Eyelid surgery is where fat and skin are removed from the upper and lower eyelids. This surgery can correct:
- Drooping upper lids
- Puffy bags below eyes
As we age, the skin over our upper eyelids tends to droop. If uncorrected, it can even obstruct your vision. With aging your mid face (cheek) tends to droop and the septum that holds the fat around the lower eyelids tends to bulge. All this adds to aged tired eyes.
The upper and lower eyelid surgery can correct this, but unfortunately cannot correct the wrinkles around the eyes. Additional procedures like chemical peel or skin resurfacing with Fraxel can correct this. Eyelid surgery is commonly performed with a facelift or a brow lift.
This information will help give you the basic instructions to help you understand the procedure. If you have any other questions, please do not hesitate to set up a consultation at Genesis Plastic Surgery & Medical Spa by calling 405-340-9949 today.
The Best Candidates for Eyelid Surgery
The best candidates for this surgery are over the age of 35 and have excess skin over their upper and lower eyelids. Sometimes baggy eyelids can run in families and you may require a surgery to correct his earlier than others. If you notice that your cheek fat pads have slid down on your face resulting in nasolabial lines (smile lines running from your nose to your lips on the sides), they can all be corrected at the time of the lower eyelid surgery.
If you have problems with your vision or excessive dry eyes, you need to get this checked by your ophthalmologist. Patients with bulging eyes may have thyroid and this may need to checked by your doctor or an endocrinologist.
All Surgeries Carry Some Uncertainty and Risk
When eyelid surgery is performed by Dr. Panchal, complications are infrequent and usually minor. You may notice that there is some asymmetry or residual swelling. You may notice that you may feel some stitches over the outside of the eyelids for a few weeks to a month. The knots will dissolve and go away. The upper eyelids tend to remain swollen for slightly longer than the lower eyelids. Rarely your lower eyelids may drag a little while they are healing but this will settle shortly.
Planning for Your Surgery
Your first consultation is very important. This is because you will need to give your complete medical history. Be sure to check your own records before so you are ready to give out your information. Let Dr. Panchal know if you have any allergies, taking vitamins, medications, and if you smoke.
Discuss your goals with Dr. Panchal. He will explain how his technique differs from others and decide whether you need upper or lower or both to be corrected. He will also tell you the type of anesthesia and where the surgery will be performed. A detailed quote about the estimated costs will be given to you. This will include surgeons fees anesthesia fees and facility fees.
Where Your Surgery Will Be Performed
Surgery for the upper eyelids if performed by itself will be done in my office. If you are having surgery to both upper and lower eyelids, you will have your surgery done at an outpatient center so that you can go home on the same day.
Types of Anesthesia
Upper eyelid surgery is done under local anesthesia, but you will need general anesthesia if you are having both upper and lower eyelid surgery.
Blepharoplasty usually takes two hours, depending on the extent of the surgery. If you're having all four eyelids done, Dr. Panchal will probably work on the upper lids first, then the lower ones.
He generally begins surgery on the upper eyelids by making the incision over the eyelid fold. The incision allows removal of excess skin and fat from the upper eyelids giving it more definition. Dr. Panchal places the incision close to the upper eyelid margin giving you a more youthful look. He will take out a small amount of fat from the inner aspect of the upper eyelids but leave some at other places so that your eyes appear youthful and not hollow. The lower eyelid incision is made just at the level of the eyelash margin. The skin and fat are exposed.
There are quite a few things Dr. Panchal does differently. During the surgery, he excises only a small amount of fat from your lower eyelids. If the fat needs to be removed, he will remove it from an incision in your conjunctiva. This dramatically reduces your risk of having lower eyelid droop. He will also elevate your outer aspect of the lower eyelids so as to give you a more youthful look. He will re-drape the fat so that you do not have hollow sad eyes.
The incision is then closed. As a result of the surgery, you will notice that the contour of our lower eyelids will become smoother as the puffy bags will disappear.
After Your Surgery
After your surgery, you will notice that your eyes will be swollen and bruised. Application of ice and sleeping upright will help to keep the swelling down. You will benefit by having some artificial tears like Refresh to keep your eyes from drying out.
You may have difficulty in focusing for the first few days following surgery. You will not be able to wear contact lenses for a week to two weeks following surgery so keep your glasses handy. You will notice that one eye may swell up more than the other and they will look asymmetrical. The swelling will decrease in the first few days quite dramatically but it may take a couple of weeks for all the swelling to reduce completely.
Getting Back to Normal
It may take a few days to a week for the swelling to subside making it difficult to drive. Wearing sunglasses may help. After a week to ten days you should be able to go to work or attend social functions. Your eyes may remain dry for the first few weeks so use artificial tears to keep them well lubricated. You should be able to walk briskly or be on a stationary bike in three weeks but aerobic exercises should not be done for around six weeks.
Your New Look
You will heal gradually and everyday your eyes will continue to look better. They will appear more youthful and less tired. The results will last for many years to come.