Blepharoplasty for Eyelid Rejuvenation Eyelid surgery

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					Blepharoplasty for Eyelid Rejuvenation
Dr Thanos Lambiris, PhD
Consultant Dermatologist and Dermatological Surgeon

                                                  "Eye Lift" Surgery
                                                  Blepharoplasty, an operation designed to
                                                  eliminate excess skin and recontour the eyes by
                                                  sculpting skin and fatty tissue, is an ideal way to
                                                  eliminate the puffy, tired look around your eyes. In
                                                  younger individuals, blepharoplasty usually is
                                                  performed to remove and sculpt fatty tissue only.
                                                  In older patients, loss of skin tone may require
                                                  excision of superfluous skin as well. Occasionally
                                                  the eyelid itself is lax and needs to be tightened.

                                                  Before the Procedure
                                                   After your examination, variables that influence
                                                   the decisions involved in the procedure, such as
                                                   age, skin condition, health of the eyes, and other
                                                   physical and medical considerations will be
                                                   discussed. It is important that ocular problems that
                                                   impede vision or affect tear duct function are
                                                   recognized before surgery. If detected, these
conditions include eyelid ptosis (drooping condition of the upper eyelid), entropion or ectropion (an
eyelid that is rolled inward or outward), epiphora (tearing) and keratoconjunctivitis sicca (dry eyes).
During your initial visit, specific details of your case, including the surgical technique to be used,
the anaesthesia and where the operation will be performed are covered. Additional factors to
consider before electing blepharoplasty, such as risk and cost, are also discussed.
Thousands of blepharoplasties are performed successfully each year. Nevertheless, you should be
aware of the potential risks of surgery and specific complications associated with blepharoplasty.
Post-operative complications such as infection or blood clots are rare. Bleeding, a serious
complication, can be avoided by judicious use of ice in the post-operative period and avoidance of
aspirin or products that contain aspirin for two weeks prior to surgery. Poor healing may cause
noticeable scars and necessitate further surgery. Risk of complications can be minimized by
closely following your surgeon's advice on follow-up care during the healing process.

The Procedure
Blepharoplasty is an outpatient procedure. Intravenous medications may be administered to allow
relaxation. The local anaesthetic numbs the area to be operated. The extent of the procedure
depends on your individual concerns and the changes you desire. The exact location of the
incisions will be determined at the pre-operative visit and discussed with you in detail.

          London Office Tel: +44 (0) 1895 821811 - Athens Office Tel: +30 210 8019908
Upper Eyelid Surgery
Upper blepharoplasty is performed through an incision in the crease of the upper eyelid. These
incisions follow natural skin folds and generally extend into the fine wrinkles, or crow's feet, at the
outer edge of the eyes. Working through the incision, the skin is separated from the underlying
fatty tissue and muscles. Exposed fat and excess skin are trimmed. Adjustments are made in each
upper eyelid to establish symmetry. The number and type of sutures to close the incisions vary and
depend on multiple factors. Once healed, the hairline scars fade and become invisible within six to
eight weeks.

Lower Eyelid Surgery
Unlike the upper eyelid, the fat compartments of the lower eyelid can be approached from a skin
incision in the conjunctiva, which is the moist inner lining of the eyelid. A skin incision is used if
excess skin is present that requires excision. The advantage of the conjunctival incision is that a
scar and the need for sutures is avoided. Other advantages of the conjunctival incision include a
shortened surgery, reduced bruising, lower risk of post-operative complications, and speedy wound
In some patients, the conjunctival incision can be made with a carbon dioxide laser, which can
shorten the healing process. With either the skin or conjunctival incision, fat is removed to
recontour the lower eyelid for the purpose of reducing the pouches that cause the "tired eyelid

Post-Operative Recovery
After surgery, there may be some soreness and discomfort. If mild pain is experienced, it is easily
controlled by medication. Eyelid skin, being the thinnest skin of the body, tends to swell and
discolour rapidly after surgery. You will be asked to keep your head slightly elevated and apply ice
to your eyelids to help reduce swelling and bleeding. The bruised appearance clears in 10 to 14
days, and shortly after you will begin to see the results of your surgery.

          London Office Tel: +44 (0) 1895 821811 - Athens Office Tel: +30 210 8019908

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