SURGERY

Eyelid surgery to improve the appearance of the eyelids is termed “blepharoplasty”. Blepharoplasty surgery is usually an out-patient procedure performed under local anesthesia, with sedation if desired.

The goal of this eyelid surgery is to reduce the ‘baggy” or sagging tissues, which may include skin, muscle, and fat pockets. In upper eyelid surgery, typically all three types of tissue are removed. In lower eyelid surgery, sometimes only fat pockets need to be removed, or the skin and muscle also may need to be included.

If only fatty tissue needs to be removed from the lower eyelids and not any skin, the surgery can be performed behind the eyelid. This is known as “transconjunctival blepharoplasty”.

In cases where the eyebrows are also droopy, a procedure to elevate the eyebrows may be appropriate. This procedure, known as the brow or forehead lift, may be done directly above the eyebrows, within the forehead creases, or by approaching the brows from the hairline as a “coronal brow lift”.

AFTER SURGERY

Following surgery, cold compresses are applied to the eyelids to reduce swelling and bruising. These are later followed by warm compresses to improve blood flow to the area and aid in the healing. The eyes do not need to be patched shut. During the first week, antibiotic ointment is applied to the eyelids, and strenuous activity should be minimized.

Discomfort is usually minimal after surgery. Aspirin products and “blood thinners” should be avoided before and after surgery because of their tendency to increase bruising.

After surgery, one may temporarily experience minor discomfort, tightness of the eyelids, swelling, bruising, and dryness of the eyes. These will usually resolve as the wound heals. Excessive pain, bleeding, infection, or loss of vision in the period following surgery is very rare. In the unlikely event that such problem should occur, you should notify your physician promptly.

Complications that may occur include slight asymmetry in eyelid appearance or eyelid position. These problems occur infrequently and may require additional surgery to correct.

Blepharoplasty surgery can provide both cosmetic and functional improvement with minimal risk of serious problems. Most patients are quite pleased with the results of their eyelid surgery. Please call 1-800-527-3745 for a complimentary personal consultation with Dr. Singh.