Eyelid surgery (Blepharoplasty)

Eyelid surgery (Blepharoplasty)

Blepharoplasty is a type of eye surgical intervention that repairs droopy eyelids. This surgery may involve removing excess connective tissues (skin, muscle and fat) from the eyelids. With advancing age, your eyelids stretch, the fat tissue increases, and the muscles supporting them weaken. This results in the accumulation of excess fat under and above the eyelids, causing droopy upper lids, sagging eyebrows, and bags under your eyes.

Sagging skin around your eyelids can reduce your side vision (peripheral vision), makes you look older, and may lead to eye complications. Blepharoplasty can eliminate or reduce these vision problems, restores peripheral vision, and make your eyes more alert and appear younger.

Why it’s done

Blepharoplasty is the best option for people who have droopy or sagging eyelids that pull down your lower eyelids, reduces peripheral vision, or keep their eyes from opening completely. Removing excess skin and muscles of your eyelids can improve your vision and help restore the original shape of the eye. 

The type of blepharoplasty – upper eyelid blepharoplasty and lower eyelid blepharoplasty – depends on certain factors. These surgical interventions can be an effective option if you have;

  • Bags under your eyes
  • Baggy or droopy upper eyelids
  • Excess skin on the lower eyelids
  • Excess skin and muscles of the upper eyelids that reduces your peripheral vision.

Your eye surgeon can do the blepharoplasty procedure at the same time as another eye procedure, such as a skin resurfacing, brow lift, or face-lift.

How it’s done?

Blepharoplasty is an outpatient procedure; i.e., it is usually done in an outpatient setting and doesn’t require hospital admission. Your surgeon injects anaesthetic (numbing) agent into your affected eyelid and may administer intravenous medication to help reduce pain sensations.

If your surgery involves the intervention of both upper and lower eyelids, your doctor generally works on the upper lids first. After numbing the local area, he cuts along the fold of the affected eyelid, excise extra skin, fat, and muscles, and stitches the cut.

On the lower lid, he will make a cut inside the lower lid or just below the lashes in your eye’s natural crease. It is followed by removal or redistribution of excess muscle, fat, and sagging skin.

The complete procedure may take 20 to 30 minutes. After surgery, you will be retained in the recovery room for a few hours to monitor for complications. You will be later discharged on the same day to recuperate at home.


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