Blepharoplasty or Eyelid Surgery

Each year 1,000,000 men and women choose to practice blepharoplasty to improve their appearance. Fallen eyelids can make you look older, cause eye strain, and may also obstruct your visual ability. Blepharoplasty can correct these problems and also removes fat bags that form under the eyes that make you look tired, attenuate fine lines and wrinkles under the eyes, but does not modify hen's wrinkles or Position of the eyebrows. Although blepharoplasty is often performed as a single procedure, it may be advisable to perform a brow lift, a rhytidectomy, or some skin treatment on your face for best results.

If you are wondering how blepharoplasty can change your appearance, you need to know how eyelid surgery is performed and what to expect from this procedure, we will try to answer the most common questions and provide you with the information that is required for you to consider blepharoplasty.

Successful facial plastic surgery is the result of a good relationship between the doctor and the patient. Trust is based on realistic expectations and the development of good experience during pre-surgery consultations. Doctor Miery can answer specific questions about your particular needs.

Is Blepharoplasty a convenient procedure for you?

As with all facial plastic surgery, good health and realistic expectations are prerequisites. Blepharoplasty removes excess fat, muscle and skin from the upper and lower eyelids.

The results can refresh their appearance by rejuvenating and reaffirming the tissues of the area, patients with circulatory problems, ophthalmologic problems and serious systemic diseases should be consulted to determine if it is possible to consider the practice of blepharoplasty.

Dr. Miery can help you decide if there are additional needs that will help increase the degree of success. He may recommend planning a simultaneous frontoplasty to correct eyebrows and brow laxity, or a treatment on the skin to remove fine lines and some wrinkles.

How to decide to undergo Blepharoplasty?

When surgery is desirable for functional or aesthetic purposes, choosing a good facial plastic surgeon is of utmost importance. The patient should also make the commitment to carry out the surgeon's pre and post-operative indications.

During preoperative consultations you will be examined and questioned about visual ability, tear production, wearing of glasses and your desire to be operated.

Your surgeon will explain what you should expect from the operation.

It is important to evaluate factors such as age, skin type and ethnic features, the degree of obstruction that the eyelids cause in their visual ability. It is even more important that you feel an open and honest attitude and have an exchange of impressions with your surgeon, which will establish the basis for a successful outcome.

After you have made a decision on your behalf and Dr. Miery will explain the technique indicated for your particular case, the type of anesthesia, the surgical facilities, the risks and the costs.

Recommendations for the days before surgery

It is important that one week before you suspend the following medications that increase bleeding:

  • Aspirin, Vitamin E, Omega 3, Ibuprofen and Anti inflammatory.

The day of surgery

  • Do not eat or drink 8 hours before
  • Presented without enamel on hands and feet
  • Introduce yourself with comfortable clothes and no valuables
  • Perform double washing of the hair and face
  • Remove earrings, piercing or the like

How is surgery performed?

In the upper eyelid a marking is practiced in the already existing folds with the objective of making the incisions and leaving scars as invisible as possible. The incision is practiced and excess fat, muscle and redundant skin are removed. The wound is closed with fine sutures in order to minimize the visibility of the scar.

In the lower eyelid the incision is practiced in a discrete place near the line of the eyelashes, making it coincide with a fine line that provokes during the smile. Later excess of fat, muscle and skin is removed. The tissues are rearranged and the wound is sutured with fine material. When there are bags only for excess fat, without excess skin, usually under 35 years, they can be corrected by a transconjunctival blepharoplasty, without incision in the skin of the eyelid. The incision in this case is performed inside the eyelid in the conjunctiva.

For these surgeries general anesthesia or deep sedation is recommended and they are of ambulatory management.

What to expect after the surgery?

Immediately after the surgery, your surgeon may apply small sterile bands over the operated area. Inflammation is present that is of variable duration according to each person, usually of 2 to 3 weeks, but easy to hide with sunglasses.

  • To reduce inflammation, apply ice in the first 48 hours in the operated areas in case of bandaging.
  • The ice should be applied without wetting it so that it does not peel off.
  • Sleep the first 2 nights as the horizontal position increases the inflammation.
  • On the next day of the surgery try to have as normal an activity as possible, without strong physical exercises like gymnastics, which you can restart 20 days later progressively.
  • Avoid smoking in the first month after surgery.
  • Do not consume raw meats like (sushi, ceviches and carpaccio) the first two weeks.
  • Most of the swelling will go away in two weeks.
  • Inflammation will improve by 80% at 30 days and by 100% at approximately 3 months. The bruises and ecchymoses are of very variable duration in each person.
  • After removing the bandages, you should wear sunscreen on the skin if you are going to be exposed to the sun for a long time.

It is important for patients to fully comply with their post-operative controls. Sutures will be removed within 8 days of surgery.