Blepharoplasty
the appearance of the eyelids
Blepharoplasty is a surgical procedure that aims to improve the appearance of the eyelids, by removing excess skin, fat or wrinkles. It can be performed on the upper eyelids, lower eyelids or both.
Indications for blepharoplasty Aesthetic: Drooping upper eyelids: excess skin, often due to aging, giving a tired or heavy appearance to the eyes. Bags under the eyes: excess fat or loose skin that can create bags under the eyes, contributing to a tired appearance. Wrinkles and fine lines around the eyes: skin imperfections that affect the appearance of the eyelids. Functional: Drooping eyelids (ptosis): this can cause visual discomfort if excess skin covers the field of vision.
Types of treatments Upper blepharoplasty: Removal of excess skin on the upper eyelid. Possibly removal or repositioning of fat if necessary. Lower blepharoplasty: Removal of excess fat and, if necessary, excess skin. Some techniques use internal incisions (in the conjunctiva) to avoid visible scars. Transconjunctival blepharoplasty (technique for the lower eyelids): This technique is done without an external incision, the incision being made inside the lower eyelid, to remove excess fat.
Post-operative care Rest: Complete rest, especially during the first few days after surgery. Application of cold compresses: To reduce edema (swelling) and bruising. Medications: Analgesics (for pain). Antibacterials if there is a risk of infection. Hygiene: It is essential to keep the operated area clean and follow the instructions for scar care. Avoid rubbing the eyes or doing activities that increase pressure (such as intense sports). Follow-up visits: To monitor healing and remove stitches if necessary.
Social Downtime Duration of downtime: Although results may be visible quickly, the downtime period typically lasts 7 to 10 days to allow the scars to heal. However, bruising and swelling may persist for a few weeks. Return to work: Depending on the type of work and desired outcome, patients can return to work after 1 to 2 weeks.
Possible Complications Infection: Although rare, infection is possible, hence the need to strictly follow post-operative instructions. Hematoma: Localized bleeding may occur, leading to bruising. Dry Eye: Blepharoplasty may cause temporary discomfort such as dry eyes, itching or sensitivity to light. Visible Scarring: Although the incisions are strategically placed (along the natural creases of the eyelids), scarring may occur, especially if healing is poor. Asymmetry: Minor asymmetry between the two eyelids may occur, although this is usually corrected with a second treatment. Post-operative Ptosis: Temporary or permanent drooping of the eyelid may sometimes occur after surgery. Healing problems: If healing is poor, keloids or hypertrophic scars may appear.
In summary, blepharoplasty is a relatively safe aesthetic and functional procedure, but it requires good preparation and rigorous monitoring to minimize the risk of complications.