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Eyelid surgery (technically called Blepharoplasty) is a procedure to remove fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping eyelids and puffy bags below your eyes, features that make you look older and more tired up than you feel, and may even interfere with your vision. Blepharoplasty can be done alone or in conjunction with other facial surgery procedures such as a facelift or browlift.

Type of anesthesia - Upper Eyelid surgery can be performed under local anesthesia - which numbs the area around your eyes- along with oral or intravenous sedatives.

If upper and lower eyelid surgery is to be performed, general anesthesia is desirable.

Procedure

Blepharoplasty usually takes one to three hours, depending on the extent of the surgery (upper/lower/both upper and lower eyelid). If you're having all four eyelids done, upper lids are operated first, then the lower lids. In a typical procedure, incisions are made following the natural lines of your eyelids: in the creases of your upper lids, and just below the lashes in the lower lids. Working through these incisions, the skin is separated from underlying fatty tissue and muscle, excess fat removed, skin redraped and sagging skin and muscle excised. The incisions are then closed with very fine sutures.

If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, a trans-conjunctival blepharoplasty can be performed. In this procedure the incision is made inside your lower eyelid, leaving no visible scar.

After your surgery

Some amount of swelling and bruising is expected, which starts decreasing after 2 days. You should be able to read or watch television after two days. However, you won't be ready to wear contact lenses for about two weeks.

Post operative care : Most people feel ready to go out in public in a week. By then, you'll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and an individual sunblock made for eyelids when you go out.

Keep your activities to a minimum for three to five days, and to avoid more strenuous activities for about two weeks. It's especially important to avoid activities that raise your blood pressure, including bending, lifting, and rigorous sports. You will also be told to avoid alcohol since it causes fluid retention.

Results

Healing is a gradual process, and your scars may remain as an imperceptible thin line incorporated in the lid creases.

On the other hand, the positive results of your eyelid surgery-the more alert and youthful look-will last for years.

After surgery, the upper eye lids no longer droop and the skin under the eyes is smooth and firm

Before & After Blepharoplasty