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Eyelid Surgery – Frequently Asked Questions (FAQs)

What is Blepharoplasty?

Blepharoplasty is more commonly known as an eyelift or eyelid lift, and it is the second most popular cosmetic procedure in the UK today.  The procedure can include your upper lids, lower lids, or both; and its goal is to give you a more alert and rested appearance.

Who is a Good Candidate for Blepharoplasty?

As with all surgical procedures, the best candidates for eyelid surgery include men and women who are in good health and who have realistic expectations about their outcome.  Patients that benefit most from this type of surgery include people who have excess or sagging skin around the eyes or those who have “hooded” eyes. Blepharoplasty can also be very effective in removing the “bags” underneath the eyes, as well as improving fine lines and wrinkles around the eye.

What are the risks involved with a Blepharoplasty?

As with any surgery, though rare, a blepharoplasty carries risks that include scarring, infection, and possible post-operative bleeding.  For any abnormal symptoms, you should contact your surgeon immediately.

Does this procedure help with dark circles under my eyes?

Many patients who complain of dark circles under their eyes have pigmentation in the lower eyelids that cannot be removed.  In some cases however, dark circles are a result of shadowing underneath bulging lower eyelids, and if this is the reason, removing the bulges may help dark circles.

What will I have to do to prepare for my Eyelid Surgery?

Once you decide to have eyelid surgery, you will be examined and asked to answer questions concerning vision, tear production, use of contact lenses, and any past surgical procedures.  You will need to tell your surgeon about all medicines or supplements you are currently taking, and you may be asked to cease, adjust, or start taking certain medications in the week or two prior to your surgery depending on your situation.  It is also very important that you avoid aspirin, other anti-inflammatory drugs, and herbal supplements in the two weeks prior to surgery, as all of these can increase bleeding.

What is recovery from my Eyelid Surgery like?

After your blepharoplasty, you should keep your head elevated for the first few days, and avoid any straining, bending, or lifting for at least 3-4 days.  For the first 7-10 days, your eyes may feel sticky, dry, and itchy, and you will be shown how to clean your eye area.  Eye drops are also recommended to aid with the irritation.  Most sutures dissolve, and the rest are removed 4-5 days after surgery. Make-up can be applied shortly thereafter, usually in approximately 10 days.  Most patients will be able to resume normal activities within 10 days, although your vision may still be slightly blurry, and contact lenses should not be worn for approximately 2 weeks.  Following the guidelines set by your surgeon will speed up your healing process.

Why should I consider Eyelid Surgery?

The elimination of the excessive sagging skin and fat around your eyes produces a more rested and youthful appearance, and that is why eyelid surgery has continued to have consistently pleasing and satisfying results, with a high rate of patient satisfaction.

When will I see my final results?

Bruising should subside in 5-10 days, and swelling should subside in 2-4 weeks.  Final results may appear in 1-2 months, although scars will continue to fade for up to one year.  Results vary depending on each patient’s unique situation.

What are the overall benefits of Eyelid Surgery?

The main benefits of eyelid surgery are a reduction of “bags” under the eyes, which immediately improves your appearance by taking away your tired look.  Your eyelids will be firmer and tighter, and if your vision is affected by drooping eyelids, blepharoplasty will correct this.  Wrinkles will be reduced, but not completely eliminated, and your eyes will look brighter and clearer.  The physical benefits from eyelid surgery will make you feel more confident and self-assured, boosting your self-esteem.

Will I be able to wear contact lenses immediately after my Blepharoplasty Surgery?

You will be instructed to refrain from wearing contact lenses for at least two weeks following surgery, although eyeglasses are acceptable to wear, as long as they are cleaned and disinfected prior to use.

How long does a Blepharoplasty procedure take?

Operating times will vary based on patient’s individual needs.  Typically, performing an upper or lower blepharoplasty will take between 45-60 minutes and and upper and lower surgery together would last around 90-120 minutes.

Will I be able to drive home after my surgery?

Following your blepharoplasty surgery, you will need to have someone drive you to your destination and remain with you for the first 24 hours. It is never recommended that anyone operate a vehicle following surgery under any circumstances, as patients are still recovering from anaesthesia.  In addition, after eyelid surgery you will not be able to see clearly for approximately one day.

Will I ever need a second Blepharoplasty procedure?

Blepharoplasty does not stop the aging of the eyes and it is not uncommon for patients to eventually seek a second blepharoplasty for revision, depending on an individual’s circumstances.

Why do Eyelids sag so early?

We blink thousands of times per day, and the skin of your eyelids is much thinner than the rest of your face.  It also contains fewer internal moisture glands, and as a result, eyelid skin is prone to sagging and stretching.  Sun exposure, squinting, and rubbing the eyes irritates the situation. As you age, the fat surrounding your eye tends to bulge outward, and since eyelid fat retains water, bags appear.  In some cases, premature aging is heredity, and this too can be corrected with blepharoplasty.

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