches or review
If you develp symptoms such as chest pain, shortness of breath, bleeding, vision problems or new onset severe pain in the eyes, you may have to see your surgeon immediately as these could signal potential serious complications that should be dealt with promptly.
Other risks associated with the procedure include:
- Difficulty closing the eyes
- Change in skin colour
- Asymmetry of the eyes