Eyelid surgery (blepharoplasty) and correction of palpebral bags without external scar (transconjunctival blepharoplasty)
Through the surgery of the eyelids, technically known as blepharoplasty, it is sought to give a more youthful appearance in the area of the eyes, and improve the appearance. It is a procedure to remove excess bags and skin from the upper and lower eyelids. Blepharoplasty can correct the characteristics that make us look older and more tired than we are and that, in some cases, can interfere with vision.
However, blepharoplasty does not eliminate “crow’s feet” or other wrinkles or drooping of the eyebrows. It can be done in isolation or together with other cosmetic surgeries of the face, such as rhytidoplasty and frontoplasty and elevation of the eyebrows.
Ideal candidates to have a blepharoplasty those patients who seek to improve their appearance. Patients are usually 35 years old or older, but in some cases with a family tendency to have bags, patients are younger.
In certain cases, an ophthalmological examination prior to blepharoplasty may be necessary, especially when there is any alteration in the eyes or vision. In the first consultation, the vision and the production of tears will be evaluated, as well as their general state of health. You should inform your surgeon if you take any medication, if you smoke and if you are allergic to any medication. You should also say if you wear glasses or contact lenses and take, if possible, your last ophthalmological exam.
The possibility of operating the four eyelids, the lower ones or the upper ones and if it is necessary to associate some other procedure will be discussed. It will explain the techniques and the type of anesthesia that will be used, where the surgery will be performed, the risks and the value of the intervention.
Your plastic surgeon will provide you with specific instructions on how to prepare for surgery, including rules on taking food and liquids, tobacco or taking or suppressing medications, vitamins, natural medicines and washing the face. It is important to stop smoking at least two weeks before surgery.
Blepharoplasty is performed in the operating room, inside a clinic or hospital. Normally, it is not necessary to stay in the clinic for more than a few hours after surgery.
It is usually performed under local anesthesia, or local anesthesia plus sedation, rarely under general anesthesia. The surgery usually lasts approximately between one and two hours, or longer when it is associated with other interventions.
Most of the time the incisions are placed in the natural lines of the upper eyelids and just below the lashes in the lower ones; in some cases they can extend towards crow’s feet.
Through these incisions the skin is separated from the underlying fat and muscle, removing excess palpebral bags and skin.
In other cases, in young patients in whom there are only excess palpebral pockets, a transconjunctival blepharoplasty of the lower eyelids can be performed; The incision is placed inside the lower eyelid leaving no visible scar.
After the surgery, an ointment will be applied to the eyes to lubricate them, and in some cases, a soft bandage. You should keep your head elevated for a few days after surgery and apply cold compresses to decrease inflammation. You will be taught how to wash your eyes and you will be instructed if you should apply eye drops to keep your eyes hydrated and ointments at night. The stitches are removed between 3 and 7 days. The edema will gradually diminish until it disappears completely, and you will begin to look and feel much better.
It may be necessary to wear dark glasses for a few weeks and apply sunscreen on the eyelids. You should maintain a relative rest for 3 to 5 days and avoid strong activities for 15 days.
The result of the operation is very favorable and durable and, in general, the bags of the eyelids do not usually reappear.