Know All About Eyelid Surgery

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How To Get Rid Of Droopy Eyelid?

A number of factors can result in the weakening of eye muscles which lead to sagging upper eyelids or under eye bagginess. With increasing age, eye muscles get fatigued causing loose folds in the eye lids. This loosened skin impairs the vision. This also results in difficulty while wearing contact lenses. Other medical conditions include irritation due to excess folds of eyelid skin rubbing together or forehead discomfort from the overused muscles holding the sagging skin.


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An Eyelid Surgery can cure droopy eyelids.

What Is Eyelid Surgery?

Eyelid surgery cures droopy eyelids and clears the field of vision. It is an effective way to counter signs of ageing near the eyes and provides a more youthful appearance to the face. The procedure aims to remove excess skin, fat and muscles in the eyelids. It can be performed on both upper and lower eyelids. The procedure is popular among women to eliminate the tired and old look from their eyes.

Eyelid Surgery is also commonly called Blepharoplasty or Eye Lift.


Who Are The Ideal Candidates For Eyelid Surgery?

The following are the ideal candidates for eyelid surgery:

Individuals who have naturally occurring excess or loose skin on their upper eyelids that impair their vision

Individuals with a puffy appearance on the upper or lower eyelids

Individuals with bags and dark circles under their eyes

A candidate must be aged more than 18 years


What Are The Different Types Of Eyelid Surgery?

Eyelid surgery takes place either on the upper eyelids, or on the lower eyelids.

  • Upper eyelids: The upper eyelids can droop due to the presence of excess muscle, fat or wrinkles, causing you to seem angry, lazy or sleepy, even when you’re not. The surgery for upper eyelids calls for the removal of this excess skin or muscle so as to give you a more natural look.

  • Lower eyelids: The lower eyelids can form ‘bags’ under the eyes which give an unpleasant look, and make the onlooker think that you’re tired, or haven’t slept well. This happens due to the loss of skin elasticity or collection of herniated fat in the under-eye area. In young patients, the puffiness can make them seem much older.

Surgery for the eyelids can either take place for the upper/lower eyelids, or for both. The procedures for their surgery are of different kinds.

  • Upper eyelid surgery: The surgery to fix upper eyelids includes an incision, made along the skin, or the naturally occurring wrinkle on the upper eyelid. This is cut and removed with great precision. The cut is stitched back to give a smoother and tighter skin above the eye.

  • Lower eyelid surgery: Incisions are the most commonly used technique for lower eyelid surgery. The surgeon can make an incision either on the edge of the eyelid to transfer fat or inside the eyelid. At times, laser resurfacing is also used to tighten the skin and remove wrinkles. Another technique is the use of Hyaluronic acid fillers. These are injected into the tear trough to rejuvenate the appearance of the under eye area.

  • The transconjunctival approach uses an subciliary incision, that is, an incision is made along the eyelashes of the lower eyelid. This is done to reduce visibility of the procedural scars.

  • An alternative option for this surgery is laser eyelid surgery. It doesn’t involve the usage of a scalpel or sutures. It is suited for hooded eyelid and baggy under eyes. The laser resurfaces the wrinkled skin and detaches it from the deeper wrinkles, hence resulting in smoother skin.


What To Do Before Eyelid Surgery?

You can take a number of precautions to make sure that the surgery is safe and the outcome is the best possible. The precautions include the following points:

  • Stop smoking at least six weeks before the surgery in order to build a strong immune system. In addition, stop consuming alcohol two weeks before the surgery as it can prolong the recovery time. 

  • Do not take aspirin or anti inflammatory medication, homeopathic medicine or vitamin tablets. They can increase bleeding.  

  • Keep yourself adequately hydrated for safe recovery and an optimum outcome. 

  • Do not wear make up, cream, or any other cosmetic on the day of the surgery. In addition, do not wear lenses, false eyelashes or jewellery on the day of the surgery. 

  • You can ask the doctor a number of questions to gain clarity about the procedure. It will also help you gain confidence in your surgeon. You can ask about the visibility of the scars, the recommended anesthesia, and the realistic results.

  • Make sure you have groceries, ice cubes, sterile gauze pads ready for aftercare at home.


What Is The Post-Operative Care For Eyelid Surgery?

  • There might be some lingering effects of sedation after the surgery. Make sure that there is someone to take you to your hotel after the surgery. Additionally, do not drive or make major decisions for at least 24 hours after the surgery. 

  • The eyelids tend to get swollen and bruised after the surgery. This subsides naturally during the recovery stages, but you can facilitate the process by applying ice cubes and keeping your head elevated.

  • Sometimes, there is discolouration around the surged area, or even in the white of the eye. This condition doesn’t cause any pain or impair vision and subsides naturally in a week to ten days. 

  • Avoid bending, straining the eyes, or lifting heavy objects till week 1 stage of the healing. Do not smile or yawn excessively. This can cause unnecessary strain on the muscles around the treated area or cause the stitches to open. 

  • Sleep in an upright position and keep your head elevated. Use extra pillows for the same. 

  • In case you experience pain, take doses of Tylenol or any other after care medication prescribed by the doctor. Do not take aspirin, motrin or aleve. These can increase bleeding.


What Is The Post Procedure Diet?

For 24 hours after the surgery, a liquid diet is recommended. On the second day, you can start eating soft and easily chewable food.

For the next few weeks, the diet should include healthy and nutritious food that will contribute to a fast healing process. This includes green vegetables and raw fruits.

Do not drink alcohol for 3 weeks after the surgery, especially during the time you are taking pain medication. It can lead to unnecessary bleeding.

