Eyelid Surgery (Blepharoplasty)

Eyes are one of the most important and remarkable structures of the face aesthetically. However, due to aging, substances that keep our skin look vitality and tight like collagen decreases in the human body. This decreament shows its fastest effect in the face area around the eyes due to the thin-skinned structure of the eyes. Beside the functional structures of the eyelids, the deformities that occur in this area may be quite disturbing for the patient. For example droopy and wrinkled eyelids may make the patient look more tired and older than he/she really are. However, eyes and surroundings are the first places that the aging signs can be seen at. In addition to the aesthetic appearance, excessively sagged eyelids also affect the visual strength of people. Therefore, the formed wrinkles, drooping etc. in these regions can be removed by having blepharoplasty surgery.

Why eyelids droop?

Facial skin tends to droop downward due to aging, Thus forehead skin starts to droop over eyebrow, eyebrow and forehead droop over the eyelid.

The eyelids skin is the thinnest skin in the human body.  It is also adherent to the moving muscles under the skin. Therefore, due to eye movements over time, the skin get wrinkled. The wrinkles etched in the corner of the eye that called (crow’s feet) is an example of this.

Interventions performed to the eyelid are not applied only for aesthetic reasons. It’s also performed to remove the congenital or overtime aquired ptosis or to treat skin tumors located above the eyelids.

What are the purposes of blepharoplasty?

The drooping of upper eyelids can be removed, eye bags located over or under the eye that cause swelling can be taken. This way a rejuvenated look can be obtained to the area around the eyes. Also the tiredness expressions and the most common patients complaints about angry or sleepy appearance on their faces is corrected. In addition to vision problems due to droopy eyelids can be fixed by having a blepharoplasty surgery.

To whom blepharoplasty is performed?

Usually it’s performed to people over 40 years old who started to have a saggy eyelid skin and eye bags over or under their eyelids and do not have any other health problem.

But some people might have droopy eyelids at an early age due to genetic factors or some diseases. Blepharoplasty surgery can be performed earlier to such kind of patients.

What should we consider before eyelid surgery?

Even if eyelid surgery is seen as a simple procedure compared to other aesthetic operations, there are still some cases that should be considered before surgery. The patients must give detailed information to doctor about all disease he/she has and about all the medicines he/she uses during the examinations performed before the operation. For example, the used medicines such as blood thinner might cause bleeding issues during or after the surgery. That’s why it should be taken under the supervision of the doctor.

How is blepharoplasty performed?

According to people’s complaints, only the upper eyelid or only the lower eyelid or both are repaired together. The amount of skin to be removed is calculated in the detailed examination and drawings made before surgery. Excessive removal of the eyelid skin may lead to problems such as closing of the eyes after the surgery.

The operation is performed in the operating room under local anesthesia. It takes about 45 minutes. In addition to the removal of excess skin during the operation, an intervention to the muscle tissue is applied and the operation is finalized. The sutures placed during surgery will be absorbed automatically within a certain period of time. Therefore, there will be no need to remove the sutures after surgery.

Postoperative period

Because of the eyelid surgery usually performed under local anesthesia, there will not be any restriction in regard to patient’s feeding before or after the surgery. Also there is no need to stay in hospital after surgery. But, thin sterile bands will be placed over the sutures. Patient can remove these bands and have a shower after two days from the operation.

Do eyelids drop again after surgery?

The purpose of plastic surgeries is not to stop the aging process. But to remove the effects of deformities during this process. People with droopy eyelids can get rid of this droop by having blepharoplasty surgery. However, the result of surgery after 20 years will not be the same as the first years.

The body continues the aging process. But there are some factors that affect this process. For example; sleeplessness, unbalanced diet, excessive drinking of alcohol accelerates the aging process. Otherwise, these tissues protect themselves for a long time.

Will be there any scar after blepharoplasty operation?

As it is in all surgical operations, there will be a scar after the blepharoplasty operation. However,  the scar  is not visible from the outside due to the very thin structure of the eyelid skin and the location of the scar in the eye fold. In the first few weeks, the scar color will be pink but over time it will take the shape of a white line. The scar is barely seen ın white-skinned.

FAQ

Since the eyelid surgery is performed with local anesthesia, only slight pain is felt when the local procedure is applied.

After the eyelid surgery, the person can return to daily life in a very short time. After the procedure, patients can return to work at the end of the first week.

Temporary blurred vision may occur after eyelid surgery. This situation is temporary. Eyelid surgery do not affect visual status.

Eyelid surgery is usually an aesthetic operation performed after the age of 35. However, at the early ages, eyelid surgery can be performed in people who have structurally too flesh and low upper eyelid or who have significant bagging in the lower eyelid. There is no upper age limit for surgery. Eyelid surgery can be performed to people of any age who do not have any health problems that will not prevent the procedure.

Thin, sterile tapes are adhered to the cuts immediately after the procedure. These bands are removed during the shower after two days. No other dressing is required.

Eyelid surgery is usually performed under local anesthesia. Or it can be performed under general anesthesia in combination with other aesthetic operations. Eyelid aesthetics can be performed in 30-45 minutes under local anesthesia.

Eyelid aesthetics is a procedure that does not require anesthesia, so the person can be discharged immediately after the procedure.

Edema and bruises may last one week after eyelid aesthetics. These are gradually decreasing and disappearing.

Since self-melting sutures are used during eyelid surgery, no sutures are taken after the procedure.

Eyelids that have a thin and delicate sag hang over time and depending on environmental factors. The creams used to return drooping eyelids to their original condition are useless and can be harmful as they contain a large amount of chemicals. Surgical removal of the eyelids is the definitive and most effective solution.