The skin of the eyelids tends to become more flabby with aging, as well as the muscles that support the eyes. Some people are more likely to form pockets of fat under the eyelid. This is aggravated by the loss of muscle tone that keeps the bags. Over time, the flaccid musculature, associated with excess skin, causes the eyelids to become heavy and droopy. This process can be accelerated by sudden weight loss, allergic processes, eye changes and even thyroid problems.
Eyelid surgery, or blepharoplasty, is a procedure to remove excess skin and fat bags that accumulate on the upper and / or lower eyelids, giving the face a rejuvenated appearance.
In upper blepharoplasty, a horizontal fold of skin is removed from the center of each upper eyelid, so that the scar is located along a natural crease, remaining hidden when the eyelid is open. In the lower blepharoplasty, the incision is made just below the lashes, so that the scar remains in the shadow area and extends so that it is not visible.
Surgery is usually performed under local anesthesia under outpatient surgery and takes from one and a half to two hours. The patient can perform the procedure with sedation if he wishes. In this case, the patient sleeps, but it is not necessary to take general anesthesia, greatly reducing the risk of complications.
After surgery, the patient may experience burning in the eyelids, but it is not common for the pain to be severe. It is usual for some bruises to appear (purple spots and swelling) around the eyes. For this, cold saline compresses can be used right after the procedure.
The suture stitches are removed three to five days after surgery. Recovery takes place in one week and the marks disappear two to three weeks later. The results appear gradually, as the bruises and swelling subside.
During the postoperative period, it is important to avoid movement, abrasions and excessive use of force in the treated region. In most cases, the scars become imperceptible six to twelve months after the procedure. In people prone to the formation of keloids, the scars can be maintained, and that is why it is necessary to discuss this risk in the preoperative consultation.
Men and women can undergo blepharoplasty, which can correct some permanent conditions, but does not interrupt the natural aging process of the skin, making it necessary to maintain regular care with photoprotection and other measures. Before the procedure, it is important to inform the doctor about eye problems, such as glaucoma, dry eye etc. You also need to report cardiovascular disease, circulatory problems, high blood pressure or diabetes.