Avoid smoking until the time you have recovered from the surgery. The nicotine in smokes hampers the recovery process. Do not be near a smoker. Passive smoking is just as harmful as smoking.


What Are The Realistic Expectations From An Eyelid Surgery Procedure?

  • An eyelid surgery does not always aim to enhance the patient’s appearance; it is often performed to give the patient an expanded range of view. In such cases, the eyelid surgery is a necessity. 

  • In the case of an elective eyelid surgery, consider revising your expectations from the surgery. 

  • Do not undergo the surgery to bring about a change in the other individual's’ perception of you, the surgery can only bring about a change in your self esteem and level of confidence. 

  • The result of eyelid surgery should be seen for both its pros as well as cons. The pros include either an enhanced appearance or a better view, while the cons include the chances of infection, permanent scarring and bleeding, which will occur as early as a day after the surgery and as late as a 4 days.

  • The effects of blepharoplasty last for a lifetime.


What Are The Pros And Cons Of Eyelid Surgery?

  • Pros

  • Cons

  • A blepharoplasty wipes out the puffiness around the eyes. It removes all fine lines around the outer edges of the eye and also helps in reducing eye bags around the lower eyelid. Around the upper eyelid, it eliminates hooded skin. 

  • It makes a person’s eyes look younger. The individual’s face become healthier and refreshed. 

  • Eyelid surgery is effective in curing certain vision problems. It improves peripheral vision by removing any fat that blocks the eye. By altering the drooping eyelids, it expands the line of sight of a person.

  • Any scars caused by the surgery are unnoticeable since they get hidden in the eyelid creases.

  • It benefits the patient by providing comfort to the forehead by easing tension in brow muscles to lift the eyes.

  • The results of an eyelid surgery like any other cosmetic surgery take time to show. 

  • There can be some scarring, bruises and swelling after an eyelid surgery. Some asymmetry in eyes may also be visible. However, if the patient chooses a qualified surgeon, with considerable prior experience in the field, there is no risk and negligible abrasion. 

  • It can also lead to itching and dryness. This is easily cured by the use of topical medication like eye drops that a surgeon usually prescribed after the surgery.

  • At times, an eyelid surgery may also lead to temporary double vision and blindness. This only lasts for a couple of hours after the surgery and the patient can gain complete vision in a day. 

  • Tiny whiteheads may result after the surgery. These are common and easily removable with fine needles.


Who Should Avoid Undergoing Eyelid Surgery?

  1. Individuals who have tight facial skin and tight eyelids.

  2. Individuals who have a tendency to scar or repair slowly from a injury.

  3. Individuals who are less than 18 years of age. 

  4. Individuals who have other eye problems such as cataracts.


What Are The Alternatives To Eyelid Surgery?

An eyelid surgery or a blepharoplasty aims at correcting baggy and sagging skin around the eyes, through incisions.

If a patient does not want to opt for a blepharoplasty, then s/he may choose from other alternatives. 

Laser skin resurfacing involves the use of laser treatment to stimulate collagen production and thereby reverse sun damage and signs of ageing around the eyes. It is relatively less intrusive, but is more time taking and may not provide as dramatic a result as an eyelid surgery.

Thermage : It is a relatively new technique, in which radiofrequency waves are transmitted onto the skin to smoothen out wrinkles and creases. It tightens the skin and reduces signs of ageing. The procedure requires minimal down time. However, the results it provides are not long lasting and less dramatic.

Fillers: For treating droopy or sagging eyelids, botox and dermal fillers can be injected, which help to pull up the skin in the effecting areas, thus producing a more youthful and rejuvenated look. These restore volume and fullness around the eyes. However, these are temporary, need to be repeated and do not work for deep depressions.


Will Eyelid Surgery Lead To Scarring?

The scars that result from eyelid surgery are apparent only during the time when the eye is either swollen or bruised. This usually happens a few days after the surgery. Once the swelling/ bruising subsides, the scars begin to heal and eventually become invisible. 

However, the quality of care that follows the surgery highly determines the permanency of the scar. If you take adequate care, follow the post operative instructions given by the doctor, you can expect invisible scars.


What Are The Temporary Side Effects Of Eyelid Surgery?

There are a few complications that you might have to face in the days the following an eyelid surgery. However, they are all temporary and can be dealt with, without the assistance of a doctor.

  • Difficulty in closing the eye when sleeping. The incision can feel itchy or dry. 
  • Blurred vision 
  • Swelling and bruising 
  • Scarring

Additionally, a number of risks relating to the procedure should also be acknowledged. These include:

  • Changes in sensation 
  • Drooping 
  • Bleeding

To treat the temporary risks, apply ice on the affected area and keep the head elevated. In addition, do not exert the eye by reading or focusing on a screen. Do not smile or exercise your facial muscles; it can cause bleeding. In case you experience any of the risks such as bleeding, get in touch with your doctor right away.


How To Choose A Surgeon For An Eyelid Surgery Procedure?

While choosing a surgeon, consider whether he/she can perform the surgery keeping in mind the differences in the facial features, eye structure, age, as well as ethnicity of the patient. 

While considering various doctors, look at the before and after photos from the surgery. Focus on the individual who look similar to you, are your age and share your ethnicity. On the basis of this, decide whether you like the results of the surgery performed on such individuals. 

In addition, you should even consider the educational qualifications of the surgeon. Consider a surgeon who specialises in eyelid surgery. The beauty of medical tourism is that there is widespread availability of specialists in the narrowest of fields. Choosing the right surgeon can substantially decrease the chances of complication like scarring and other side effects.

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