Blepharoplasty: The Makeover For Your Eyes - Health Education - DesiMD Healthcare - India
Health Education

Blepharoplasty: The Makeover For Your Eyes

Dr.Shubhra Goel profile Authored by Dr.Shubhra Goel on 1 May 2014 - 11:54.

It is said that the eyes are the mirror of one's soul.The skin around the eyelids is the most sensitive and the thinnest in the body and can affect the appearance of the eyes and also cause a slight discomfort.

Dr Shubhra Goel, (DO, DNB, MNAMS, FMRF (Oculoplasty)) says, "The eyes are also the mirror of one’s health and age. Because of the intrinsic and extrinsic factors, the eyelid skin is put to the constant wear and tear in one’s life time.  This leads to aging around the eyes. The classical signs of aging are: loss of skin texture, pigmentation, fine lines, dark circles and loss of the firmness or elasticity around the eyes."

Blepharoplasty is a cosmetic procedure of the eyelids that can enhance the beauty of the eyes.  It helps to correct the flaws of the eye pertaining to the eyelids. People prefer this surgery to get rid of loose, sagging skin obstructing the vision or to remove the excessive fat that collect around the eyes. It basically helps to alleviate aging sign symptoms such as dark circles, puffy eyes, wrinkles and lines around the eyes.

Awareness: However, one should be well aware of the procedure and outcome of the surgery before going for it. The recovery and healing of a cosmetic process is normallya gradual process, with instructions strictly followed, as advised by the doctor, before one can see the results he/she desires. Let’s go through a few questions on what the Blepharoplasty surgery is all about:

  • What is Blepharoplasty?

Blepharoplasty is a surgical procedure to remove the extra skin and or fat from the upper and lower eyelids.

  • What is an eyelid aging process?

Like any other body part, eyelids also age with time. The factors influencing aging are the genetic constitution of an individual, the intrinsic changes secondary to the loss of elasticity of the skin and the supporting tissues and the extrinsic factors like sunlight exposure. The classical changes seen are the fine wrinkles around the eyes, extra skin hanging over the lids and prolapsed fat which is supposed to be behind the eye lids move to the front of the eye creating eyelid bags

  • Who needs an eye lid surgery?

Anyone who has the above mentioned changes hampering day-to-day activities or causing a cosmetic concern can have it.

  • How should one prepare for this surgery?

One needs to visit an ophthalmic facial plastic surgeon for a complete evaluation. Based on the changes around the eyelids the procedure is explained by the specialist. One needs to ideally take off for 3-4 days from work, stop any form of anticoagulants (Aspirin, fish oil, NSAID’s etc). It is important for the person to understand the realistic outcomes of the procedure.

  • What are the precautions before and after the surgery?

Before the surgery as mentioned above. In addition it is important to be in a relaxed state of mind. After the procedure, one has to limit all kind of heavy activities like bending or lifting for at least a week’s time. Cold compressions to reduce the swelling are recommended. Systemic (oral) and topical (local) medications should be taken as advised by the treating surgeon.

  • Are there any side effects/allergic reactions associated with this surgery?

If not performed and assessed carefully, there can be skin shortening leading to difficulty in the closure of the eyes, double vision which is often transient if there is an injury to the muscle especially in the lower lid procedure, and a sunken appearance if too much of the fat is removed which can create the hollowness below the lids.

  • What age is ideal for this surgery?

There is no ideal age for this procedure. Though it is performed for the eyelids rejuvenation to reverse the signs of aging which classically can be seen anytime in mid 40s, it is also performed in young patients if there are changes due to thyroid eye disease or disease process like blepharochalsis (an inflammation of the eyelid).

  • What is the time involved in this treatment? How long does the surgery take?

It depends on the number of lids on which the procedure has to be performed. One eyelid takes approximately 30 min under trained hands.

  • Are the results of this surgery permanent?

Yes, these results are permanent. However aging is a dynamic process and the newer ongoing changes can be seen based on an individual’s tissue responses.

  • How is eye lid surgery performed? 

It is usually done under local anesthesia and sedation. The incisions are hidden along the normal lid creases to avoid any kind of scar formation, a radiofrequency cautery or laser is used to sculpt and remove the extra skin and fat tissue. Typically 4-5 stiches are given along the incision line, which are removed after a week’s time.

  • Are there any complications involved post the surgery, and what are they? What can be expected?

The patient needs to follow all the precautions carefully to avoid any kind of complications. If there is excessive exertion, there can be increased swelling and bleeding, sometimes even leading to impairmentof vision, breakage of the stitches etc.

  • How long does it take to recover?

Typically the initial healing takes a week’s time. However the complete resolution and rearrangement of tissues takes at least 6-8 weeks.

  • What are the realistic outcomes of this procedure?

The realistic outcomes are that a person will have a fresh and more awake look rather than looking what he or she was 10-15 years back. It is important to understand that cosmetic procedures are done to make one feel and look fresh and happy rather than unrealistically creating a very young look.

While we cannot stop the aging process, it can be definitely delayed by taking extra care. Dr. Shubhra Goel recommends the following measures to maintain a good skin and sparkle in the eyes:

1.     Eat, drink and sleep well: Nothing is better than a natural healing process. A balanced diet, good hydration and sound sleep are the best stress busters and produce natural antioxidants for the skin.

2.     Use of sunscreen lotion: Sunscreen lotion is a must in everyone’s bag. One of the main reasons for aging changes on the skin is the exposure to the UVA and UVB rays. The use of sun blocks can delay aging changes by years.

3.     Cosmeceuticals: Use of anti-aging creams consisting of vitamins A, C and E along with skin lightening agents consisting of Kjoic acid and hydroquinone works very well for the peri-ocular pigmentation and fine lines.

4.     Injectables: Botox and fillers are very well known anti-aging injectables used for removing fine lines or laugh lines and the volume loss along the medial aspect of the lids, leading to tear trough deformity, giving eyes the tired and sunken look.

5.     Life style: Subtle changes in life style can make dramatic changes around the eyes. Good amount of exercise, abstaining from alcohol and smoking increases the vascularity release of healing mediators.


*Disclaimer: This is not medical advice. The content is for educational purposes only. Please contact your doctor for any health care issues.