Blepharoplasty is surgery that includes repairing droopy eyelids by removing excess skin, muscle and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, drooping upper lids and bags under your eyes. Besides making you look older, severely sagging skin around your eyes can impair your peripheral or side vision making it much more challenging to perform your daily activities. One of the main risks is inability to see your blind spot when driving. Blepharoplasty can reduce or eliminate such impaired vision.
In upper eyelid surgery, the surgeon first marks the individual lines and creases of the lids in order to keep the scars as invisible as possible along these natural folds. The incision is made, and excess fat is removed or repositioned, and then the loose muscle and skin are removed. Fine sutures are used to close the incisions, thereby minimizing the visibility of any scar.
As with any surgery, blepharoplasty carries some risks, such as poor healing, persistent fat or loose skin and muscle, dry eyes, and very rarely, visual changes or loss.
Talk to your doctor about the risks and how they apply to you. Understanding what's involved in blepharoplasty and weighing the benefits and risks can help you decide if this procedure is a good option.
For a week and a half following blepharoplasty, you will clean the eye area (the eyes may feel sticky, dry, and itchy). Eyedrops may be recommended. Your surgeon will also list activities and environments to avoid in the weeks immediately following surgery. Permanent stitches will be removed in seven to ten days after surgery. Self-absorbing stitches will dissolve on their own.
Scars from the incisions may take six months or longer to fade. Many people express satisfaction with the results of blepharoplasty, such as a more rested and youthful appearance and more self-confidence. For some people, results of surgery may last a lifetime, but for others, eyelid drooping eventually may recur.
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