Upper Eyelid Surgery / Blepharoplasty
What is blepharoplasty?
Blepharoplasty, or upper eyelid surgery, is a safe and effective solution for those dealing with sagging upper eyelid skin, which can affect not only aesthetic appearance but also visual functionality.
Why is upper eyelid surgery performed?
Droopy eyelids, or sagging skin on the upper eyelids, can be both an aesthetic and functional concern. Patients often report a “curtain” of skin obscuring their vision. For women, excess eyelid skin poses a challenge when applying makeup. Whether you’re younger and naturally born with droopy eyelids or experiencing this issue as part of the aging process, upper eyelid surgery offers a permanent solution.
The eyes are a focal point in personal interactions, often the first feature noticed and remembered. While some people are born with sagging eyelids, for most, this issue arises with age. The skin around the eyes is the thinnest on the face, making it prone to losing elasticity more quickly than other areas.
Sagging eyelids develop as the skin becomes wrinkled, loose, and darker, giving the face a tired, sad, and older appearance. Upper eyelid surgery, or blepharoplasty, is an excellent remedy for this issue, restoring a youthful and refreshed look.
The results of eyelid surgery are remarkable: the eyes appear brighter and more open, and the entire face gains a fresher and more youthful appearance. One of the greatest advantages of this procedure is the longevity of the results, which can last up to 15 years.
During a consultation, the surgeon will determine whether surgery is needed for the upper eyelids, lower eyelids, or both, based on the specific needs of each patient.
What is done before upper eyelid surgery?
Before the surgery, photographs of the patient are taken from multiple angles to compare the results with the initial condition. Natural facial asymmetry is considered when marking the incision lines. The doctor then marks the section of skin to be removed during the procedure.
It is essential to stop taking medications that affect blood clotting, such as aspirin, warfarin, ibuprofen, vitamin C, or supplements, at least a week before the procedure.
Why is upper eyelid surgery the right solution for you?
Sagging skin on the upper eyelids can make the face look tired and older and, in some cases, even restrict the field of vision. Blepharoplasty offers a permanent solution, with effects that can last up to 15 years.
Upper eyelid surgery can significantly enhance the aesthetic appearance of the face, alleviate feelings of heaviness or fatigue in the eyes, and improve visibility if excess skin was obstructing the visual field. It is crucial to make this decision after a thorough consultation with an experienced surgeon who will assess your specific needs and expectations.
Preparation and procedure
Before the surgery, the doctor will thoroughly analyze your condition and precisely determine the amount of skin to be removed. It is essential to avoid medications that may affect blood clotting, such as aspirin, ibuprofen, vitamin C, or other supplements, at least a week before the procedure.
Procedure for upper eyelid surgery
Upper eyelid surgery is performed under local anesthesia, while lower eyelid surgery (targeting under-eye bags) typically requires general anesthesia. During the procedure, patients feel no pain.
For upper eyelids, the surgeon removes excess skin and fat tissue following a pre-marked pattern. The incision is made along the natural crease of the eyelid, ensuring that the scar remains inconspicuous. The skin is tightened and stitched using the finest surgical sutures. Steristrips, special adhesive strips, are then applied above the incisions for added protection.
How long does upper eyelid surgery take?
Upper eyelid surgery is a straightforward procedure, usually completed within one hour.
When are the results of upper eyelid surgery visible?
The initial results are noticeable just a few days after the swelling subsides. The final effect is achieved within 4 to 6 weeks post-surgery.
Which procedures pair well with blepharoplasty?
To achieve a fully rejuvenated facial appearance, it is recommended to combine blepharoplasty with treatments such as wrinkle removal and hyaluronic fillers. Additional enhancement can be achieved through eyebrow lift surgery and a full facelift.
What might you experience after upper eyelid surgery?
It is important to understand that any discomfort following eyelid surgery is temporary and will resolve on its own. You may experience watery eyes, sensitivity to light, swollen and numb eyelids, bruising, and mild pain. These symptoms are normal parts of the recovery process.
Recovery after upper eyelid surgery
In the first 24 hours after surgery, it is essential to apply cold compresses to the eyelids. Your doctor will prescribe an appropriate antibiotic therapy to be taken for five days post-surgery, as well as pain relievers if necessary. The first follow-up appointment, dressing change, and replacement of adhesive strips will occur the day after surgery.
