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Service Information
Surgical Procedure
The
upper eyelid incision is made in the natural skin fold. Excess skin
and fatty tissue is removed, the muscles and orbital septum (a thin
connective tissue membrane) may be tightened, and the incisions are
carefully closed. The external incisions are hidden within the natural
fold of the upper eyelids. Much of the operation is done with a very
fine electrocautery, which controls any bleeding. The skin is then
closed with very fine sutures.
Duration of Operation
One
hour
Risks and Complications
When
eyelid surgery is performed by a qualified plastic surgeon, complications
are infrequent and usually minor. Nevertheless, there is always a
possibility of complications, including, bleeding, infection or a
reaction to the anesthesia. You can reduce your risks by closely following
your surgeon's instructions both before and after surgery.
The
minor complications that occasionally follow blepharoplasty include
double or blurred vision for a few days; temporary swelling at the
corner of the eyelids; and a slight asymmetry in healing or scarring.
Tiny whiteheads may appear after your stitches are taken out; your
surgeon can remove them easily with a very fine needle.
Following
surgery, some patients may have difficulty closing their eyes when
they sleep; in rare cases this condition may be permanent. Another
very rare complication is ectropion, a pulling down of the lower lids.
In this case, further surgery may be required.
After Care
After
surgery, the surgeon will probably lubricate your eyes with ointment
and may apply a bandage. Your eyelids may feel tight and sore as the
anesthesia wears off, but you can control any discomfort with the
pain medication prescribed by your surgeon. If you feel any severe
pain, call your surgeon immediately.
Your
surgeon will instruct you to keep your head elevated for several days,
and to use cold compresses to reduce swelling and bruising. (Bruising
varies form person to person: it reaches its peak during the first
week, and generally lasts anywhere from two weeks to a month.) You'll
be shown how to clean your eyes, which may be gummy for a week or
so. Many doctors recommend eyedroppers, since your eyelids may feel
dry at first and your eyes may burn or itch. For the first few weeks
you may also experience excessive tearing, sensitivity to light, and
temporary changes in your eyesight, such as blurring or double vision.
Your
surgeon will follow your progress very closely for the first week
or two. The stitches will be removed two days to a week after surgery.
Once they're out, the swelling and discoloration around your eyes
will gradually subside, and you'll start to look and feel much better.
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