Eyelid surgery or Blepharoplasty is a procedure in which excess upper eyelid skin is removed and fatty bulges in the upper and lower lids reduced. Of course, either upper or lower lids can be corrected separately.
Suitable candidates for the operation have excess upper lid skin which makes the lids feel heavy, and makeup may be difficult to apply. Lower lids will often have excess skin and eyebags which are worse early in the morning. Most people who have eyelid surgery are in their 40’s or older.
At preoperative consultation, your expectations of the surgery will be discussed. An assessment of the problem will be made, your eyesight tested and any medical or surgical condition which may affect the surgical outcome discussed with you.
The process of the surgery will be carefully described.
Blepharoplasty nowadays is carried out with local anaesthetic supplemented by oral sedation. Most people find this very comfortable although understandably anxious about surgery around the eyes. The operation is done as a day stay procedure at our day stay surgical facility.
Once anaesthesia has been established the procedure takes between one and two hours. Fine stitches and tapes are used to close the wound. Sometimes laser resurfacing of the lids is done at the same time for additional benefits.
Postoperative care involves absolute rest for two days with suitable analgesia and anti-inflammatory drugs to control discomfort and frequent applications of cold wet packs to reduce swelling. Stitches are removed at four or five days and it is usual to be able to apply makeup then.
A return to work can be planned for seven to 10 days. Good results in suitable candidates are expected but cannot be guaranteed.