Blepharoplasty – Upper and Lower Eyelid Correction

The eyes are certainly the most important vector of our feelings. Throughout time, humans have tried to improve their appearance, whether through makeup already present in ancient Egypt or Persia, or thanks to the latest techniques in both surgery and aesthetic medicine. This chapter is dedicated to surgical techniques that allow for eye rejuvenation. They help remove excess skin and erase fat pockets.

TECHNIQUE

Upper blepharoplasty (upper eyelid surgery) involves removing excess skin as well as any possible fat accumulation in the medial part to achieve a rejuvenated and lighter look. The scar is positioned in the upper eyelid fold (thus invisible).

It is performed under local anesthesia on an outpatient basis and lasts 20 minutes per side.

Lower blepharoplasty (lower eyelid surgery) involves removing excess skin and redistributing peri-orbital fat to conceal dark circles and achieve a less tired look. It is performed under sedation on an outpatient basis and lasts about 1.5 hours.

POST-OPERATIVE CARE

These procedures cause very little pain. Taking paracetamol is sufficient to control the pain.

Bruising (blue marks) may appear but are rare. Post-operative swelling (edema) appears within an hour after the procedure and may persist for a week.

You are asked to sleep in a semi-upright position for 48 hours. Drops and ointments are prescribed by Dr. Zirak to prevent dry eye syndrome.

Sutures are removed after a week. Scars remain pink for another one to two weeks, but makeup is allowed as soon as the sutures are removed.

As with any cosmetic surgery, the result looks natural after two to three weeks, but the final aesthetic appearance is achieved only after three to six months.

Before/after photos

Blepharoplasty Blepharoplasty Blepharoplasty Under-eye Lipofilling

FAQ

What are the possible complications?

• Hematoma (blood accumulation): very rare

• Infection (extremely rare)

• Lagophthalmos (inability to completely close the upper eyelid): possible in the first few days following the procedure, its persistence beyond a few weeks should not occur

• Scleral show and ectropion (downward retraction of the free edge of the lower eyelid): the major form is extremely rare, whereas the minor form (round eye) may be present but often fades after a few weeks of massages to achieve tissue relaxation

• Diplopia (double vision) or blindness: exceptionally reported in international literature

Can I go blind?

Consulting a Plastic Surgeon ensures that they will know how to avoid this complication

Are there any pre-operative tests to perform?

A complete ophthalmological examination will be systematically required. A blood test and a visit to the anesthesiologist are also mandatory

How long before I can resume sports activities?

It is recommended to resume sports activities only after two to three weeks

I am afraid my appearance will change

If the procedure is performed according to the rules of the art, we achieve rejuvenation, lightening, and reduction of unsightly fat pockets without changing your appearance

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