Blepharoplasty or eyelid surgery

Medical content revised by - Last revision 22/02/2017
Blepharoplasty or eyelid surgery

ALL YOU NEED TO KNOW ABOUT...

  • Blepharoplasty consists in removing excess skin from eyelids, although it is also known as the removal of fat pads from this area.
  • It may be performed either for aesthetic reasons in order to rejuvenate the area around the eyes (from age 35-40), or to treat diseases such as tumors and get flaps for reconstructions (at any age).
  • It may be combined with other aesthetic procedures, such as micro-needling or botulin toxin
  • It is important that the procedure is performed by an oculoplastic ophthalmologist in order to get proper cosmetic results while preserving the eye function.
  • The results begin to be visible between the 2nd and the 4th week after surgery, contingent upon the case.

Blepharoplasty. Eyelid excess skin and fat.

Blepharoplasty is a surgical technique consisting in the removal of excess skin from eyelids, that may be performed with different aims. It is best performed by an ophthalmologist specializing in oculoplastics. Usually, for aesthetic reasons, it is not performed before the age of 35 or 40 years old.

Cosmetic blepharoplasty

Blepharoplasty aiming to correct diseases

It isn’t usually performed before the age of 35 or 40.

It is used to remove excess skin from eyelids and rejuvenate the area around the eyes.

It may be combined with other cosmetic procedures, such as micro-needling or botulin toxin injections.

It can be performed at any age.

It is used in tumor defect cases or in order to get flaps for reconstructions.

Results are visible in the long run. Therefore, they become evident after 2 to 4 weeks, depending on the case, once inflammation and hematomas have disappeared.


What is blepharoplasty? What does this technique aim to correct?

Blepharoplasty is a surgical technique consisting in extracting excess skin from eyelids, usually from upper eyelids, but also from lower eyelids. It is commonly used in eyelid surgical procedures in order to remove such skin, either for aesthetic reasons, or to get flaps for reconstructions.

When we talk about blepharoplasty, we mean the removal of excess skin, but in a more general context, it is used to refer to eyelid aesthetic surgery, which usually not only includes removing excess skin, but also fat pads from eyelids, a procedure which is medically known as lipectomy. But generally, the term blepharoplasty is used to refer to this aesthetic global procedure.


When do patients come to consultation asking for a blepharoplasty?

Patients generally ask for a blepharoplasty because they evidence the presence of excess skin caused by skin aging. Sometimes, they also have the impression their eyelids are droopy, although this is not strictly true. Instead, what they have is excess skin in eyelids, which makes them feel that way. Therefore, they ask for cosmetic surgery.


From which age can someone undergo this procedure?

Blepharoplasty can be performed at any age. Nevertheless, contingent upon the intervention aim, it may be performed sooner or later in life. When it is performed for cosmetic reasons, it is not common before the age of 35. In such cases, it is performed in patients with skin aging, and such aging does not become evident until the age of 35 or 40.

However, this procedure might become necessary for other reasons regardless of age. Blepharoplasty might be performed to correct, for example, tumor defects and get excess skin that will be placed in the area where the tumor used to be.


What is the technique used?

When we perform a cosmetic blepharoplasty, what we do is to define the quantity of skin that we want to remove, taking into account that the patient must be able to properly close the eyes after surgery. Then, we remove such excess skin and we stitch it up very carefully in order to strategically hide the scar in the eyelid crease so it cannot be seen.


Are the results visible? How long does it take for the results to become evident?

Blepharoplasty results are not immediately visible. Sometimes, patients want to quickly see the surgery results. However, during the first weeks, the patient will have a hematoma in the eyelid and the stitches will have not been removed yet. Therefore, the results will still not be visible. We will have to wait at least two to three weeks, or even, in some cases, up to four weeks in order for the inflammation, the edema, and specially the hematoma to disappear. Then, the results will eventually be visible.


Can it be combined with other cosmetic procedures?

Blepharoplasty is a technique that, when performed for aesthetic reasons, it may be combined with other techniques also aiming to improve cosmetic results, for example, botulin toxin injections, that soften wrinkles around the eyes and specially in the forehead.

It may also be combined with micro-needling, which regenerates skin collagen and provides a younger look to our skin. With this procedure, we might even inject vitamins or hyaluronic acid, depending on the skin type. This will help as obtain better cosmetic results.


Why is it important that the procedure is performed by an ophthalmologist specializing in oculoplastics?

Blepharoplasty is a procedure performed on eyelids, and oculoplastic surgeons are specialists in that body area. Moreover, they are ophthalmologists, and taking into account the procedure is performed around eye structures, it is advisable that it is performed by an oculoplastic surgeon in order to not only provide better cosmetic results to the patient, but also to preserve the patient’s eye function.

Besides, at ICR we have the latest technology and a 24-hour eye emergency service, which helps our patients have the center at their full disposal whenever they require ophthalmology assistance.

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