What Is Eyelid Surgery?

Eyelid surgery, called blepharoplasty, is a type of cosmetic surgery that removes excess fat from the upper and lower eyelids. Age, illness, and even heredity can result in puffy or drooping eyelids that cause individuals to look tired and worn out. In extreme cases, sagging eyelids may even interfere with vision. Eyelid surgery can correct this by removing extraneous fat and trimming sagging skin and muscle tissue. Once the incisions have healed and the swelling has gone down, eyes look rejuvenated, more alert, and youthful.

Selecting a reputable plastic surgeon is critical to a successful surgery. The surgeon you select should be Board Certified and have considerable experience with blepharoplasty. Once you have selected a surgeon, the initial consultation is very important. Make sure to bring detailed copies of your medical records, since the doctor will need to complete a medical history. The doctor will perform a close examination of your eyes and eyelids, including a vision exam, as well as discuss your goals for the surgery. Your surgeon will also use the initial consultation to go over the details of the procedure, the expected results, the risks, and the costs involved.

If you are considering eyelid surgery, it is important to thoroughly research the procedure, even if this just means talking over the details with your surgeon. Blepharoplasty is a relatively safe procedure, although like all other surgeries, you do run the risk of complications. When performed by a qualified surgeon, complications resulting from blepharoplasty are infrequent and typically minor. Minor complications may include temporary swelling of the eyelids, excess tearing, temporary blurred or double vision, tissue tenderness, sensitivity to light, and scarring at the site of the incision. More serious complications include infections and a reaction to the anesthesia used in the procedure. Occasionally patients find that they have difficulty closing their eyes after blepharoplasty. Most often this is a temporary side effect, although there have been reports of the condition becoming permanent. In rare cases, patients may experience a pulling down of their lower eyelids, called ectropion, which requires additional surgical procedures.

Most eyelid surgeries are performed under a local anesthesia which is used to numb the tissue and muscles around your eyes. Your surgeon may also give you a sedative, either orally or intravenously, to help relax you since patients are kept awake during the procedure. Under local anesthesia, you will not feel any pain but may experience some tugging or pressure during the surgery. In certain circumstances, some surgeons opt to perform blepharoplasty under a general anesthetic, in which case the patient is asleep throughout the entire procedure.

The surgeries typically last from 90 minutes to 3 hours, depending on how many eyelids are to be corrected. During the procedure, the surgeon makes small incisions along the natural lines of the eyelids