Eyelid Surgery: How To Make An Informed Decision

Originally Published on Novafaces

Blepharoplasty or eyelid surgery is a surgical procedure performed to improve theappearance and functionality of an individual’s eyelid. Cosmetic or for the purpose of revealing an improvement in the visibility as a result of droopy eyelids, anyone going through this procedure must be informed through an in-depth understanding of what the whole process is all about. The subsequent is an extensive guide to eyelid surgery intending patients before, within, and after the procedure.

Blepharoplasty generally refers to the removal or repositioning of extra skin, muscle, and fat from the upper or lower eyelid. It is generally a surgical procedure that is supposed to rejuvenate the area around the eyes to make one look brighter and fresher. There are, basically, different types of eyelid surgery. The upper eyelid can be operated on for an apparently drooping upper lid that interferes with the vision of an individual or makes him/her appear tired. Lower eyelid surgery is indicated by under-eye bags, wrinkles, and sagging skin. Double eyelid surgery, as it is more commonly done in East Asia, creates an artificial fold in the upper eyelid to provide the appearance of a double lid. Functional Eyelid Surgery Functional eyelid surgery is performed to improve the vision interfered with by drooping eyelids.

This is always composed of a consultative session between the patient and either a board-certified plastic surgeon. The surgeon will take you through your past medical history for general health and past complications at the time of the visit, including thyroid disorders, diabetes, and cardiovascular diseases.

Sometimes, a complete ophthalmologic examination can be done, which includes testing of vision and the ability of the eye to form tears. This time is also used to address one’s particular aesthetic concern and what one expects to obtain with the surgery so that both patient and surgeon are on the same page. Preoperative photographs are often taken prior to any intervention and can serve for documentation and surgical planning. The preoperative assessment is required so that the surgery can be rendered safe and the outcome optimal. Physical examination is done to bring forth certain medical conditions which might influence the surgery, and blood tests confirm one’s fitness to undergo anesthesia and surgery. Also, allergy testing is done in cases where allergic reactions might occur.

This includes medications, supplements, and herbs that need to be stopped or adjusted. It is best to quit smoking at least two weeks in advance of the surgical operation and also address changes in lifestyle that might be involved. This is because smoking prohibits the process of healing from taking place as it should. Where possible, also avoid taking medications that thin out the blood, such as aspirin or ibuprofen, unless instructed to do so. You can’t drive your car home on the day of surgery, so you will need to make transportation arrangements. Having a stock of supplies in your home, such as ice packs, gauze pads and filled prescriptions will ease recovery. Day of Surgery Anesthesia options include the following: Local anesthesia with sedation-they numb the area of surgery while you are relaxed yet still awake or general anesthesia-you are completely unconscious. This depends on the extent of the surgery, but it is also up to your surgeon.

Generally speaking, the course that the upper eyelid procedure follows involves making an incision along the upper eyelid’s natural creaseso that the scar may be camouflaged. More correctly, it involves removing and repositioning the skin, excess, and sometimes fat and muscle tissue. Finally, at the end of the procedure, a suture usuallyfine tunes and closes the incisions to minimize scar visibility. The two forms that the surgery of the lower eyelids may take are the transconjunctival position or an incision just below the lash line. Extra fat is removed or redistributed so that it doesn’t stay there creating puffiness; extra skin is removed or tightened. Time taken generally is between one and three hours depending on how many eyelids are being operated — both the upper and the lower eyelids — and on the case’s complexity.

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