UPPER BLEPHAROPLASTY
Eyelid surgery illuminates your eyes and makes them sparkle with life. It also heals incredibly fast, it is one of the best cosmetic surgical procedures.
Overview
Over time, the upper lids lose volume and there seems to be an excess of skin. This
is compounded by drooping eyebrows which press on the lids. This complex of
changes gives the entire face a downcast expression. With upper blepharoplasty, this older, sad expression can be transformed into a bright, younger look.
Technique
Excess of skin is removed by making an incision a few millimetres above the eyelashes in a natural skin fold (the palpebral fold) This incision leaves practically no scarring because the skin of the eyelids heals perfectly.
The incision is used to remove excess skin and the fat responsible for swelling next to the nose.
This is a very exacting procedure which is often carried out under a magnifying glass.
However, the apparently redundant skin is also caused by the progressive loss of the structures present in a young face as the fat under the skin is absorbed by the body. This is why we usually combine eyelid surgery with fat grafting (micro fat grafts) to support the emaciated eyelid from the inside. The external angle of the eyelids can also be lifted to accentuate the « almond » shape of the eye.
Procedure
This procedure is usually performed under a local anesthetic. You will be lying down and you will first feel very light needle puncture, followed by a sensation of heavier eyelids, caused by the anesthesia. Each eyelid is then operated during a procedure that lasts about an hour. Dressing is then placed on your eyes, and a cooling mask is placed on your face while you lie down for another hour. You can then go home with the assistance of a friend or relative.
After the operation
There is normally moderate discoloration after the operation, and the area needs to be protected from sunlight. Swelling of the conjunctiva may make you feel as if you have a bubble in your eye, but this will resolve within a few days. You will need to limit your social and professional activities for a week.
I will be available at any time to talk to and reassure the patient, who must return to the clinic a week after the procedure for a follow-up appointment. There are few if any stitches to remove since the procedure uses either intradermal sutures of dissolving sutures. Patients can start to use make-up on the 4th day after the operation. At most, there will be a fine pink line for several weeks after the operation, but this is easy to conceal with make-up.
Questions
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