Blepharoplasty (eyelid surgery) can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision.
Blepharoplasty (eyelid surgery) can be combined with BOTOX® Cosmetic treatments to raise the eyebrows or reduce the appearance of wrinkles, crow’s feet or dark circles under the eyes.
The procedure is usually performed as an outpatient procedure with local anesthesia and lasts 45 minutes to a few hours depending on how much work is done. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids and just below the lashes on the lower lids). The surgeon removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid; with this procedure, there are no visible scars.
Stitches are removed after 3 or 4 days, and most people return to work within a week. Contact lenses may not be worn for 2 weeks. The effects of blepharoplasty (eyelid surgery) can last for a long time, improving your appearance and giving you a more youthful look for many years to come. Eye ointment or drops will be prescribed for use after surgery and for a period of a few weeks until your eyes adjust to the change.
Blepharoplasty Postoperative Instructions
It is important to follow all of your doctor’s blepharoplasty post-op instructions for the Blepharoplasty (Eyelid Surgery) procedure to achieve the best possible surgery results. Corpus Christi Institute of Plastic & Cosmetic Surgery blepharoplasty patients are typically instructed as follow:
- Have someone drive you home after surgery and help you at home for 1-2 days.
- Get plenty of rest and increase your fluid intake.
- Decreased activity may promote constipation, so you may want to add more ripe fruit to your diet. Prunes and prune juice work well for most.
- Take pain medications as prescribed. Do not take aspirin or any products containing aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs).
- Do not drink alcohol when taking pain medications.
- Refrain from drinking alcohol for three weeks following surgery, even when no longer taking pain medications, as alcohol causes fluid retention.
- If you regularly take vitamins with iron, resume these as tolerated.
- Do not smoke or consume nicotine, as smoking delays healing and increases the risk of complications.
- Start walking as soon as possible with assistance the day of surgery, this helps to reduce swelling and lowers the chance of blood clots. Starting the day after surgery, walk 300 feet three times per day with assistance daily.
- Do not drive until you are no longer taking any pain medications (narcotics).
- Avoid activities that raise your blood pressure, including bending and lifting.
- Keep activities to a minimum for 3-5 days, and refrain from vigorous activity for two weeks.
- Social and employment activities can be resumed in 10-14 days.
- Use cold saline compresses for the first 24 hours for comfort and to reduce swelling and bruising.
- Generally, your hair can be shampooed anytime after surgery.
- Wait at least 6 weeks before wearing contact lenses or until cleared by Dr. Bindingnavele.
- You will have sensitivity to sunlight, wind and other irritants for several weeks, so wear sunglasses and a special sunblock made for eyelids.
- Use artificial tears, 2 drops in each eye four times a day and lacri-lube ointment daily before sleeping for at least 6 weeks.
- Maximum discomfort should occur in the first few days, improving each day thereafter.
- Expect temporary swelling of the eyelids, tightness of lids, bruising, dryness, burning, and itching of eyes.
- You may have gummy eyes for approximately 1 week.
- For the first few weeks, you may experience excessive tearing, sensitivity to light, and double or blurred vision.
- You may have difficulty closing your eyes when you sleep.
APPEARANCE AND SCAR CARE
- Bruising and swelling of the eyelids may last 1-2 weeks.
- Healing is a gradual process and your scars may be reddened for 6 months or more.
- Tiny whiteheads may appear after stitches are taken out; can be easily removed by surgeon.
- Facial makeup can cover up bruising after the sutures are removed and cleared by Dr. Bindingnavele.
- Avoid exposure of scar to sunlight for 6-12 months. If unavoidable, use sunblock (SPF 30 or greater) with zinc oxide or titanium dioxide.
FOLLOW UP CARE
- Your post-operative appointment will be scheduled before surgery for your convenience.
WHEN TO CALL
- If you have increased swelling or bruising.
- If swelling and redness persist after a few days.
- If you have increased redness along the incision.
- If you have severe or increased pain not relieved by medication.
- If you have any side effects such as rash, nausea, headache, or vomiting.
- If you have an oral temperature over 100.4 degrees.
- If you have yellowish or greenish drainage from the incisions or notice a foul odor.
- If you have bleeding from the incisions that is difficult to control with light pressure.
- If you have loss of feeling or motion.
Frequently Asked Questions
Where are the incisions placed for blepharoplasty?
The incision for upper eyelid surgery is placed within the natural crease of the eyelid so that no scar will be noticeable once it heals. The incision for lower eyelid surgery may be inconspicuously placed just below the lashes to remove excess skin, or an incision hidden within the lower lid may be used to remove and reposition tissue.
When can I return to work and normal activities after the procedure?
Most patients are able to resume work and normal activities about ten days after eyelid surgery. Some swelling and bruising may persist for a couple of weeks, but cold compresses will help reduce these side effects.
How soon will I see the results of my eyelid surgery?
Results from blepharoplasty may be obscured at first due to swelling and bruising, but smooth, more youthful eyelids are generally visible within a few weeks after surgery. Incision lines will continue to improve over time and may take up to a year to fully refine.
How long will the results of blepharoplasty last?
Results from eyelid surgery will be long lasting as long as the patient maintains a healthy skincare regimen and protects the area from the sun. The skin and tissues around the eyes will continue to age naturally.
Who Is a Good Candidate for Eyelid Surgery?
The best candidates for an eye lift are people who are in good health and who have realistic expectations. Most are 35 years or older, but if baggy or droopy eyelids run in your family, you may decide to have the surgery done sooner. Eyelid surgery can enhance your appearance and help build your confidence. However, it may not result in your ideal look or alter your facial structure. Before you decide to have surgery, think about your goals and discuss them with your surgeon.
Are the Results of Eyelid Surgery Permanent?
Upper eyelid surgery can last at least 5 to 7 years. Lower eyelid surgery rarely needs to be repeated. Your eyes, of course, will still age after the procedure.
If your lids sag again, a forehead lift rather than another eye lift is often the proper procedure.
Why Choose Dr. Vijay
Dr. Vijay is very unique in the sense of his great customer care, service and experience. He approaches each client as an individual and takes the time to thoroughly understand their needs and desired results.