Who Will Benefit From Eyelid Surgery?
Men and women who exhibit droopy eyes will see an improvement in their appearance after blepharoplasty surgery. Patients experiencing bulging pockets of herniated fat under the eye can also see a significant reduction in their “exhausted” appearance, as bags are removed.
Sagging eyelids can often cover the eyes, impairing vision. It is often not until after successful blepharoplasty is performed, that patients realise just how much their vision was obstructed by their sagging skin. Thyroid eye disease and other disorders affecting the physical appearance of the eyes can also be treated with blepharoplasty.
What are the different types of blepharoplasty?
Upper Eyelid Blepharoplasty
An upper eyelid blepharoplasty is a surgical procedure to reshape the eyelids. An incision is made across the upper eyelid and excess skin is removed. Fat is strategically sculpted or repositioned to improved the contour of the eyelid. The incision is placed in the natural crease of the upper eyelid so that it is hidden from view and the scars heal very well. We ask patients to bring old photographs with them to their consultation so that we plan surgery which turns back the clock.
An internal browpexy is a form of brow lift (add hyperlink to brow lift page) which can be achieved through the same incision as an upper eyelid blepharoplasty. The surgeon tunnels under the skin and reattaches the eyebrow to a higher position. This is a very natural form of eyebrow lift and helps to open the eyes and augment the results of the blepharoplasty.
Lower Eyelid Blepharoplasty
The goal of lower eyelid blepharoplasty is to restore a youthful contour to the lower eyelids. When eyelid bags develop, patients often feel a disconnect between how they look and feel. They may complain of looking tired, even after a good night’s rest. There are two approaches to lower eyelid blepharoplasty, both of which address the problem of under eye bags. After an examination with an oculoplastic surgeon, they will recommend which surgery will give you the best result. An external approach allows more factors to be addressed such as skin excess or midface descent. If there is an element of eyelid laxity, patients may require canthopexy for the optimal results.
Transconjunctival Approach Vs External Approach to Lower Eyelid Blepharoplasty
The transconjunctival approach provides safe and easy access to lower eyelid bags without a skin incision. The bags are accessed via the inside of the lower eyelid and repositioned or debulked. This is often best suited to younger patients with smaller bags. The advantages to this approach are that there are lower risks, no skin scars and the downtime is shorter.
In contrast, an external approach involves an incision just below the lash line. This procedure is indicated in patients who have excess skin which needs to be tightened and supported. This approach also allows further surgical procedures such as a canthopexy or midface lift through the same incision. The scar usually heals extremely well and is hidden beneath the lower eyelid lashes.
What Type of Anaesthetic Is Used?
Blepharoplasty surgery is usually performed under local anaesthetic, with or without sedation. The local anaesthetic completely numbs the area so that no pain is felt during the procedure. Sedation allows patients to be sleepy so that they are unaware of what is happening around them and often do not remember anything from the operation at all.
Will I Experience Visible Scarring From Blepharoplasty Treatment?
When blepharoplasty is performed by a highly skilled surgeon, scarring will be minimal. The eye, and the skin surrounding the eye areas, has a high regenerative capability. Any visible scars that are present will eventually fade over time. The natural creases and folds of the eye are also excellent at hiding scars from surgery. The upper eyelid blepharoplasty scar is hidden in the skin crease in the upper eyelid and the external approach lower eyelid blepharoplasty involves a small scar hidden underneath the eyelashes. The transconjunctival approach is an advanced surgical technique for lower eyelid bags performed here at Neo, that results in no visible external scar.
What Is The Downtime For Blepharoplasty Eyelid Surgery?
Blepharoplasty is a day case procedure which means that patients go home the same day, usually a few hours after their operation. It is normal to experience bruising, swelling and inflammation but this typically subsides within 10 days. During this time, patients usually prefer to take time off work and stay at home. Most patients can return to work 7-10 days after upper eyelid surgery, but we recommend at least 2 weeks off work for surgery to the lower eyelid. There are no restrictions on computer use during the recovery period, so working from home is a suitable option where applicable.
Is Eyelid Surgery Painful?
No, eyelid surgery is not usually painful. Blepharoplasty is typically performed under local anaesthetic with sedation and no pain or sensation is felt during the procedure. Swelling and bruising is typical after treatment, with some degree of tenderness but this is usually mild. Watery or dry eyes and temporary blurred vision are also to be expected. Most effects of the surgery will usually subside within 10 days of the treatment.
Who Will Perform My Blepharoplasty Procedure?
Eye lift surgery is a very advanced field of medicine, due to the delicate structures within and around the eye. At NEO Health Clinic, our highly skilled plastic and oculoplastic surgeons have years of specialised experience and can safely and efficiently perform surgical contouring of the upper and lower eyed. Scars are minimal and hidden within the natural folds and creases of the eyes, and recovery times are minimal.
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