It is a gentle procedure, most often performed under local anaesthesia, which efficiently deals with your aesthetic problems related to both upper and lower eyelids, and significantly relieves your eyes. When the skin fold of the upper lid exceeds its edge, it increasingly reduces the visual field. And you have worse vision because of it. Blepharoplasty efficiently treats the problem.
Advantages of eyelid surgery
- The biggest advantage is the double effect of the procedure. Not only will your visual field be larger and you will see better, but at the same time, you will look younger. Your face will look softer and you will get rid of a tired and sad expression.
- Another advantage is the possibility to perform the procedure under local anaesthesia. You will avoid hospitalization and will be able to resume your everyday life soon.
Our tip: laser-assisted blepharoplasty
The effect of the surgery on upper and lower eyelids can be improved by subsequent treatment of skin with a fractional CO2 laser. The laser slightly tightens up the skin and minor wrinkles, increasing the effect of the procedure on upper and lower eyelids.
This method even enables the ability to perform lower eyelid surgery without any visible scar! Using the laser, an incision may be performed on the lower lid not on the skin as usual, but in the conjunctiva inside the eye. No scar forms on the skin. This option is available only for minor eyelid skin drooping and is suitable for procedures done under general anaesthesia.
- We will explain everything very carefully. We will take necessary photographs before the surgery. Do not be afraid to ask anything.
- The procedure is performed under local anaesthesia. General anaesthesia is required only in exceptional cases or when combined with other surgeries.
- An incision is made on the upper eyelid in the natural bend line leading to fan-shaped wrinkles around the eyes to make the final scar as least visible as possible.
- We will thoroughly measure your eyelids. The skin excess is carefully marked on the skin and later removed. If necessary, we will also remove fat pouches. The skin is then sutured with very thin sutures and secured with thin sticking plasters.
- On the lower eyelid, the incision is made as close to the lower eyelashes as possible to avoid any damage to their bulbs. On the sides it also leads to fan-shaped wrinkles around the eyes.
- Same as on the upper eyelid, we will remove fat pouches and excessive skin and suture the wound with very thin sutures.
- The procedure takes about an hour.
You will be released after the procedure. You will need dark glasses and we recommend arranging a person to accompany you home.
The wound will be covered with a sterile plaster which you will wear until the first follow-up. It is recommended to ensure a home help for the first days at home.
Thoroughly cool the treated areas to prevent swellings and bruising from growing too large. Postoperative pain is usually not severe and can be reduced with normal analgesics (painkillers).
Resting is advisable after the procedure. Rest by lying on your back, in an elevated position while supporting your head, especially in the first 24 hours.
Avoid dusty and smoky environments and direct sun shine.
If you decide to undergo the procedure in summer, it is necessary to protect your eyes with sunglasses for the whole season.
The first follow-up during which sutures are removed is usually scheduled after 7 days.
The final result of an eyelid surgery is usually visible 3 months after the surgery. Scars are usually discreet, and barely visible.
Possible risks of eyelid surgery
Face tissue usually heals very well and therefore the vast majority of surgeries are done without any complications. Despite the fact, complications with serious consequences may occur after any surgery. It is impossible to make a complete list of all complications.
Persisting swellings are the result of poor lymph drainage of the treated areas; they usually spontaneously disappear within a few weeks.
Bleeding and minor bruising cannot be considered a complication but are a common part of the intervention. Bleeding to the eye socket after removing fat prolapses may be a serious situation. It is manifested by pain and pressure behind the eye, a bulging eye, double vision; the eye is impossible to close. In that case, a very fast surgical revision of the wound is necessary otherwise the excessive pressure in the eye socket may even result in a permanent damage to the nerves in the eye and the loss of vision.
Ectropion is a condition in which your lower eyelid turns outward; eye is round in shape, patients often sense "blowing in the eye", tears may pour out. Ectropion occurs either after a too radical skin removal, or temporarily when there is bruising and swelling, or in a very stormy healing process accompanied with formation of subcutaneous adhesions.
Most ectropion cases heal without the necessity of further surgery if postoperative care is observed. Possible surgical correction is difficult.
Visible scars may be either firm and wide with low pigmentation or, on the contrary, with increased pigmentation. The quality of scars can never be anticipated.
Inflammations - may occur deep in the eye socket and then it is a serious condition like bleeding. Also, a minor temporary irritation of conjunctiva may occur or a subcutaneous inflammation. In the latter cases, the treatment is relatively easy, and the result of the surgery is not impaired.
"Dry eye" - is a condition which occurs in case of insufficient tear production. Especially after the upper eyelid surgery, the distribution of tears over the eye surface changes and may result in the uncomfortable feeling of an irritated eye. You should be considered in patients with a reduced tear production diagnosis.
Eyelashes fall out after the surgery - it may be a rare reaction to the trauma caused by the incision in their close vicinity. It is a temporary condition; eyelashes will grow again within 2-3 months.
Change of sensitivity on the edge of the eyelid and in the eyelashes - usually on the upper eyelid; it is caused by interruption or irritation of small nerves ending under the upper edge of the eye socket. The change is usually temporary.
Allergic reaction to anaesthetics - may occur in case of an undiagnosed allergy; its clinical manifestations may differ from a rash to shock.
Why choose us?
A top team of plastic surgeons
Our team consists of the best certified professionals. We have valuable experience and excellent references.
Thousands of successful procedures
Our surgeons have been in the business for more than 20 years. They have successfully performed thousands of operations and helped many patients.
State-of-the-art operating theatre
Our equipment and applied standards meet the strictest international standards. It is important for a successful surgery as well as for your safety after the procedure.
Do you consider a treatment?
What are the most frequent questions? You can ask us about anything. Don't feel ashamed, we are ready to help you.
Plan an appointment today. An experienced doctor will take care of you and you will learn many important facts.
Do you need advice? Contact us right now, we are at your disposal. We are ready to help you by formulating a question or scheduling an appointment with our doctors.