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As people age, some of the earliest changes are in the eyelids.
The skin of the upper and lower eyelids stretches out.
Blepharoplasty can make a person appear more rested and youthful.
Fatty
tissue that surrounds and supports the eye also may begin to bulge,
creating a puffy, tired or angry appearance. Surgical repair of
this condition is called blepharoplasty. This surgery can improve
the puffy appearance. While it also can make improvements in the
fine wrinkles on the lower lids and "crow's feet" on
the side of the eye, it cannot eradicate them completely. Sometimes,
sagging skin can become so excessive that it hangs down onto the
lashes and obstructs vision. Repairing this condition is considered
a medical necessity and may be covered by insurance, unlike the
repair of a lesser deformity.
During blepharoplasty, the excess skin and muscle and any protruding
fat are removed. The resulting scar on the upper eyelid usually
is hidden in the crease formed when the eyelid opens. The extension
of the scar to the side usually is hidden in any "crow's
feet."
Two
approaches can be used on the lower lid. One approach involves
making the incision just under the lower lashes and the scar usually
is inconspicuous. Another common approach is called a transconjunctival
blepharoplasty. The incisions are made from the inside of the
lower lid avoiding an external incision, minimizing problems with
lid position and eye shape.
 Postoperatively,
there will be bruising and swelling of the eyelids. If both upper
and lower lids are operated on at the same time, it may be difficult
to see for two or three days until some of the swelling dissipates.
Permanent alterations in visual acuity are extremely rare. Some
patients may have difficulty closing their eyes completely or may
notice changes in their lower lid position, but these problems are
most often temporary. Sutures will be removed within three to five
days after surgery, and you may shower then. You may resume light
exercise one week after surgery and more strenuous exercise two
weeks after the operation. Most bruising will disappear within 10 to
14 days postoperatively.
Visit our
plastic /
cosmetic surgery
office located in
Portland, Maine (ME).
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