Eyelid surgery (or Blepharoplasty) is often considered to correct problems that are a result of aging. Others who have inherited traits such as “bags” under the eyes may seek treatment in their 20s or 30s.
If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended.
High blood pressure, thyroid problems or diabetes are some of the conditions that can increase the risks of eyelid surgery. Dr. Haywood will ask if you have allergies and if so, how they affect your eyes. She will also need to know if you have been told that you have “dry eyes” or any other eye problems.
Dr. Haywood may discuss two different approaches to lower lid surgery: one uses an external incision and the other is performed from inside the lower lid. Your age and the extent of the fatty deposits you have will determine which approach is used. The external incision is usually hidden below the lower lashes. Through this incision, excess skin and fat are removed. Dr. Haywood may discuss the other approach to the lower eyelid which does not require an external incision. This procedure is called a “transconjunctival” lower blepharoplasty. While it may be a good approach for younger patients, it cannot be used to remove excess skin.
For upper eyelid surgery an incision is hidden within the natural fold of the eyelid. It is through this incision that excess skin and fat are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when it is healed.
After your surgery, you may have a feeling of dryness or irritation in the eye. This may require treatment. There is also a chance of a temporary reduction in eyelid sensation or impaired eyelid function. Impaired lid function may be treated with additional surgery.
Mild swelling persists for several weeks in some cases while others see swelling resolve in just seven days. Bruising normally disappears in seven to ten days and you may use makeup within the first week to hide discoloration.
You may find your eyes are temporarily sensitive to light. You may also experience some excess tearing or dryness. Dr. Haywood may recommend eye drops to relieve burning or itching. You may want to wear dark sunglasses for a couple of weeks to protect your eyes from the wind and sun.