What is Blepharoplasty?
Blepharoplasty is a cosmetic surgical procedure to reshape the eyelids. If you have eyelids that droop or have become puffy, blepharoplasty can help you to regain the original shape. Similarly, if you have developed ‘eyebags’ in the lower eyelids, blepharoplasty helps you in removing them.
As you grow older, the skin around the eyelids loses its tone leading to ‘sagging’. The muscles also become weak making the eyelid lose its elasticity. A combination of both these leads to sagging of eyelids. Deposition of fat in your lower eyelids can create ‘eyebags’. They make your lower eyelids look swollen or puffed up.
Both these conditions make you look tired and old. The freshness of the face becomes a thing of the past. But blepharoplasty can help you to restore the shape of the eyelids and to create a more youthful appearance.
Who is a candidate for Blepheroplasty?
Being an elective surgery, the choice is entirely yours. However the following factors are worth considering before the surgery.
• You should have a clear understanding about the results, risks and complications that can occur
• You should have realistic expectations regarding the outcome of surgery. Over expectation can lead to disappointment.
• You should be above eighteen years of age
• Your surgeon should be satisfied with your mental and physical health
You may undergo blepharoplasty if you have-
• Mild to moderate drooping of eyelids
• Moderate to severe puffiness of the eyelids
• Severe wrinkling of skin around the eyes
If you have an unfavourable anatomy of the orbit and associated structures, blepharoplasty is not for you. Certain medical conditions like Glaucoma, hypertension, cardiovascular dieases may also preclude you from undergoing blepharoplasty. They include:
All in all, you should consider a variety of factors to assess your suitability to undergo blepharoplasty.
Types of Blepharoplasty:
There are various types of blepharoplasty procedures. What is best for you is selected by the surgeon depending on your condition. You may undergo blepharoplasty for either upper or lower eyelids. A combination blepharoplasty may be done if you have problems with both eyelids.
Upper eyelid surgery:
This may be done if you have drooping or puffiness of upper eyelids. The surgeon will trim the skin around the eyelids after repositioning the fat deposits. This makes the skin around the eyelids taut and toned.
Lower eye lid surgery:
This may be done if you have eyebags beneath the eyelids. The surgeon will remove the fat deposits and trim away the skin. The skin is then repositioned to create a tight look.
Double eyelid surgery:
Also referred to as ‘Asian blepharoplasty’, this procedure creases the upper eyelid in the centre. This creates a ‘double eyelid’ look. If you aspire for this look, the surgery is best way to achieve one.
All the above-mentioned procedures are done through the skin around the eyelids. They may create a small scar initially which goes away with time. But if you don’t want a scar, there is a procedure called transconjunctival blepharoplasty for lower eyelids.
In this procedure, the incision is made in the conjunctiva instead of the skin. The advantages include the absence of an external scar and faster recovery. There is also less bruising and other surgical trauma around the eyes.
Blepharoplasty surgery procedure
Before surgery, one should stop certain medicines that can cause bleeding. They include Warfarin, ibuprofen, herbal preparations etc. Smoking should be stopped if one smokes.
The surgery is done usually under local anaesthesia. The anaesthetic is injected to the operating site with the help of a needle. If done in both eyelids, surgery of the upper eyelid is done first.
The incisions are made along the natural creases of the eyelids. This helps to hide the scars to a large extent. The surgeon then trims away the portions that cause sagging. This includes skin, muscles, fat tissue etc. Once this is done the incision is tightly sutured or stapled. The procedure takes about one to two hours. Once completed the patient is shifted to the recovery room.
Temporary discomforts soon after surgery include-
• Blurred vision
• Double vision
• Swelling of the eye lids
• Pain and irritation
Once these after effects disappear, the patient is shifted to the room. Discharge will be done the next day.
Blepharoplasty risks and complications:
The common risks are-
• Failure of surgery
• Irritation in the eyes
• Dryness of the eyes
• Blurring of vision
• Scarring of the surgical site
Do's and don’ts after surgery:
Icepacks should be applied to relieve swelling and pain. Strenuous activities should be avoided for a couple of weeks. Driving should be avoided for a short period. The eyes should be kept clean. Medicines should be applied to the eyes on time. Smoking should be avoided. Rubbing of the eyes should not be done. Sunglasses should be used to avoid sunlight, wind and dust. While sleeping, the head should be kept raised above the chest. Follow up appointments should be strictly followed. It will take some time for the results to show up and hence patience is necessary during this time.
Blepharoplasty cost in India is around 6,150 USD and duration of stay in hospital is one day. India has quite a good number of highly established exclusive eye hospitals with well experienced surgeons and ophthalmologists and latest technology-based infrastructure. This provides one with the best quality treatment at highly affordable price.