Blepharoplasty

Blepharoplasty

  • Overview

    Ageing of the eyelids is typically due to a combination of loose skin and the protrusion of fat, causing the appearance of tiredness and baggy eyes. Blepharoplasty (the surgical procedure for eyelid reduction) is one of the most common procedures performed with regards to facial rejuvenation. Problems with droopy, baggy or puffy eyelids can be rectified with blepharoplasty, as this procedure involves the removal or adjustment of excess skin and fat around the eyes.

    Some patients may find that the problem lies in the sagging of their eyebrows, instead of the eyelid. In cases such as these, a brow lift may be required. A brow lift is usually carried out with “keyhole” techniques that leave no visible scars around the eyes.

    You may consider a blepharoplasty if you are unable to open your eyes completely, due to droopy or saggy eyelids. A blepharoplasty not only makes your eyes appear younger and more alert, but it also improves your vision.

    A blepharoplasty might be the best option for you if you have:

    • Baggy or droopy upper eyelids
    • Excess skin of the upper eyelids that interferes with your peripheral vision
    • Droopy lower eyelids, which may cause white to show below the iris
    • Excess skin on the lower eyelids
    • Bags under your eyes

    A blepharoplasty can be performed at the same time as another cosmetic procedure, such as a facelift, a brow lift or skin resurfacing.

    Although a blepharoplasty is a moderately safe procedure, like all surgical procedures, it may present some risks or complications. Possible risks of a blepharoplasty may include:

    • Infection and bleeding
    • Dry, irritated eyes
    • Difficulty closing your eyes or other eyelid problems
    • Noticeable scarring
    • Injury to eye muscles
    • Skin discoloration
    • The need for a follow-up surgery
    • Temporarily blurred vision or, rarely, loss of eyesight
    • Risks associated with surgery in general, including reaction to anaesthesia, blood clots, and cardiac and pulmonary complications
  • Preparations

    It is important to avoid consuming any tablets containing Aspirin (such as Dispirin) for two weeks before and after the surgery, as Aspirin thins the blood and has an adverse effect on bruising. If you are a smoker, it is imperative that you stop smoking for four weeks before surgery and two weeks after, to avoid restricting the circulation of the skin. This applies to all nicotine products, including inhalers, patches and nicotine chewing gum.

    Also, ensure that you arrange for someone to drive you home after surgery, as you will be unable to drive yourself.

  • FAQs
    Am I a candidate for a blepharoplasty?

    Not everyone can have a blepharoplasty. Suitability is determined by a thorough analysis of your medical history, as well as a thorough clinical consultation. You will need to be in good health before a blepharoplasty is considered. If you are a suitable candidate, Dr Maresky will educate you about the particular type of blepharoplasty technique that best addresses your eyelids.

    What are the benefits of a blepharoplasty?

    A blepharoplasty will make your eyes look fresh and younger, ensuring that people would not tell you that you look tired again.

    Will the scars be visible?

    All external scars will be concealed in natural skin creases, making them as inconspicuous as possible. The scars from blepharoplasty surgery usually heal well.

    Is the procedure painful?

    This procedure is not particularly painful. However, a local anaesthetic will be injected near the incisions. It is normal for patients to experience a slight discomfort around the eyes after surgery, but this can be managed with simple painkillers such as paracetamol.

    How long does it take to recover from the procedure?

    Most patients can return to work after two weeks, and return to normal activities after four weeks.

    When will I notice results?

    You will notice an improvement in the appearance around the eyes immediately. However, there will be some bruising and swelling that would settle after a few weeks.

Dr Gideon Maresky
Dr Gideon Maresky
Dr Gideon Maresky

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