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The Facial Plastic Surgery Center
Dr William Portuese - Board Certified Facial Plastic Surgeon

Comprehensive Guide to Eyelid Surgery: Understanding Blepharoplasty

Eyelid surgery, also known as blepharoplasty, is a popular cosmetic procedure that aims to improve the appearance of your eyes by removing excess skin and fat from your eyelids. As you age, your eyelids may stretch, and the muscles supporting them may weaken, leading to sagging eyebrows, droopy upper lids, and bags under your eyes.

What is Blepharoplasty?

Blepharoplasty is a type of surgery that removes excess skin and fat from the eyelids to improve their appearance and function. Eyelid surgery, also known as blepharoplasty, is a cosmetic procedure that aims to improve the appearance of the eyelids and sometimes enhance vision. It involves removing excess skin, muscle, and fat from the upper and/or lower eyelids. But, not everyone is a good candidate for this procedure. This article provides information about the criteria that determine whether someone is a good candidate for eyelid surgery.

Am I a Candidate for Eyelid Surgery?

Not everyone is a suitable candidate for eyelid surgery.

1. Excess fatty deposits or loose/sagging skin. Excess fat in the upper eyelids and loose or sagging skin that impairs vision or affects the natural contour of the eyelid are some of the primary reasons why someone may be a good candidate for eyelid surgery.

2. Good general health
A candidate for eyelid surgery should be generally healthy with no medical conditions that could impair healing. Nonsmokers are preferred and individuals with a positive outlook and realistic goals for the procedure.

3. Healthy skin and normally positioned eyebrows
In addition to being in good health, candidates for upper eyelid surgery should also have healthy skin and eyebrows that are in their natural position

How is Eyelid Surgery Performed?

Eyelid surgery is a surgical procedure that requires incisions on the eyelids. There are different methods for example the traditional incision method, the transconjunctival method, and the laser method.

What to Expect After Eyelid Surgery?

Recovery is an essential part of eyelid surgery, and it may take several weeks for the results to appear fully. This section will cover the postoperative care instructions for blepharoplasty, such as applying ice packs, taking pain medication, and avoiding strenuous activities. We’ll also discuss the common side effects of the surgery, such as swelling, bruising, and dry eyes. According to the American Society of Plastic Surgeons, the general steps of an eyelid surgery procedure include anesthesia administration, incision, tissue removal, and closure. Anesthesia is typically administered to ensure the patient’s comfort during the surgery. The choices for anesthesia include intravenous sedation or general anesthesia, and the doctor will recommend the best option for each patient. During the surgery, incisions are made in the natural creases of the eyelids to minimize scarring. The facial plastic surgeon then removes excess skin, fat, and muscle, as needed, and repositions the remaining tissue to create a smoother, more youthful-looking eye area. The procedure can be performed on the upper lids, lower lids, or both. After the necessary tissue has been removed and repositioned, the incisions are closed with sutures or skin adhesives. The surgery typically takes around one to three hours

Risks and Complications of Eyelid Surgery

As with any surgical procedure, eyelid surgery carries some risks and potential complications. Eyelid surgery, also known as blepharoplasty, is a cosmetic surgical procedure that aims to improve the appearance of the eyelids by removing excess skin, fat, and muscle. While it is a generally safe procedure, like any surgical procedure, it does come with risks and complications that patients should be aware of before deciding to undergo the procedure.

Infection: Infections can occur after any surgical procedure, including eyelid surgery. Symptoms of infection include fever, redness, and swelling. Antibiotics can be prescribed to treat the infection, and in severe cases, hospitalization may be required.

Bleeding: Bleeding is a risk associated with all surgical procedures. Although the bleeding is usually minor, it can lead to hematoma formation, which may require surgical drainage.

Scarring: While eyelid surgery is designed to minimize scarring, some patients may experience visible scars that take time to heal. This is particularly true for patients with a history of keloids or hypertrophic scars.

Dry eyes: Eyelid surgery can cause dry eyes, which can be uncomfortable and cause vision problems. The dryness is usually temporary, but in rare cases, it can be permanent.

Vision problems: Although rare, eyelid surgery can cause vision problems such as double vision, blurred vision, or temporary loss of vision. These symptoms usually resolve on their own, but in some cases, additional treatment may be required.

Eyelid malposition: Eyelid surgery can sometimes result in the malposition of the eyelid, which can lead to a range of complications, including dry eyes, excessive tearing, or difficulty closing the eyes. In severe cases, additional surgery may be required to correct the problem.

Anesthesia complications: Like all surgical procedures, eyelid surgery requires anesthesia, which comes with its own set of risks. These risks include allergic reactions, cardiovascular problems, and respiratory issues. Your surgeon will carefully assess your medical history and overall health to determine the safest anesthesia option for you.

Unsatisfactory results: While most patients are satisfied with the results of eyelid surgery, there is a risk of unsatisfactory results. Patients should discuss their expectations and concerns with their surgeon prior to the procedure to ensure that they have a clear understanding of the expected outcomes.

In conclusion, eyelid surgery is a safe and effective cosmetic procedure, but it does come with risks and complications. Patients should be aware of these risks before deciding to undergo the procedure and should carefully select a qualified, experienced surgeon to perform the procedure. With proper planning, care, and aftercare, most patients can achieve excellent results from eyelid surgery with minimal complications.

Frequently Asked Questions

How long does eyelid surgery take?
Does eyelid surgery leave scars?
Can I wear contact lenses after eyelid surgery?
How long does the recovery period take?
How much does eyelid surgery cost?
Does insurance cover eyelid surgery?
Is eyelid surgery painful?
How long do the results of eyelid surgery last?

For a consultation contact The Portland Center for Facial Plastic Surgery today.

Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self