Procedure of operation takes few steps
The incision. The incision lines for eyelid surgery are designed for scars to be well concealed within the natural structures of the eyelid region. Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin. Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed. A transconjunctival incision, one hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.
Closing the incisions. Eyelid incisions typically are closed with removable or absorbable sutures, skin adhesives, surgical tape. Your surgeon may use a laser chemical peel to erase dark discoloration of the lower eyelids.
See the results. The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.
Blepharoplasty surgery is an operation that usually takes 1.5 to 3 hours to complete using a general anaesthetic and normally includes an overnight stay at the hospital. In certain circumstances it can be performed as a day case (usually if just the upper eyelids are operated on). Your expectations need to be realistic. The positive results of your refreshing eyes and reduced tired appearance will benefit your self-esteem and confidence and should last for years.
After blepharoplasty surgery, the surgeon will probably lubricate your eyes with ointment and may apply a bandage. Some bruising and swelling will be experienced during the first and second weeks, however the majority of the swelling usually subsides after the first 10 days. Your eyelids may feel dry at first, but eye drops can help with this. Any sutures are usually removed after 5 days. Scars will form as a result of the surgery. Overall these scars heal relatively well, but will differ in each individual patient. Recovery varies from patient to patient and it is advisable to take it easy for the first week after surgery. Most people are ready to go out and return to work after a week to 10 days. You should keep your activities to a minimum for three to five days and avoid more strenuous activities for about three weeks.
Many of the complications are due to the inadequate preoperative examination and counseling. Complications due to inadequate preoperative examinations are presence of Browptosis and Blepharoptosis, prolapsed lacrimal gland, inferior scleral show, and laxity of lower lid. Browptosis should be corrected before Blepharoplasty. Vision compromise is the most dreaded complication in Blepharoplasty It is due to retro bulbar hemorrhage. Increasing pain with proptosis, mydriasis, chemosis and congestion of conjunctiva should make one suspect retro bulbar haematoma. This should be recognized early and treated. Orbital decompression done early along with intravenous corticosteroids is effective in restoring vision. The most difficult complication is an unhappy patient. This may be due to the unrealistic expectations of the patient.