For the first two days, you should rest and sleep with your head elevated on a pillow to speed up recovery. Swelling and bruising around the operated eyelids may be pronounced during the first 24 to 48 hours but typically resolve within 5 to 10 days.
Stitches are removed one week after surgery, at which point you can resume your daily activities. Makeup can usually be applied 10 days post-surgery.
Recommendations for the recovery period
To ensure a smooth recovery, follow these guidelines:
- For the first 48 hours, avoid straining your eyes. Refrain from reading, watching TV, or using a mobile phone.
- Sleep with your head elevated on pillows above chest level for five days post-surgery.
- Do not apply makeup until at least two days after the stitches are removed. Applying and removing makeup involves pressing and rubbing the eyelids, which can interfere with healing and increase the risk of infection. For hygiene purposes, it is recommended to discard any old eye makeup and use new, unopened products.
- Wear dark sunglasses for at least three weeks after surgery, and apply sunscreen with a minimum SPF of 20 to protect the delicate skin around the eyes. This will also prevent dust or other foreign particles from causing irritation or infection.
What to avoid after upper eyelid surgery
After eyelid surgery, you should avoid:
- Taking aspirin or similar blood-thinning medications, vitamin C, or other supplements.
- Exposure to direct sunlight or heat sources such as hair dryers, tanning beds, saunas, or hot tubs.
- Engaging in physical exertion or sports activities for at least 10 days post-surgery.
- Wearing contact lenses during the recovery period; instead, opt for glasses.
Risks after upper eyelid surgery
As with any surgery, there are risks of bleeding, infection, and wound dehiscence.
Complications are extremely rare when the procedure is performed by an experienced surgeon. However, some patients may experience issues such as dry or irritated eyes, difficulty closing the eyelids, or temporary vision disturbances
Before and After
FAQ
What recommendations should be followed during recovery?
It is recommended to rest your eyes, wear dark sunglasses, avoid direct sun exposure, and refrain from wearing makeup for at least two days after the stitches are removed.
What is the recovery like after surgery?
Recovery is quick if you follow your doctor’s instructions. Stitches are removed after seven days, and normal activities can be resumed immediately afterward.
Are there risks?
As with any surgery, there are risks such as bleeding or infection. However, these are minimal when the procedure is performed by an experienced surgeon in the sterile environment of our center.
Do I need to stay in the hospital?
No, the procedure is performed under local anesthesia, and the patient can leave the clinic immediately after the surgery. It is recommended to rest and avoid straining your eyes. For any concerns after the procedure, consult your doctor.
What are the most common reasons for eyelid correction?
- Excess skin that hides the natural crease of the eyelid
- Fat pads on the eyelids
- Swelling of the upper eyelids
- Sagging skin that can impair vision
How is upper eyelid surgery performed?
The surgery is performed under local anesthesia. The surgeon makes an incision along the eyelid crease to remove excess skin and fat. The procedure lasts approximately 45 minutes, and the scars are minimal and almost invisible.
When are the results of blepharoplasty visible?
Initial results are visible a few days after the procedure, with the final effect noticeable 2–3 months later, once the skin has fully healed.
Does blepharoplasty affect vision?
No, blepharoplasty does not harm vision. On the contrary, it can improve peripheral vision and reduce the feeling of heaviness in the eyelids.
What is the difference between upper and lower eyelid correction?
- Upper eyelid correction involves removing excess skin and fat through an incision along the eyelid crease.
- Lower eyelid correction involves removing fat and skin below the eyelashes or inside the eyelid to eliminate “bags” under the eyes.
How long does the procedure take?
Upper eyelid surgery typically lasts around 45 minutes, while lower eyelid correction can take up to 90 minutes, depending on the complexity.
Is special preparation required for blepharoplasty?
No special preoperative preparation is needed for this procedure. During consultations, the surgeon will evaluate the condition of your eyelids and determine the optimal approach.
How long-lasting are the results of blepharoplasty?
The results are long-lasting. The procedure not only corrects drooping eyelids but also significantly rejuvenates the face, giving it a fresher and more rested appearance.
