Blepharoplasty an Eyelid surgery. Blepharoplasty is a type of ...

Blepharoplasty is an operation of cosmetic surgery that can correct the eyelid appearance to restore a youthful and rested look. It is performed by an oculoplastic surgeon who removes age-related imperfections, birth defects or tumors. 

We speak of upper blepharoplasty in case of excess skin in the upper eyelid and lower blepharoplasty when there are bags or excess skin of the lower eyelid.

What Are The Indications For Blepharoplasty?

Several anomalies are conducive to performing eye surgery. Aging is the most common case. Also, pockets and dark circles at the level of the lower eyelid or the fall of the eyelids, phenomenon known as “ptosis” which can hinder the visual axis are also indicators. 

Surgery can also be the result of congenital problems related to the positioning of the eyelids that are too low or too small. Revealed in the elderly, a cancerous tumor linked to the sun also requires a blepharoplasty.

How Does A Blepharoplasty Take Place?

An ophthalmological examination and an anesthesia consultation are enough to schedule an intervention. If all four eyelids are operated, the operation takes an hour and a half. Under mild local or general anesthesia, half a day of hospitalization is sufficient. 

There are two methods to remove excess skin or excess fat: the facelift or the laser. An incision is made in the fold of the upper eyelid, the dermatochalasis, and another in the outer corner of the eye, where wrinkles form, with an under-eye filler (Filler ใต้ตา, which is the term in Thai) being used. If the surgery only involves pockets of fat, the incisions are made inside the lower eyelids.

What Are The Complications Of A Blepharoplasty?

Like any surgical procedure, complications can occur during or after the operation, such as:

  • Persistent tearing or dry eyes
  • Lagophthalmos: the upper eyelid is half closed
  • Epidermal inclusions: cysts form on the scar
  • Dyschromic: the scar has an unusual color
  • Retraction of the lower eyelids

Corrections and care are then to be considered with the practitioner. Rarer, surgical-related problems may appear, such as a hematoma or an eye infection.

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