The Blepharoplasty is an aesthetic surgical intervention for the eyelids, aiming at removing any defects caused by hereditary characteristics or aging factors.
The patients usually come to protest against their constantly tired looking, or sad features, as though they had been up all night with no sleep. They wish to have a more rested, and relaxed look and a rejuvenated appearance but most of all to maintain a youthful look.
The most common defaults are:
-The loose and sagging upper eyelids with excess skin, creating unwanted folds.
-The loose and sagging lower eyelids with horizontal wrinkles, skin excess and prominent dark circles.
-The excess fat deposits responsible for bags under the eyes or puffiness of the upper eyelids.
The Blepharoplasty can treat either upper or lower eyelids, or all four at once. It can also be done independently or in coordination with other aesthetic surgery in the face area, such as lifting or even laser treatment.
Surgical techniques vary according to the analysis of the preoperative lesions and the expectations of the patient.
The possible surgical techniques for the Blepharoplasty are:
1) On the upper eyelids, a skin resection is always necessary to remove the skin excess, and is completed through a repositioning of fat deposits, leaving an incision in the natural crease of the upper eyelid that will disappear within a few months.
2) On the lower eyelids, a detailed preoperative analysis is necessary to choose the best technique:
a- In the case of isolated fat deposits, fat can be removed through transconjunctival incision, leaving no visible scar.
b- In case of skin excess, a skin resection is performed, and the residual scar is located on the eyelashes, on the eyeliner level.
Today, a proper lifting of the lower eyelid is performed not only to remove skin excess, but dark circles as well, and to improve the naso-labial line and cheek ptosis.
The Blepharoplasty procedure requires blood tests, as well as pre-anesthetic and ophthalmological consultations. The surgical procedure is done in an ambulatory surgical center and requires 1 day of hospitalization. The procedure duration varies between 1 hour and 1 hour and 30 minutes. There is no pain post-surgery and edema and bruising around the eyes lasts from 1 to 2 weeks. The patient must wear dark sunglasses and may resume activities in 10 to 15 days.