The eye begins to shrink in appearance and sag as we get older, as the eyebrow presses on the upper eye-lid. The increased deposits of fat in the lower eye-lid area form eye-bags. The face looks tired and drawn. Therefore, we have developed techniques to give the entire eye area a naturally radiant and relaxed expression.
Blepharoplasty can be performed on the upper or lower eyelid. It involves removal of excess skin and fat deposits together with tightening selected muscles surrounding the eyelids. The aim is to provide a more youthful appearance.
Mr. Komath will begin by deciding whether excess skin, fat deposits, or muscle laxity or looseness are at fault. With the patient sitting upright, the surgeon will mark on the skin where incisions will be made. Care will be taken to hide incision lines in the natural skin folds above and below the eye.
The procedure is carried out under general anaesthetic. Some patients are offered a sedative through a vein (intravenously) to carry out the procedure. After a small crescent shaped section of eyelid skin is removed, the surgeon will work to tease out small pockets of fat that have collected in the lids. If muscle looseness is also a problem, the surgeon may trim tissue or add a stitch to pull it tighter. Then the incision is closed with stitches.
In some patients, fat deposits in the lower eyelid maybe the only problem. These patients may be good candidates for transconjunctival blepharoplasty (Through in inside of the lower eyelid). In this procedure the surgeon makes no incision on the surface of the eyelid, but instead enters from behind the eyelid to tease out the fat deposits from a small incision. The advantage of this procedure is that there is no visible scar.
After eyelid surgery, you will have stitches in both lids that will remain for up to a week. It is common to have swelling and often, bruising, but your eyelids should look normal within a week or two.
Possible Complications from Eyelid Surgery
Complications and unwanted results from an eye-lift are very rare, but sometimes they do occur. They can include:
- Dry eyes
- Abnormal eyelid colouring
- Eyelid skin that folds in or out abnormally
- Not being able to fully close your eyes
- A pulled-down lower lid lash line causing increasing scleral show or increased show of the white of the eye
- Asymmetry of the eye-lids