Top Michigan Plastic Surgeon
Blepharoplasty is performed to reduce the wrinkling and/or bulging of eyelid tissue. Not all patients need to have both excess skin and excess fat (bags under the eyes) removed. In many cases only one or the other procedure is needed. Every wrinkle and fold of skin around the eyes cannot be removed.
Most recently, there have been innovations in eye surgery to preserve and redistribute fat around the eyes rather than just to remove it. This results in less of a hollow, “dome” appearance.
How Eyelid Surgery is Performed
Surgery is performed under general anesthesia but it could also be done under local anesthesia with some sedation.
Usually the incision begins at the natural crease at the inside corner of the eye and extends slightly beyond the outside corner into the crow’s feet or laugh lines. Excess fatty tissue and skin are removed and the site is closed so it is well-camouflaged when healed.
The incision is usually just below the lower lashes. Excess fatty tissue, skin and sometimes muscle are removed. Then the site is closed in to be well-camouflaged when healed. When no skin removal is necessary and only fat removal is desired, the “transconjuctival blepharoplasty” technique is used. In this technique the incision is made on the inside of the eyelid and no external scars are present.
What to Expect After Surgery
There is usually little pain associated with this type of surgery. Swelling and bruising and of the eyelids varies with each patient and is usually slight. Most of the swelling and bruising is gone within five to ten days, but it is not unusual for the discoloration to last longer. To help minimize some of the symptoms, sleep with your head elevated and in a reclined position. Do not lay flat. Cold compresses may be applied.
Resumption of Physical Activity
Work and social activities are usually curtailed for a period of three to ten days following surgery. Driving may be resumed in two to three days. Most people are back to desk work after a long weekend. Working out may be resumed after two to six weeks.
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