Find out more about
Upper Eyelid Surgery
Upper eyelid surgery, or upper blepharoplasty, is a surgical procedure used to improve and rejuvenate the contours of the upper eyelid space, which is mainly the region between the eyebrow and the eyelashes.
It is a procedure employed for a cosmetic reason but can also be used for a functional reason to correct visual problems that you may experience as a result of excessive skin covering part of the pupil.
Upper eyelid surgery is usually done in in conjunction with lower eyelid surgery, but also with other facial plastic surgery procedures like facelift or brow lift.
- Safe procedure, rejuvenation result will last for several years
- Can be combined with other aesthetic treatments– lower blepharoplasty, brow lift, facelift, rhinoplasty, etc.
- Limited postoperative downtime – up to 5 days
Upper eyelid surgery, or upper blepharoplasty, is a surgical procedure used to improve and rejuvenate the contours of the upper eyelid space but can also correct visual problems that you may experience because of excessive overhanging skin.
Good candidates are patients with:
- Folded, sagging skin of the upper eyelid that disturbs the natural contour while the brow is in a normal position
- Fatty deposits in the medial part of the upper eyelids that appear as puffiness
- Folded eyelid skin that impairs the full extent of your visual field
- Asymmetric eyelids
Not good candidates are patients with:
- People with unrealistic expectation
- Eyelid problems that mainly originate from droopy brows (these patients need brow lift)
- Dry eyes syndrome
- Pure eyelid ptosis
WHAT RESULTS TO EXPECT?
During your consultation for upper eyelid surgery, the surgeon will assess your personal anatomy of the eyelid space. It is important to correctly diagnose the cause of eyelid skin sagging because often it can partly be caused by a droopy eyebrow. This will be discussed in detail with you, as in some cases a brow lift will be the more appropriate procedure to correct the sagging eyelid skin.
Your surgeon will further ask
question about dryness or watering of your eyes. Any problem you may have with
your tear function will be evaluated with additional tests.
Your surgeon will also evaluate the position of the lower portion of the upper in relation to the iris and pupil. When the position is too low this condition is called eyelid ptosis. There are several causes for this condition which must be diagnosed preoperatively. In some cases, they can be corrected surgically in combination with upper blepharoplasty.
HOW TO PREPARE FOR TREATMENT?
Upper eyelid surgery is most often performed under local anesthesia with mild sedation for which no special preparation is needed.
However, general anesthesia may be
utilized in appropriately selected patients or when other surgeries are planned
as well (lower eyelid, facelift, etc.).
In case of general anesthesia, you will be instructed to take certain steps:
- Medical evaluation by the anesthesiologist in our OR center
- Take certain medication or adjust current medication
- Sometimes laboratory testing, cultures, or a cardiac film
- Your surgeon will ask you about your past medical history including medications you are taking, allergies, smoking habits, previous surgery and more.
- To improve healing, you are advised to stop smoking both preoperatively and postoperatively for at least 2 weeks.
- Also, you may have to stop taking aspirin, anti-inflammatory drugs and other supplements as they can increase the chance of bleeding during surgery and bruising after surgery.
Know more about
Upper eyelid surgery is most often performed under local anesthesia and the whole procedure lasts less than one hour. If the surgery is done in general anesthesia the only difference is that you will be asleep the whole time.
First step is to measure and mark the blepharoplasty incision which is placed in the natural crease in your upper eyelid. Subsequently variable amounts of skin, soft tissue and fat are removed to achieve a pleasing and youthful appearance of the eyelid fold and to improve the visual field. After the desired amount of excision is accomplished skin incisions are meticulously closed with sutures.
Time to heal
During the first 24 h after the operation, your skin incision will be taped loosely with small strips to minimize swelling and bruising in the operated area. After that ointment may be applied over the incisions. Artificial tear drops may be prescribed to prevent eye dryness in the early postoperative period. Ice packs can be applied over the operated area in the first 24 to 48 hours and during sleep your head needs to be elevated.
The recovery period after upper eyelid blepharoplasty is usually short and you may start doing your daily routines as soon as the following day.
Initial wound healing may take 5-7 days, after which sutures will be removed. At that time, you will be able to return to work and normal activity. Cosmetics can help camouflage any bruising.
Although your new youthful look will be satisfactory at this time, it may take up to one month for your complete recovery - as the swelling dissipates and incision lines refine and fade.
All potential risks will be fully discussed with your surgeon prior to your consent. The most common side effect of the upper eyelid surgery is bruising of the upper eyelid, which subsides in a few days.
Other potential complications of surgery are extremely rare and may necessitate additional treatment:
- Residual excess skin
They will take care of you
MEET THE TEAM
PETER JFM LOHUIS, MD PHD
BORIS FILIPOVIĆ, MD PHD
BOŽO GORJANC, MD
MAJA KOVAČEVIĆ, MD
FREQUENTLY ASKED QUESTIONS
· Recovery period after upper blepharoplasty is usually short. You may start doing your daily routines as soon as the following day.
· Total downtime after surgery is around 7 days.
· In case a complication occurs, we will analyze it and treat it immediately.
· Depending on the type of the complication the treatment may vary between just reassurance or topical lubricants to secondary surgery in a later stage.
· The result of your blepharoplasty is immediately visible.
· However, the final more detailed result will appear in the following weeks to months after all post-surgical swelling has resolved.
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