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Eye Lift Surgery (Blepharoplasty)

Eyelift surgery (blepharoplasty), is a medical procedure designed to improve the appearance of the eyes by removing excess skin and fat from the upper and lower eyelids. Surgery may be performed on the upper lid, lower lid or both eyelids at the same time and may be combined with other cosmetic surgery procedures.

The primary reason for having eyelift surgery is that puffiness or lower lid bags give a permanently tired look. Loose skin may also cause the eyelids to droop, giving a hooded appearance and making people look older than they are.

Eye lift surgery usually takes between one and three hours, depending upon the procedure and may be done under general or local anaesthetic.

How is eye lift surgery done?

Tissue laxity in the eyelids and swelling fat pads inside the eye socket contribute to wrinkles and puffiness of the eyelids. Blepharoplasty removes or redistributes excess fat, tightens or trims the eyelid muscle and removes excess skin. The remaining skin is tailored to look nice and smooth.

The procedure can be applied to either the upper or lower lids or to both at once depending on the requirements to the patient. When performed on the upper lid, blepharoplasty helps to produce a more wide awake look, while the removal of excess fatty tissue and wrinkled skin from the lower eyelid has a rejuvenating effect on the face, eliminating or reducing that ‘tired’ look.

Eye Lift Surgery is best suited to

People in their middle years who experience either upper lid laxity or lower lid bags or a combination of the two.

Puffiness or bags may be a more pronounced problem for women who retain fluid pre-menstrually or after crying. People suffering from thyroid disease may also get puffy eyes.

Puffiness is often more apparent in the morning because the fluid, which accumulates in the fat around your eyes as you lie flat, has not had time to disperse. For this reason, it often looks worse after a hard night. This accumulation tends to dissipate as you move about.

Blepharoplasty may also appropriate for young people with inherited problem of lax upper or lower lids, or fat herniation (fatty bulge). Some people have such severe lid laxity that their vision is affected. This condition may worsen with age.

Blepharoplasty Will

  • Address the issue of puffiness of the lower eyelids caused by swelling or growth of fatty tissue behind the muscle in the lower eyelid.
  • Treat upper laxity. Loose skin on the upper eyelid can sag down creating a hooded appearance, impairing vision and giving a tired look.
  • Smooth and redrape the skin to reduce the skin to reduce the appearance of creases. These are caused by aging which leads to skin laxity or sag. The skin may also be stretched by underlying fat and muscle action – hence such terms as smile lines. The eyelids can also be thickened by frequent screwing up of the eyes for example in bright sunlight.

Blepharoplasty Will Not

  • Resolve all cases of heavy or drooping lids. Loose upper lid skin can be effectively corrected by blepharoplasty. However if the issue is caused by heaviness of the eye- brow or forehead, a browlift may be a more appropriate procedure.

The Initial Consultation

An examination is necessary to find out whether the problem is involves the upper or lower lids or both. Your surgeon will try to decide whether it is possible to achieve the results you want by operating on the eyelids alone or whether it may be necessary to do some other procedure, for instance, a browlift.

You may qualify to have all or part of your procedure covered by your health insurer for upper eyelid blepharoplasty. There are specific criteria which make a patient eligible. Your surgeon should be able to discuss this with you and offer advice before you talk to your insurer.

The condition of your lower lid skin needs to be assessed to make sure it has enough tone to spring back properly. If it does not, your surgeon may be reluctant to recommend surgery on your lower lids.

Your surgeon will probably examine your range of eye movements to exclude any pre-existing muscle weakness and test your eyesight. If there is an y doubt about your sight, you mat be referred to an ophthalmologist for further investigation. People who are blind in one eye, or who have diminished vision in one eye, are generally advised against surgery in the unlikely event that the normal eye is affected by surgery.

Next: Before Eye Lift Surgery


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