Eyelid surgery is also called blepharoplasty. This involves removing of fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes. Features that make you look older and mo9re tired than you feel, and may even interfere with your vision. This procedure doesn't involve crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. The evidence of your ethnic or racial heritage cannot be erased. Candidate suitable for the eyelid surgery: Blepharoplasty can enhance your looks and give your self confidence but won't make you look entirely different. So be realistic in your expectations. 1. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable. 2. Most are 35 or older. 3. If droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at younger age. 4. The medical conditions which make blepharoplasty more risky are thyroid problems such as hypothyroidism and graves' diseases, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease. 5. If you have a detached retina or glaucoma. Check with your ophthalmologist before you have surgery. Risks following the surgery: When an eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your surgeons about the pros and cons involved. 1. The minor complications after the surgery include double or blurred vision for a few days. 2. Temporary swelling at the corner of the eyelids. 3. A slight asymmetry in healing or scarring. 4. Tiny whiteheads may appear after your stitches are taken out, which can be removed easily with a very fine needle. 5. Following surgery, some patients may have difficulty closing their eyes when they sleep. 6. In rare cases this condition may be permanent. 7. Another complication is ectropion, a pulling down of the lower which require further surgery. Pre-surgery planning: The initial planning with your surgeon is very important. The surgeon will need your complete medical history. Be sure to inform your surgeons of any previous diseases and allergies. Most important thing is that inform the doctor is you're a smoker or not. 1. Eye test is done to test vision and also tear produce provide all resent eye test records. 2. Most insurance policies don't cover eyelid surgery, unless you can prove that, drooping upper lids interfere with our vision. 3. Clear all doubts before the surgery. The surgery: The surgery is usually done on an out patient basis and so does not require an in patient stay. 1. Eyelid surgery is usually performed under local anesthesia, which numbs the area around their eyes. 2. You'll be awake during the surgery, but relaxed and insensitive to pain. 3. In very few cases they prefer to give general anesthesia. Surgery timing: Blepharoplasty may take one to three hours. For this procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in your lower lids. The incisions can extent into the crow's feet or laughs line at the outer corners of your eyes. If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelids, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin. Care after the surgery: 1. Your surgeon will instruct you to keep your head elevated for several days. 2. Cold compresses are used to reduce swelling and bruising. 3. This lasts between like several weeks to a month. 4. Doctors recommend eye drops since your eyelids may feel dry at first and your eyes may burn or itch. 5. For the first few weeks you may also experience excessive tearing , sensitivity to light. 6. Temporary changes in your eyesight, such as blurring or double vision. 7. Once the stitches are removed the swelling and discoloration around your eyes will gradually subside. Getting back to normal: 1. Television is one thing which you will be permitted to watch. 2. As you may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sun block made for eyelids when you go out. 3. Take it easy for five days at least and avoid activities that tire you easily for three weeks. 4. Scars will take time to disappear.
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