Upper and / or lower blepharoplasty
When is this procedure indicated?
Excess skin or adipose of the upper and/or lower eyelids, evaluating also the laxity (tension) of the eyelids and possible malpositions such as ptosis (eyelid drooping).
How is it performed?
Blepharoplasty is a surgical procedure that can be performed under local anesthesia, local anesthesia with sedation, and in cases where it is associated with other surgery such as most commonly for facial rejuvenation, general anesthesia is required. Blepharoplasty can be performed in day surgery or in more complex cases requiring one day of hospitalization.
There are different blepharoplasty techniques, but after a careful objective examination it is possible to discriminate the most suitable technique according to the case and requirement.
With the upper blepharoplasty the excess skin is removed, a small portion of the orbicularis muscle of the eye and possibly the excess fat of the eyelid bags. The scarring outcome is at the upper eyelid fold, and in some cases it is possible to perform it with transconjunctival access (from inside the eyelid). Through the inferior blepharoplasty it is possible to remove the adipose excess or redistribute it to fill the eyelid furrows (dark circles), and to remove the skin excess.
The lower blepharoplasty recognizes a transcutaneous procedure with scarring at about 2 mm. from the edge of the eyelashes (generally very good scarring outcome), or a transconjunctival procedure (from inside the eyelid) in selected cases.
Contextually to the access route for the blepharoplasty we can perform a canthoplasty, to raise the lateral angle of the eyelid and the lower eyelid if with time it is a little descended. It is possible to obtain the removal of the eyelid adipose excesses, their redistribution to fill the eyelid grooves (dark circles), the removal of the skin excess. The lower blepharoplasty can be performed, always after a careful examination, with transcutaneous technique through an access at about 2 mm from the ciliary border, or with transconjunctival technique. Depending on the case, a canthoplasty can be performed, namely, different surgical techniques aimed at repositioning the lateral canthus (the lateral eyelid angle), or correct a possible eyelid ptosis (eyelid descent), using the same surgical access during blepharoplasty.
The time required to perform a blepharoplasty varies from about one to two hours.
Bandaging for blepharoplasty can be simply a mild cover or a moderately compressive dressing that will be relieved the day after surgery. Sutures will be removed 4-5 days after surgery. In the first hours after blepharoplasty, it is advisable to keep the head slightly elevated and apply cold moistened gauze to reduce burning and swelling.
Bluish spots (ecchymosis) will develop in the eyelid and zygomatic site in addition to swelling and will remain for 1 to 4 weeks.
For a few days there may be tearing, visual obnubilation, sensitivity to light. For 2-3 weeks following blepharoplasty surgery, the use of sunglasses is recommended as protection from wind and sun.