Blepharoplasty, is the operation of ophthalmic surgery that involves the correction of excess skin and / fat (bags) of the upper and lower eyelids. This intervention aims to correct the changes produced by the passage of time and give a duller appearance and aged look affecting both men and women. The upper and lower blepharoplasty can be done during the same surgical procedure under local anesthesia and monitored under general anesthesia or sedation, according to the preferences of each patient.
When performing blepharoplasty upper eyelid and the accumulation intended corrected sagging skin appearing with advancing age, for a loss of elasticity and to become more lax. Thus, the fold of skin can in many cases even touch the tabs and in some cases may even appear multiple folds of skin.
Another aim of the upper blepharoplasty is to correct the bags upper eyelid. In most cases, this correction should be performed conservatively to avoid causing too appear sunken eyelids and take a look tired.
The upper blepharoplasty may be accompanied during the same surgical correction of ptosis or drooping eyelids, in order to ensure that the eyes are more open and obtain a more alert and rested appearance. The incision or cut made in the upper blepharoplasty usually follows the skin-eyelid crease, allowing you to be totally camouflaged by the new natural crease of the eyelid skin. Sutures close the incision can be absorbable, which need not be removed, or nonabsorbable, which must be removed when the oculoplastic surgeon prescribed.
Blepharoplasty of the lower eyelids is the removal of fat pockets protrusion of the lower eyelids, either transcutaneous or via transconjuntival, the latter being more advisable if there is to also remove skin as leaves no visible scar.
In cases where the patient has a groove or naso-jugal deformity, which will be below the lower bag, it is advisable practiced lower fat repositioning and thus conceal the groove. In some cases it may be necessary to resort to injecting patient's own fat or hyaluronate to cover said groove.
The lower blepharoplasty is usually accompanied by tension and repositioning of the lateral edge of the eyelid (canthoplasty) and tensioning of the lower orbicularis (orbiculopéxia) to provide a smoother appearance to the lower eyelid.
After upper blepharoplasty, they will not be visible scars, because the scar is camouflaged by the crease. In the lower blepharoplasty incision is made in the no skin in most cases, so neither will there be a visible scar.
Where there is a skin incision, at first a thin line of pink gradually it will fade over time appears.
Normally, after blepharoplasty operation, the patient should apply ointment on the surgical site and ocular surface. This can lead to the beginning and especially just after putting the ointment have some blurred vision. The patient can perform their usual activities provided they do not include significant efforts. After two weeks you can now continue with their regular sports activities. If the patient wears contact lenses, you should restrict your use during the first week after the intervention period during which the use of glasses is recommended.
Is the blepharoplasty is final?
If necessary, the patient may turn to intervene if the bags reappear or to be re-skin redundancy, although it is not usually necessary.
Risks of blepharoplasty
All surgeries have some risk of complications, and if blepharoplasty, depend on whether it has made in the upper eyelids or lower.
The most common complication occurs when too much upper eyelid skin is removed, and after surgery the patient feels difficulty or inability to completely close the eye. This situation means that the ocular surface is not well protected, and the patient may feel discomfort and eye itrritación. Furthermore, if this situation persists can produce epithelial defects, corneal ulceration and loss of vision.
If too much skin in the lower blepharoplasty is removed, there will be a retraction of the lower eyelid can also preclude close the eye completely with the above symptoms, and even reaching affect the cornea.
These may also exist by excessive scarring of the skin, or to remove fat too bottom aprons. When any of these problems occur they can be corrected by other types of surgeries, reconstructive surgeries, although it is noteworthy that you have a limited number of surgeries that can be performed on the eyelids.
Correct ptosis or drooping eyelid
Another frequent complication of this operation is that eyelid drooping eyelids or ptosis occurs, which leads to an eyelid above remains lower than the other, leaving one or both eyes somewhat closed and some aesthetic appearance. In fact, on many occasions, ptosis was present prior to blepharoplasty, so the oculoplastic surgeon must decide the best time for correction.
Clinical examination will determine the best surgical procedure to correct the drooping eyelid, and vary according to the characteristics of each patient. Complications occur very infrequently when these surgeries are performed by expert hands.
A key factor in making a blepharoplasty, is placed in the hands of an experienced oculoplastic, who is familiar with the structures anatomically eyelid and thus minimize the risk of complications. Of course it is also very important that the surgeon knows perfectly appropriate treatments to treat these complications, both aesthetic eye as a functional level.