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Eyelid Surgery
Procedure: Eyelid surgery, or blepharoplasty,
is used to remove the excess fat, along with skin and muscle, from
the upper and lower eyelids. It is the second most common aesthetic
procedure performed by plastic surgeons.
A properly performed blepharoplasty procedure will brighten the face
and restore a more youthful appearance. In some patients the procedure
will improve vision by removing the excessive skin of the upper eyelids
which can hang down and interfere with peripheral vision.
In a typical procedure, the surgeon makes incisions following the
natural lines of your eyelids; in the creases of your upper lids,
and just below the lashes in the lower lids. The incisions may extend
into the crow's feet or laugh lines at the outer corners of your
eyes. Working through these incisions, the surgeon separates the
skin from underlying fatty tissue and muscle, removes excess fat,
and often trims sagging skin and muscle. The incisions are then closed
with very fine sutures.
Length: Blepharoplasty
usually takes one to three hours, depending on the extent
of the surgery. If you're having all four eyelids done,
the surgeon will probably work on the upper lids first,
then the lower ones.
Anesthesia: Eyelid surgery
is usually performed under local anesthesia--which numbs
the area around your eyes--along with oral or intravenous
sedatives. You'll be awake during the surgery, but relaxed
and insensitive to pain. (However, you may feel some
tugging or occasional discomfort.) Some surgeons prefer
to use general anesthesia; in that case, you'll sleep
through the operation.
In/Outpatient: Outpatient.
Risks: Fortunately, when performed by a competent plastic
surgeon, complications are infrequent and minor. All patients will experience
some bruising and swelling for a few days after the surgery. In addition, a temporary
problem with closure of the eyelids is usually seen. Some may have temporary
blurring of their vision, usually due to the ointments applied to the incisions
post operatively. In rare instances, the lower eyelid may be pulled down causing
an ectropion. If this does not resolve on its own, further surgery may be necessary.
The theoretical complications of any surgical procedure, such as bleeding, infection,
wound disruption and heavy scarring are also possible, but rare.
Recovery: Most people feel ready to go out in public
(and back to work) in a week to 10 days.
Duration of Results: Permanent,
however; with aging additional treatments may be required, or a facelift may be suggested.
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