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Eyelid Surgery (Blepharoplasty)

An eyelid surgery or Blepharoplasty is the surgical procedure undertaken for the removal of extra skin from above or below the eyelids that is seen to create bagginess in the area. The main reason behind considering this surgery is for aesthetic or cosmetic purposes though it does help obtain better vision to those who might be troubled due to the skin aging near the eye region. With increasing age not only does our skin lose its elasticity, but the muscles also tend to slacken. Consequently skin accumulation in the form of folds or creases occurs in various body parts including the eye region. Gradually fat cushions due to slackening of muscles in the folds also show up.
The procedure
Now blepharoplasty covers the removal of extra skin from the upper or lower eyelid or both. The procedure first involves the application of a general or local anesthesia to the patient before proceeding with the surgery. The next step involves the making of small cuts by the doctor along the natural lines of the eyelids. These cuts could either be made inside the eyelids in which case they would not scar or a cut be made just below the eyelids. After the cuts are made, through the incisions, extra fats and skin are removed and then the cuts are stitched up. The entire procedure may take an hour or two to complete, whereas the stitches are opened only after the passage of six days to a week.
Upper Blepharoplasties
Loose hanging eyelids can give a dreary, exhausted look to an individual and make him/her appear older. Such issues have made upper blepharoplasties a preferred procedure amongst patients seeking corrections.Upper blepharoplasties are the surgical treatments of the dermatochalasis of the upper eyelid. Dermatochalasis refers to the loose hanging extra skin which results from aging. The causes behind the occurrence of dermatochalasis are the loss of the elasticity of the skin, and weakening of the connective tissue. Besides adding fullness to the eyes, the excessive tissues hanging down the edge of the eyelid could also cause obstruction in the vision in some patients. As Dermatochalasis in the upper eyelid could obstruct as much as 50% of the vision in severe cases, an upper blepharoplasty cannot always be considered a cosmetic surgery and could emerge out of necessity.
Lower Blepharoplasties
The reductive surgical procedure for the reduction of fat bulges, redundancy and wrinkles in the lower eyelid area by removing fat/skin is lower blepharoplasty. With the advancement of technology, a tissue-preserving philosophy including orbital and sub-orbicularis fat repositioning has been embraced along with the non-surgical laser-based treatments.
Lower blepharoplasties unlike upper blepharoplasties are mostly cosmetic, because dermatochalasis in the lower eyelid cannot cause visual obstructions. Some of the common indications apart from dermatochalasis in the lower eyelid include rhytidosis, lower eyelid asymmetry, pronounced nasojugal groove, malar deflation and so on. Now, there can be two techniques involved in the lower blepharoplasty which are: –
Transcutaneous blepharoplasty, and
Transconjuctival blepharoplasty.
The first procedure involves the making of an incision in the skin of the lower eyelid region for removal of extra fat/muscle/skin, while the latter is a safer procedure involving an incision through the lower lid conjunctiva so that no visible scarring takes place.
Is Blepharoplasty the right choice?
Blepharoplasty is a medical procedure meant to benefit those who feel bothered by the sagginess of their eyelids and feel that it is damaging their looks or troubling their eyesight. An eyelid surgery remains effective for as long as 6-7 years. It helps people do away with their dull, tired look sand even provides better vision.
Recovery from Blepharoplasty
After the surgical procedure is carried out a resultant swelling near the eyelids can be experienced to reduce which the patient is recommended not droop the head and keep it in elevation. Since it might take a week or two for the eyelids to fully recover, the patient can take up some home care measures. For instance ice packs can be arranged and clean gauzes can be used to clean the eyelids. The eyelids must be cleaned gently with water. Some pain relieving medication can be advised by the doctor as well as some ointment to treat the stitches. One can also opt for eye drops for better cleaning the eyes. The patient might be advised to visit the doctor for a check-up.

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