Blepharoplasty is performed through localized incisions in the natural lines of the upper eyelids and then down the eyelashes in the lower eyelids. After performing the incision on the skin, the surgeon separates the skin from the underlying musculature and fat, removes excess fat from the eyelid bags and removes areas of flaccid muscle and skin. The incisions are saturated with fine and delicate threads. The region of the eyelids shows a very favorable healing profile and the scars tend to be imperceptible after some months. Some patients have fat pockets below the lower eyelids, without sagging skin. In this case we can indicate the transconjunctival blepharoplasty, where the incision and the removal of fat from the bags is done through an incision inside the lower eyelid, without leaving external scars.
In most cases local anaesthesia with sedation is used. In rare cases the surgery is performed under general anaesthesia. The latter is performed in patients who have clinical contraindications to local anaesthesia or when blepharoplasty is performed concurrently with some other surgeries.
Plastic surgery of the eyelids usually lasts about 90 minutes. Depending on the case, there are details that can prolong this time.
Length of stay
If the patient has received local anaesthesia, the hospitalization time will vary from 6-12 hours. If the patient needs general anaesthesia that time will be 12-24 hours.
In general, the patient evolves postoperatively without pain. If there is a greater sensitivity or even small outbreaks of pain, these can be perfectly resolved with the use of common analgesics.
Edema of the eyes
The edema (swelling) of the eyes varies according to the patient.
There are those who already on the 4th or 5th postoperative day present a quite natural aspect. Others achieve this result after the 8th day. In general, in the first three days postoperatively, there is evidence of edema of the eyelids. The use of dark glasses may be useful in this phase, as well as the use of cold compresses to reduce the intensity of the same. Only after the third month can you tell if the residual edema is discrete and if it does not compromise the final result.
The recovery of plastic surgery of the eyelids
Patients undergoing blepharoplasty should maintain absolute rest for 2 days, keeping the head always elevated for 7 days and avoiding physical exertion for approximately 3 weeks. In the first few days, there may be lacrimation, discomfort in the eyes, a sensation of light burning and visual obscuration. These symptoms are normal and can be alleviated with the use of appropriate eye drops.