Blepharoplasty is the plastic surgery operation for correcting defects, deformities, and disfigurations of the eyelids; and for aesthetically modifying the eye region of the face. With the excision and the removal, or the repositioning (or both) of excess tissues, such as skin and adipocyte fat, and the reinforcement of the corresponding muscle and tendon tissues, the blepharoplasty procedure resolves functional and cosmetic problems of the periorbita, which is the area from the eyebrow to the upper portion of the cheek.
The operative goals of a blepharoplastic procedure are the restoration of the correct functioning to the affected eyelid(s) and the restoration of the aesthetics of the eye-region of the face, which are achieved by eliminating excess skin from the eyelid(s), smoothing the underlying eye muscles, tightening the supporting structures, and resecting and re-draping the excess fat of the retroseptal area of the eye, in order to produce a smooth anatomic transition from the lower eyelid to the cheek.
You are a good candidate for eyelid surgery if
- You have excess fatty deposits that cause puffiness in the upper eyelids.
- You have loose or sagging skin that causes folds or affects the natural contour of the upper eyelid, sometimes impairing vision.
- You have excess skin and fine wrinkles of the lower eyelid, bags under the eyes, or droopiness of the lower eyelids.
- Your general health is good.
- You don’t smoke.
- You have realistic expectations for improvement and not perfection.
Preparing for Eyelid Surgery
- Avoid aspirin, and other non-steroidal anti-inflammatory medications), Vitamin E, herbal supplements or any medications containing these compounds for two weeks before surgery.
- Refrain from smoking two weeks before and two weeks after surgery. Nicotine and tobacco smoke delay healing and can result in scarring. This is the perfect time to give up the habit.
- Avoid sun damage two weeks before surgery. While we recommend wearing a SPF 30 or higher, our physicians and staff wear a SPF 50 every day.
- Your prescriptions for after surgery (typically an antibiotic and pain med) will be given to you the day of surgery..
- Do not eat or drink anything, including water, after midnight the night before your surgery.
- Arrange for someone to take you home from the hospital. You will not be allowed to drive or leave alone.
It is important to keep cold compresses on the eyes the first 48 hours after surgery. Do not use an ice bag. It is also important for you to keep your head elevated the evening after surgery as well as for the first two weeks following surgery. This can be done by either sleeping in a recliner tilted at 45 degrees or sleeping with two pillows underneath the head. Avoid rolling onto your face. Sleeping on your back for the first two weeks after surgery helps to ensure this.