Facial Cosmetic Surgery
Eyelid surgery, technically known as blepharoplasty, aims to correct or improve the entire eye area to enhance and rejuvenate your eyes.
Blepharoplasty is a procedure that removes fat and excess skin and muscle from the upper and/or lower eyelids. Blepharoplasty is highly effective at correcting drooping upper eyelids and eye bags in the lower eyelids that make you look older and more tired. In some cases, the drooping of the upper eyelid can even interfere with vision. As you age, this process tends to become more pronounced.
However, blepharoplasty does not remove crow’s feet or other wrinkles, nor does it treat sagging eyebrows. It can be performed alone or in conjunction with other cosmetic face procedures (such as a facelift or forehead lift). It can also be associated with cosmetic medicine techniques to treat crow’s feet (such as Botox).
Ideal candidates for blepharoplasty are those looking to improve the appearance of their eyelids.
If you are in good general health, and have realistic expectations, you will be a good candidate. Generally, patients are over 35, but in some cases with a family tendency to eye bags, patients may be younger. Blepharoplasty will improve your appearance and self-confidence but will not make you look like someone else or be treated differently. Before deciding whether to have blepharoplasty, think about what you want to achieve and discuss it with Dr Mir.
Certain medical conditions may make blepharoplasty riskier, such as thyroid problems, tear production deficiency, high blood pressure, cardiovascular disease, and diabetes. Glaucoma and retinal detachment may also pose a risk. In certain cases, an eye examination prior to blepharoplasty may be necessary.
The first visit will involve making a note of your medical history. You should inform Dr Mir if you have any illnesses, if you are taking any medication, if you smoke or if you are allergic to any medication. Your vision and tear production will be assessed, as well as your general state of health. You should also tell him whether you wear glasses or contact lenses and provide, if possible, your last eye examination results.
We will discuss the possibility of operating on all four eyelids, the lower or upper eyelids, and whether any other procedure is required. Then we’ll explain the techniques and type of anaesthesia to be used, where the surgery will be performed, the risks and the cost of the operation.
National Health Services do not cover cosmetic eye surgery.
Do not hesitate to ask Dr Mir any questions you may have, especially those related to your expectations and expected results.
We will provide you with specific instructions on how to prepare for surgery, including guidelines on food and fluid intake, refraining from smoking, or taking certain medications, and cleansing your face. It is important to stop smoking at least one to two weeks before surgery. Following our guidelines carefully will ensure the surgery runs smoothly. Remember to make sure a family member or friend can take you home when you are discharged and if necessary, you have someone to help you out for a few days.
| Excess fat, as well as excess skin, will be removed during surgery.
The operation will be performed in the clinic’s operating theatre where the entire team of doctors, nurses and healthcare workers will ensure that you receive excellent care before, during and after the procedure.
It is not normally necessary to stay at the clinic for more than a few hours after surgery. The operation is usually performed under local anaesthesia, local anaesthesia plus sedation, or less frequently, under general anaesthesia, depending on the case. If performed under local anaesthesia plus sedation, the patient is relaxed, and the eyelids are insensitive to pain; while under general anaesthesia the patient is asleep during the operation.
The procedure lasts around an hour and a half. If all four eyelids are to be done, the surgeon usually starts with the upper eyelids. Incisions are usually made in the natural lines of the upper eyelids and just below the eyelashes in the lower eyelids; in some cases, they may extend into the crow's feet. These incisions separate the skin from the underlying fat and muscle, removing excess fat and sometimes excess skin and muscle. Very fine sutures are used to close the incisions. In other cases, such as young patients with only an excess of fat, a transconjunctival lower eyelid blepharoplasty can be performed in which the incision is made inside the lower eyelid leaving no visible scar.
| After surgery, an ointment will be applied to your eyes to lubricate them, and steri-strips applied to your eyelids. You may feel discomfort on your eyelids; but this is easily relieved with the prescribed medication (if you have severe or persistent pain, you must inform Dr Mir). You should keep your head elevated for a few days after surgery and apply cold compresses to reduce swelling and bruising. You will be shown how to wash your eyes and you will be told if you should apply eye drops to keep your eyes moisturised. During the first few weeks you may notice increased eye-watering, hypersensitivity to light and temporary changes in visual sharpness, such as blurred or double vision. For the first two weeks, Dr Mir will closely monitor your progress. Your stitches will be removed after a week. Any swelling and bruising will gradually diminish until it disappears completely, and you will start to look and feel much better.
Most blepharoplasty patients start reading or watching TV within two or three days. However, if you wear contact lenses, you will not be able to use them for two weeks, and even then you may feel uncomfortable for a while. In about one week you will be able to return to work, by which time you can apply make-up to conceal the bruising. It is advisable to wear sunglasses for a few weeks and apply sunscreen to your eyelids. You should rest for three to five days and avoid strenuous activity for three weeks.
When this procedure is performed by a qualified plastic surgeon, complications are infrequent and minor.
However, as with any surgery, there is always a small risk of complications such as bruising, infection or reactions to anaesthesia. Risks can be kept to a minimum by carefully following Dr Mir’s guidelines, both before and after surgery.
Minor complications that may occur after blepharoplasty include double or blurred vision for a few days, temporary eyelid swelling and mild asymmetry in healing. Difficulty in closing the eyelids completely during sleep may occur following surgery; however, this is only permanent in rare cases. Another rare complication is ectropion, which may require surgical correction.
Scars may appear pinkish for the first few months. These will gradually fade to a clear almost invisible line.
The results of blepharoplasty -a more youthful and fresh appearance- are maintained for years. In many cases, the results are permanent.
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