As we age, the skin loses its natural elasticity and develops a sagging appearance due to effects of gravity. This is most striking around the eyes giving a tired appearance. A blepharoplasty is performed to remove excess skin (dermatochalasis) and muscle form the eyelids. It may also involve removal or repositioning of fat. It is a commonly performed procedure and one of the best ways restore a more youthful appearance. In certain cases this procedure is also performed to improve the visual field. In the right hands blepharoplasty is very safe and effective.
Upper eyelid blepharoplasty, lower eyelid blepharoplasty or a combination of both may be performed depending on what is required to achieve the best cosmetic and functional result for you. Mr Yadav will discuss your options after carefully examining your eyes and taking measurements.
What is blepharoplasty?
Blepharoplasty is surgery to remove excess skin (and occasionally muscle and fat) from the eyelids to restore a more youthful appearance. It can also be performed to improve your visual field in the case of upper eyelid surgery.
What are the causes of excess lid skin?
Excess skin is often due to ageing and sun damage which causes a loss of elasticity. The connective tissue in the eyelids also weakens with age allowing fat to bulge forward. Occasionally genetics and family characteristics mean that the eyelids can have a baggy appearance even at a young age.
What does the blepharoplasty operation involve?
Surgery is usually performed under local anaesthetic so you are awake during the procedure. Mr Yadav will carefully mark your eyelid skin with a surgical pen to identify the tissue that needs to be removed. Anaesthetic drops will be put in your eyes and local anaesthetic will be injected underneath the eyelid skin to numb it. Your face will be cleaned with antiseptic solution and sterile drapes will be placed around your face. The excess skin (and if required muscle and fat) is cut away. The skin wounds are then closed with sutures. If dissolvable sutures are used, they will fall out in 4-8 weeks. Otherwise they have to be removed 7 days later. At the end of the surgery, ointment is put on the wounds and eye pads applied to the lids. If you have both eyes done then one of the eye pads will be removed after about an hour.
What happens after the operation?
If possible, it is better to leave the eye pads on overnight to help minimise bruising and swelling. Do not worry if there is some blood on the eye pad when you remove it. Clean the eyelids gently with cotton wool pads soaked in cooled, boiled water. If your eye feels sore when the anaesthetic wears off, take simple painkillers like Paracetamol. Normally, the discomfort will settle within a day or two. It is normal for the eyelids to appear swollen and bruised for some time after this operation and there may be a little bleeding from the eyelids for the first day. Most forms of light exercise and a normal work pattern may be resumed within a few days of surgery. Eyelid makeup can be worn from about two weeks after surgery. Eyelids have a very good blood supply and normally heal very well. The wound is hidden in the natural skin crease of the eyelid. The swelling will usually subside within 2 weeks but this can be variable. Mr Yadav will advise you on how to care for your eyelids so you achieve the best cosmetic result.