Eyelid surgery is indicated in men or women who seek correction for puffy or baggy eyelids. Blepharoplasty is the plastic surgical term used to describe surgical correction of the eyelids, upper or lower. Most patients seeking surgery are over 35 ? 40 years of age, although patients may seek surgery at a younger age due to familial tendencies or the effects of excess sun exposure and lifestyle.
Eyelid surgery can help reduce saggy upper and lower eyelid skin and correct a certain amount of ?bagginess?. It can help you look younger, fresher, and less tired. However, it will not remove ?crow?s feet? wrinkles, nor address the dark circles around your eyes. It will also not change your underlying ethnic features.
If you suffer from recurrent dry eyes, thyroid eyes disease or have conditions such as glaucoma or retinal detachment, eyelid surgery may be unsafe. An ophthalmologic assessment may be necessary before proceeding.
Most problems can be dealt with by excision of excess skin and fat. The incisions are placed carefully in the correct crease location for the upper eyelid. In the case of the lower eyelid, the incision can be on the inside of the eyelid (if no excess skin is present) or more usually just underneath the eyelash line. Excess fat in the lower eyelid pads can be removed with the excess skin to improve the contours.
You may have some excess tear formation and some blurring of vision after your procedure. With delicate suturing, the scars heal well and are usually hard to see. Eyedrops may be necessary as you may find some irritation after the operation, and will be prescribed as necessary. There will be some light bruising and swelling which will resolve over two to three weeks.
Depending on your healing it may be possible to disguise your bruising with make-up after about ten days. Most patients find that they can return to work within ten days after surgery, although vigorous physical activity is discouraged for at least four weeks. Sunglasses and a light sunblock are recommended for several weeks after your procedure.
For patients who have significant drooping of the eyebrow, a brow-lift rather than a blepharoplasty procedure may be required, although both can be carried together if necessary (see brow-lift section).
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| Patient A: Before / four weeks after SMAS facelift, necklift, and lower eyelid surgery. This patient has not had any Botox, chemical peel or laser treatment. There is significant improvement in the deep facial wrinkles. The jowls and neck show improved contour, while the chin and jawline are much better defined. There is some minor residual swelling of the lower eyelid region. | Patient B: Before / four weeks after SMAS facelift, necklift, neck liposuction and platysmaplasty (neck muscle tightening). This patient has not had any Botox, chemical peel or laser treatment. There is significant improvement in the deep facial wrinkles. Note the improved jaw and neck line, and the youthful cheek contours with the lifted cheek pads. |
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| Patient C: Before / four weeks after SMAS facelift, necklift, upper and lower eyelid surgery. This patient has not had any Botox, chemical peel or laser treatment. There is good improvement in the deep facial wrinkles. The jowls and neck show improved contour, and the cheek pad has been lifted. |
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