Blepharoplasty
Blepharoplasty also known as eyelid surgery improves the appearance of the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

Procedure
Blepharoplasty is usually performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids. Incisions may be made from the inside surface of the lower eyelid (transconjunctival ); this allows removal of lower eyelid fat without an externally-visible scar, but does not allow excess skin to be removed. The operation typically takes one to three hours to complete. It is done under general anaesthesia or i/v sedation. Initial swelling and bruising resolve in one to two weeks but at least months are needed until the final result becomes stable. Blepharoplasty's effects are best appreciated by comparing before and after photos of surgical patients. The anatomy of the eyelids, skin quality, age, and the adjacent tissue all affect the cosmetic and functional outcomes.

Conditions:
  • Upper eyelid surgery can remove excess fatty deposits that appear as puffiness in the upper eyelids.
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid.
  • Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid.
  • Bags under the eyes can be corrected by blepharoplasty.

You must tell your doctor if you have any :
  • Eye disease
  • Thyroid disorders such as under or overactive thyroid
  • Cardiovascular disease, high blood pressure or diabetes.

Recovery
The first two days after the operation , the patient receives an ointment treatment to keep the incisions lubricated. Doctors recommend keeping iced eye pads on the eyes to reduce bruising and swelling. Eye drops may also be prescribed as they may help in pain management and in preventing infections. Patients are recommended to keep their heads higher than the body while sleeping as this will accelerate the recovery process. Different medications can help in moderating bruises and swelling resulted after surgery and also to accelerate the patient's recovery. The patients are advised to wearing dark glasses for at least one week to prevent irritation that may be caused by the wind and sun exposure. The stitches are usually removed four days after the operation. The patient's eyelids will be discolored and swollen for about seven to ten days, and feel "tight" or "stiff" for a while. During the first few weeks, patients normally experience excessive tearing, light sensitivity and sometimes double or even blurred vision. These symptoms usually disappear on themselves within two or three weeks after the operation. Wearing contact lenses is prohibited until the incisions are completely cured. Patients who need them will be advised by their doctor when it is safe to wear them again. Patients who undergo a blepharoplasty may watch TV and are able to read after two or three days after surgery. Patients may go to work in a week . The scars may however still be visible, but one can use makeup to cover them. Surgery will leave scars, but they are usually well hidden and normally fade in time. Blepharoplasty may leave patients with bruises or swelling on their faces, and sometimes patients become depressed because of this. These are completely normal and will disappear in few weeks, after a complete healing.

Non-surgical alternatives
Non-surgical alternatives have shown improvement with patients exhibiting early indications of facial aging. Lasers, chemical peels, botulinum toxin, and dermal fillers are all used in some degree to treat periorbital tissue. These techniques are effective , yet have not replaced surgical treatments, and should not be confused with blepharoplasty, which treats not only the superficial skin tissue, but also underlying fat and muscle tissues.
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