Eyelid Surgery

EYELID SURGERY INFORMATION

Also known as blepharoplasty, eyelid surgery improves the appearance of the upper eyelids lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

TREATABLE CONDITIONS:

  • Upper eyelid surgery can remove excess fatty deposits that appear as puffiness in the upper eyelids
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision, can be treated by eyelid lift surgery
  • Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid
  • Bags under the eyes can be corrected by blepharoplasty
  • Lower eyelid surgery can correct droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)

WHO IS A GOOD COSMETIC EYELID SURGERY CANDIDATE?

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for blepharoplasty
  • Individuals without serious eye conditions

You must tell your doctor if you have any of these medical conditions:

  • Eye disease such as glaucoma, dry eye or a detached retina
  • Thyroid disorders such as Graves’ disease and under or overactive thyroid
  • Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

BENEFITS OF COSMETIC EYELID SURGERY:

A thorough planning is essential in successful eyelid rejuvenation, to discuss with patients the incision sites and various options.
You might consider cosmetic eyelid surgery of you have these conditions:

  • Upper eyelid excess and sagging skin
  • Upper eyelid excess skin keeps your eyes from opening completely and causes a disturbance in peripheral vision
  • Eyes look tired and sleepy
  • Baggy or puffy upper eyelids
  • Excess skin on lower eyelids
  • Excess wrinkles on lower eyelids
  • Dark circles or bags under eyes
  • Poor nighttime peripheral vision due to excess sagging of upper eyelid skin

WHAT DOES A TYPICAL PROCEDURE INVOLVE?

  • Designing the shape of new eyelid, with the estimation of amount of skin to be excised
  • Light sedation and local anesthetic injection
  • Remove excess skin using laser/RF scalpel to minimize the bleeding
  • Remove excess fat if there is any
  • Tighten the muscle
  • Create a new distinct and crisp upper eyelid crease
  • Suture the wound (these sutures needs to be removed after few days)

WHAT ARE THE RISKS OF EYELID SURGERY?

The decision to have cosmetic surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential blepharoplasty complications are acceptable.

Dr. Del Corral will explain potential eyelid surgery complications in detail. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

  • Unfavorable scarring
  • Temporarily blurred or impaired vision
  • Dry eyes
  • Difficulty closing your eyes
  • Lid lag, a pulling down of the lower eyelid may occur and is often temporary
  • Ectropion, rolling of the eyelid outwards
  • Bleeding (hematoma)
  • Poor wound healing
  • Infection
  • Fluid accumulation
  • Blood clots
  • Numbness and other changes in skin sensation
  • Anesthesia risks
  • Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
  • Pain, which may persist
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery
  • Loss of eyesight

WHAT IS THE RECOVERY AFTER EYELID SURGERY?

After your procedure is completed, lubricating ointment and cold compresses may be applied, and in some cases your eyes may be loosely covered with gauze.

Specific instructions you may receive during your eyelid surgery recovery:

How to care for your eyes, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your overall health, and when to follow-up with your plastic surgeon.

Initial healing may include some post eyelid surgery swelling, bruising, irritation or dry eyes and discomfort that can be controlled with medication, cold compresses and ointment. Irritation at the incision sites also is possible. Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.

WHAT WOULD BE MY SURGERY DOWNTIME?

Usually one week but there is a significant individual variation. Some patients have minimal bruising and swelling whereas others have significant bruising and swelling that takes two to three weeks to improve. But usually after one week, sutures are removed, and patients are able to resume their usual activities without much concern.

I AM INTERESTED! WHAT DO I DO NEXT?

If you are considering eyelid surgery we encourage you to contact us to schedule a consultation and/or treatment at Dr. Del Corral’s office. During this visit we will listen to your concerns and discuss your options. After careful analysis, we will tell you whether you are a suitable candidate for this procedure and inform you of the alternatives and potential risks of the procedure.