Eyelid (Blepharoplasty) Surgery Austin
Eyelid surgery is also known as blepharoplasty. A blepharoplasty is a procedure performed on the upper or lower eyelids that is designed to remove excess skin or bulging fat. An incision is made in the upper lid crease or just below the lash line on the lower lid. An alternative transconjuntival approach means an incision on the inside of the lower lid. It’s important to be aware that the many patients complaining of upper eyelid fullness actually need a brow lift as their eyebrows have descended over time and this is responsible for the upper eyelid fullness.
Dr. C's Take
In expert hands, an upper blepharoplasty is wonderfully refreshing with little downside. A lower blepharoplasty is performed in an area of sensitive anatomy that requires caution and conservatism. In general, less is more when it comes to blepharoplasty. Leaving enough fat and fullness to the lids is important in creating a more youthful result. An upper blepharoplasty is distinctly different from a brow lift and you should understand these differences. Combining a blepharoplasty with an acid peel is common as the acid is used to soften the fine wrinkling about the eyelids and help those who have darker skin discoloration about the eyes.
Local anesthesia (numbs the area around your eyes), or IV Sedation with local. Some patients prefer general anesthesia. Our anesthesiologist will discuss this with you. Many patients often prefer at least some sedation when considering a blepharoplasty because of the sensitive area being treated (no peeking!). If you are having multiple facial procedures done at the same time, general anesthesia is preferred.
Risks and Benefits:
Temporary discomfort, tightness of lids, swelling, bruising, temporary dryness, burning, itching of eyes, excessive tearing, and sensitivity to light for first few weeks. Less common problems include temporary blurred or double vision, infection, bleeding, swelling at the corners of the eyelids, dry eyes, formation of whiteheads (milia), slight asymmetry in healing or scarring, difficulty in closing eyes completely (rarely permanent), pulling down of the lower lids (may require further surgery), and blindness (extremely rare).
The removal of too much skin or fat is undesirable. Lower eyelid retraction (the rounded eye appearance) is to be avoided by appropriate and conservative treatment. A canthopexy or lower lid tightening may be needed at the time of your procedure to minimize the potential for lower eyelid malposition. The benefit of a blepharoplasty is the removal of excess skin with a more “bright eyed,” youthful look. Removal of bulging fat will make your eyes appear less tired and old. What is the first thing you notice when you look at a persons face? Eyes are what others are going to notice immediately—beautiful eyes are at the epicenter of facial beauty.
After surgery, your eyesight will seem blurry, as lubricating ointment was placed in your eyes during surgery. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by us. You will be instructed to keep your head elevated for 7-10 days while in bed, and to use cold compresses to reduce the swelling and bruising. Bruising varies from person to person; it reaches its peak during the first 2-3 days and can last 2-3 weeks. Your eyes may be “gummy” for a week or so. We recommend eye drops, since your eyelids may feel dry at first and your eyes may burn or itch.
The stitches will be removed 3-5 days after surgery. Once they’re out, the swelling and discoloration around your eyes will gradually subside, and you’ll start to look and feel much better. You should be able to read or watch television after two or three days. However, you won’t be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while. In about four to five days, depending on your rate of healing and your doctor’s instructions, you’ll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses. It takes about six months for all the swelling to diminish.