Blepharoplasty, commonly referred to as the eyelid surgery, can be done on each type of eyelids: lower, upper or both. Depending on your needs, physician can propose a brow lift to be performed, improving the upper eyelids. Right under the eyelid skin, a muscle layer is positioned, separated from the fatty tissues by a special membrane. With age, both of them get weaker and sag. Deposits of fat get repositioned in response to this, which causes puffiness and drooping. Skin itself also gets changed with age. Collagen and elastin, which normally give support to the skin, become broken down in tie, making the skin less elastic and lax. Additionally, eyebrows usually get drooped with age and cause the upper eyelids to sag. Usually, upper blepharoplasty includes replacing or reshaping deposits of fat, also removing excess skin, as well as muscle tissues, thus improving the contours of the eyes.
This operation is most often performed under local anesthesia, as well as sedation. If required, general anesthesia can be administered. Marks for incisions may also be drawn, ensuring the incisions are following the natural lines of upper eyelids so that resulting scars are as hidden as possible as per standard blepharoplasty procedures. Physician will make a cut in the fold of the eyelid and remove a certain amount of skin, if needed – with a little amount of muscle tissue. To get access to the deposits of fatty tissue, little incision will be made inside the orbital septum and doctor will replace or remove part of the fat, reducing puffy look of the eyelids. Some bruising, swelling and pain are to be expected after the treatment. Your surgeon will probably advise you to use cold compresses and pain medications, so that you are healing comfortably. Tiresome activities, such as heavy lifting and exercises, should be avoided, as advised by your cosmetic surgeon, giving your body enough time to heal itself. If non-dissolvable sutures were used, they usually get removed in around a week and you are likely to notice improvements in the bruising.