Phone: (403) 209-4333
Hours:
Mon - Thur: 9 a.m.–4 p.m.
Fri: 9 a.m.–1 p.m.
Sat - Sun: Closed
All Statutory Holidays: Closed
Blepharoplasty (Eyelid Surgery)
Blepharoplasty, or eyelid surgery, is a plastic surgery procedure to correct sagging or drooping eyelids. Because its skin is much thinner than that in other parts of the face, the eyelid is often one of the first facial areas to exhibit signs of aging. Eyelids that sag or droop can affect peripheral vision, making daily activities such as driving more difficult. Blepharoplasty may become necessary when various factors, which include aging, sun damage, smoking, and obesity, cause the muscles and tissue that support the eyelids to weaken.
Reasons for Blepharoplasty
Blepharoplasty tightens the eyelid’s muscles and tissue and removes excess fat and skin. It also eliminates the drooping of skin into the visual field, greatly improving peripheral vision. It is performed strictly for cosmetic reasons.
Functional Blepharoplasty
If the eyelids begin sagging into the field of vision, a functional blepharoplasty may be required. This procedure may be covered by medical insurance if it is deemed medically necessary. This determination is done by checking the peripheral visual field with an instrument called the Humphrey Visual Field (HVF) Analyzer.
Cosmetic Blepharoplasty
Blepharoplasty can be performed on either the upper or lower eyelid, or on both, for cosmetic purposes. For a lower eyelid that needs fat rather than skin removed, a transconjunctival blepharoplasty is performed. During transconjunctival blepharoplasty, an incision is made inside the lower eyelid, so there are no visible scars, and the fat is removed. This procedure has no effect on vision, but results in a person looking younger and more refreshed.
It is important for patients to have realistic expectations before undergoing cosmetic blepharoplasty. Although the procedure can enhance their appearance and improve self-confidence, it does not radically alter the face.
Candidates for Blepharoplasty
The best candidates for blepharoplasty are those who:
- Are in good overall health
- Do not smoke
- Do not have any serious eye conditions
- Have healthy facial tissue and muscle
People with eye disease, including glaucoma or retinal detachment, thyroid disorders, diabetes, cardiovascular disease, or high blood pressure are not good candidates for blepharoplasty.
For patients seeking more extensive facial rejuvenation, blepharoplasty can be combined with procedures such as a facelift or brow lift to address additional concerns.
The Blepharoplasty Procedure
Blepharoplasty is typically performed as an outpatient procedure requiring local anesthesia and sedation. General anesthesia may be used for anxious patients. Depending on whether both the upper and lower eyelids are operated on, the procedure can take anywhere from 45 minutes to 2 hours.
If the upper eyelid is being operated on, an incision is typically made along its natural crease. Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is excised. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed.
After the procedure, the incisions are closed with sutures, tissue glue, or surgical tape, and usually loosely covered with gauze so the area can heal.
Recovery After Blepharoplasty
After blepharoplasty, patients may be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed after 3 or 4 days. Most swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from the sun and wind.
Risks of Blepharoplasty
Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. Uncommon side effects include infection, reaction to anesthesia, and double or blurred vision. Eyes may be irritated and dry due to a temporary change in tear distribution.
Side effects such as uneven healing and permanent scarring are rare but, if they occur, may require surgical correction. The scars from blepharoplasty are well-concealed and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.
To get started with blepharoplasty (eyelid surgery) at our Calgary, Alberta, practice, please request a consultation or call Demsey Plastic Surgery at (403) 209-4333.