Blepharoplasty (Eyelid surgery) is a relatively simple surgical procedure, considered the most effective and lasting option to rejuvenate the eye area. Here’s a comprehensive guide to the procedure. (1)

What is Blepharoplasty?

Blepharoplasty is a surgical procedure aimed at removing excess skin, drooping eyelids, and bags around the eyes. It can be performed on the upper eyelids, lower eyelids, or both, providing a more youthful appearance, brighter eyes, improved peripheral vision, and lighter eyelids. (1)

Indications

The surgery can be performed for either cosmetic or medical reasons, including: (2)(3)

• Cosmetic Reasons: It is often done to eliminate signs of aging, such as sagging skin and puffiness around the eyes.
• Medical Reasons: For individuals with severe sagging or drooping eyelids that obstruct part of their peripheral vision.

Ideal candidates for this procedure are those in good health who do not have serious eye conditions that could affect the surgery's outcome or recovery.

Results

Results of blepharoplasty are generally permanent, though slight changes in the appearance of the eyelids may occur with aging. It is crucial to choose an experienced surgeon and follow post-operative instructions carefully to achieve the best results. (4)

Comparison: Blepharoplasty vs. Thread Lifting
When comparing blepharoplasty to thread lifting, blepharoplasty is considered the more permanent and effective solution. The following table highlights the key differences between the two procedures:

If you are considering blepharoplasty, consult with a cosmetic surgeon or ophthalmologist to assess your condition and determine whether this surgery is suitable for you and what results you can expect. (1)

Risks

Blepharoplasty is generally safe, but as with any surgical procedure, there are potential rare risks and complications that may include: (1)(3)

• Anesthesia risks.
• Bleeding.
• Infection at the surgical site.
• Asymmetry in the results.
• Scarring.
• Dry eyes.
• Changes in skin sensation or numbness in the lashes.
• Difficulty closing the eyes.
• Temporary or permanent vision problems.

Preparation

Before undergoing blepharoplasty, your doctor will ask about your medical history and any conditions you have, such as dry eyes, glaucoma, allergies, circulatory issues, thyroid problems, and diabetes. (2)

Your doctor will discuss your goals and conduct tests such as a comprehensive eye exam, visual field test. You may be asked to stop certain medications and supplements, as well as quit smoking. (2)

Surgery Steps

Blepharoplasty is typically performed under local or general anesthesia, depending on the patient's condition and the nature of the procedure. It usually takes 45 minutes to two hours. (5) The surgeon makes a small incision in the crease of the upper eyelid, lower eyelid, or both, to remove excess skin and fat, then closes the incision with fine stitches (removed after 5-7 days if non-dissolvable). (6)

Recovery Side Effects:

Immediately after surgery, the doctor may apply a moisturizing ointment and cold compresses. In some cases, your eyes may be covered with gauze. You might experience blurry vision due to the ointment, light sensitivity, and your eyes may feel dry or watery. (6)

Mild pain, swelling, and bruising are normal and should gradually disappear after about two weeks. These can be alleviated by using: (6)(7)

• Medications and ointments.
• Ice packs immediately after surgery for 72 hours, followed by warm compresses.
• Elevating your head with a pillow.

Scars may be visible for a few months, and full recovery may take several months. (5)

Doctor’s Instructions:

Your doctor will provide detailed care instructions, including: (5)

• Using prescribed eye drops or ointments.
• Following pain management and protective dressing guidelines.
• Getting plenty of rest, keeping your head slightly elevated when lying down for a few days.
• Wearing sunglasses to protect your eyes.
• Avoiding strenuous activities and exercises.
• Avoiding rubbing your eyes or wearing contact lenses.
• Avoiding smoke and smokers.

Resuming Normal Activities:

• Returning to work: After about a week, but avoid strenuous activities and bending.
• Resuming physical activity: Gradually, 2-4 weeks post-surgery.
• Driving: 1-2 weeks after surgery. (6)

When to See a Doctor?

Seek medical attention immediately if you experience any of the following symptoms: (2)

• Shortness of breath.
• Chest pain.
• Irregular heart rate.
• New severe eye pain.
• Bleeding.
• Vision problems.

Prepare for a more youthful and vibrant appearance! Our expert medical team in the Ophthalmology and Plastic Surgery departments at Dr. Soliman Fakeeh Hospital is highly experienced in various eye and cosmetic surgeries, ensuring safe and effective results. Schedule your consultation today.

References

1. Blepharoplasty (Eyelid Surgery): What It Is, Details & Recovery, Cleveland Clinic
2. Blepharoplasty, Mayo Clinic
3. Eyelid Surgery, American Society of Plastic Surgeons
4. Eyelid Surgery Results, American Society of Plastic Surgeons
5. Eyelid surgery, NHS
6. Blepharoplasty | Cosmetic Surgery, Stanford Medicine