The passage of time generates excess skin on the upper eyelid and bags on the lower eyelid. The fat naturally located within the eyelid becomes more apparent with age, giving a tired, aged appearance. The eyelids stretch and the muscles that support them weaken. Blepharoplasty is a surgery performed to repair droopy eyelids and consists of removing excess skin and fat, rejuvenating the look and improving the visual field.

Facial Dr Honorio Labaronnie

Reasons for surgery

– I have a sad, tired and aged look.
– I have excess skin on the upper eyelid.
– I have bags under my eyes.
– I have excess skin on the lower eyelids.

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How do we do it?

A mark is made on the skin of the eyelid to be treated. Local anesthesia and sedation are administered. In some situations, general anesthesia may be performed. Treatment of all four eyelids (upper and lower) can take approximately two hours. The incisions are strategically placed in areas where scarring will not be visible. On the upper eyelid the incision is along the crease, and on the lower eyelid it is just below the eyelashes in the natural crease of the eye or inside the eyelid. Excess skin is removed, fatty deposits are reduced, and the skin is tightened to create a smoother contour. Blepharoplasty is usually performed on an outpatient basis.

How is the recovery from surgery?

After surgery, patients will experience mild to moderate swelling and bruising around the eyes; however, these effects are normal and temporary. You will take pain relievers for discomfort during recovery, and you may also use cold packs for additional relief. You will need to put drops in your eyes to keep them moist while they heal. The use of sunglasses is useful to control sensitivity to light and avoid pigmentation of wounds. A full recovery can take up to three weeks; however, most patients can return to work in a few days and resume their usual social activities as long as they feel comfortable doing so. The sutures are removed after 5 days.

What type of surgeon should perform this intervention?

Blepharoplasty is a surgical technique that, despite not being very complicated, is not without risks. That is why the most important thing when choosing a surgeon is that he is a specialist in aesthetic and reconstructive plastic surgery, since he received formal training in accredited programs for this type of treatment.

Is it possible for blepharoplasty to change the patient's facial expression?

The facial expression is produced by the musculature of mimicry. Our goal in a blepharoplasty is to remove excess skin and periocular fat and not intervene in muscle function, therefore, facial expression does not change. If it is possible to observe an aesthetic change in the orbital framework, a clearer, more open and rejuvenated look with less expression of fatigue.

Can vision be affected after the procedure?

One of the reasons why this intervention is performed is because the excess skin of the upper eyelid decreases the patient’s visual field. After the intervention we will improve that visual field. It is possible that, as a consequence of the intervention, the patient reports certain ocular discomforts such as dryness or hypersensitivity to light.

Why do dark circles appear under the eyes?

Dark circles are changes in the coloration of the skin of the lower eyelid that may be due to an excessive production of melanin (brown circles under the eyes), dilation of the capillaries close to the surface of the skin (violaceous circles under the eyes) or structural alterations of the framework. orbital due to its sinking (shadow effect). The causes of their appearance are due to multiple factors, from hereditary causes; skin disorders such as atopic dermatitis that is caused by constant trauma during scratching; Physiological causes such as those that appear in pregnancy due to vascular congestion by increasing fluid retention and may even appear as a sign of other systemic diseases such as lupus, hyperthyroidism or chronic corticosteroid treatment. Blepharoplasty does not correct dark circles.

Is it also used to correct crow's feet?

Surgical blepharoplasty does not correct them directly, since it is a surgery designed to remove excess skin and fat from the eyelids, while wrinkles known as “crow’s feet” are expression wrinkles that appear due to contraction of the orbicularis muscle. With blepharoplasty of the upper eyelid, by performing an excision of redundant skin, an eyelid lifting effect is achieved that can hide or slightly reduce crow’s feet, but it is not its objective.

Will the scars show?

The upper blepharoplasty incision is made taking advantage of the existing natural crease in the eyelid, so the scar is perfectly camouflaged. In the case of lower blepharoplasty, it will depend on whether the resection requires only excision of the fat pockets, in which case a transconjunctival approach is performed inside the mucosa of the lower eyelid without leaving a visible scar; or it is also required to carry out a skin resection, where an incision would be made under the eyelashes, taking advantage of a previous fold or wrinkle so that it is as camouflaged as possible.