Eyelid Surgery _Blepharoplasty_ by dfsiopmhy6


									Stuart McKirdy                                                BSc (Hons) StA., MB.ChB, MPhil, FRCSplast
Consultant Plastic, Reconstructive and Aesthetic Surgeon

Information Sheet

Eyelid Surgery (Blepharoplasty)
The area around our eyes can indicate age more than any            There is also another type of scarring called keloid scarring
other part of the face. We use our eyes to communicate with        which is very rare, but can be very difficult to treat. This is
others and also to show our emotions.                              where the scar tissue grows outside the boundaries of the
The process of blepharoplasty removes some of the excess           original scar, is raised and hard and can be a permanent
skin and tissue area around the eye to create a fresher, more      feature. Both of these types of abnormal scarring are
youthful look, without affecting the function of the eyelid.       extremely rare, and Stuart has never seen it after eyelid
Importantly eyelid surgery cannot remove dark circles under        surgery in his practice.
the eyes, lift sagging eyebrows or get rid of crow’s feet.
During your consultation with Stuart the expected benefits         Dry eyes, watery eyes and itchy eyes can occur after eyelid
of any surgery will be discussed, but he may also discuss          surgery. This is extremely unlikely if you have never had
non-surgical treatment options which may compliment any            any previous similar problems but if it does occur it can be
surgery or even negate the need for surgery at this time.          treated and in the vast majority of cases will settle. Very
                                                                   rarely do they become a permanent problem.
Upper lid blepharoplasty involves an incision in the natural       Blurred vision can occasionally occur after eyelid surgery, but
folds of the upper eyelid, and for lower lid surgery, just below   in the majority of cases will settle.
the lashes. Excess skin and tissue can then be removed             Blindness has been reported after this type of surgery. The
and the area will be closed with very fine stitching. The          evidence suggests that this occurs in only 1:1500 patients,
fine stitches aim to minimise scarring, but it is important to     so again is extremely rare.
realise that this scar is permanent.                               Both sides of the body are not symmetrical so therefore after
Blepharoplasty can be performed under local anaesthetic            any type of surgery which occurs on both sides there may be
for upper eyelid surgery, but in many cases a general              differences in the position of the scars and amount of tissue
anaesthetic will be performed for lower lid surgery. You may       removed.
require an overnight stay in hospital, but in some instances it    It is very important to remove only the necessary amount of
can be performed as a day case procedure. Depending upon           skin during eyelid surgery as removing too much may lead
your lifestyle and job you should arrange to be off work for a     to the eyelids not covering the eye properly. Occasionally
period of time to allow the area to heal. Lifting, straining and   further skin may need to removed at a later stage but it is
bending over should be avoided for one week and strenuous          much safer to do the surgery this way, as maintaining the
activity or sport should be avoided for at least six weeks.        function of the eyelids is paramount.

Following Eyelid Surgery                                           This information is by means not meant to frighten you,
                                                                   but merely give you some information in which to base
Blepharoplasty is generally not an uncomfortable procedure         a reasonable decision as to whether you wish to pursue
and many people require no painkillers at all. There will be       surgery.
varying degrees of bruising and swelling and your eyes
may be watery for the first two days but this can differ from
person to person. Generally, patients who undergo upper
and lower lid surgery will experience most bruising. If you
normally wear contact lenses you will be advised to refrain
from wearing them for about 6 weeks after surgery.
Immediately following surgery it may feel tight when closing
your eyes and you may even be unable to close your eyes at
first. This is not uncommon and will settle over the first two

Things to consider
Scarring is a necessary consequence of eyelid surgery but
is normally well disguised within the eyelid creases on the
upper lid. Most scars will settle eventually to a thin white
line but a very small proportion of people can develop scars
which are lumpy and red. This is known as hypertrophic
scarring and can take up to two years to completely settle.

                                                                        If you require any further support or advice
                                                                         please contact Lindsey on 0800 533 5440

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