Excess Eyelid Skin and/or Fat (Dermatochalasis and Blepharoplasty Surgery)

Before                                                                     After

 

What is a Blepharoplasty?

Blepharoplasty is the medical name for the surgical removal of excess eyelid tissue. The excess tissue is most commonly skin, but often fat and muscle are additionally removed from the eyelid, depending on the needs and appearance of each specific patient. This information sheet will focus mainly on excessive skin in the eyelid (dermatochalasis) and surgery to correct this.

Excess skin and/or protruding fat can be present in one or both upper or lower eyelids, but is most common in the upper lids. The excess skin can droop in front of the eye, blocking the upper vision and can be a cosmetic problem.  It can also cause an uncomfortable heavy, tired sensation, particularly when reading or concentrating 스카이에듀 노트북 다운로드. Sometimes the skin can weigh down on the eyelashes causing discomfort and even push the eyelashes down into the area of vision. Finally excess skin on the outer side of the upper eyelid sometimes tracks tears in the wrong direction (‘wicking’) causing a watery eye.

Excess skin most commonly occurs with aging, but sometimes occurs in younger age groups and can run in families. It is sometimes associated with ptosis (drooping of the upper eyelids – see ptosis information sheet for further details).

Sometimes the eyebrow also descends with age and I might suggest lifting the brow a little (usually with hidden sutures – internal brow pexy) in addition to removing the excess tissue.

 

What will happen at my hospital appointment?

In clinic I will examine your eyes, eye movements and eyelids 탈리온 다운로드. It can be helpful if you have old photographs (for example passport or driving licence). If ptosis is also detected, sometimes some further tests are occasionally required. If I think surgery can help I will discuss the risks and benefits of surgery with you. I may also book you a pre-assessment appointment depending on the type of anaesthetic that will be used (see below) and any other medical conditions that you may have.

 

How is excess eyelid skin treated?

The most common blepharoplasty operation involves carefully assessing and marking the excess skin and excising (cutting out) it. I will discuss with you how much skin and additional eyelid tissue (usually fat) to remove. The incision for the surgery is almost always made in the skin in the existing eyelid crease (skin fold) and is invisible a few weeks after surgery 다운로드. The skin incision is closed with sutures that are removed 1-2 weeks after the surgery.

 

I take a photograph prior to the operation so that we will be able to compare the position of the lid after surgery. Upper lid blepharoplasty surgery takes about 20-35 minutes per eye and is almost always a day case procedure, with no need for an overnight stay in hospital. It is usually done with local anaesthetic (injections to numb the eyelid skin). However, occasionally, for example for patients with severe tremor or anxiety, I use sedation, which makes one very sleepy during the anaesthetic injections and relaxed and a little sleepy during the operation. If both eyes require blepharoplasty surgery it is usually best to operate on both sides at the same time to give the highest likelihood of a symmetrical result 한컴 타자연습 무료 다운로드.

 

There are other blepharoplasty operations, for example, lower eyelid fat only blepharoplasty, that are used in specific situations that are not discussed in detail in this information sheet.

 

What are the possible complications or risks of upper lid blepharoplasty surgery?

Unsatisfactory eyelid appearance or asymmetry: at least 95% of patients are corrected satisfactorily after the first operation. Approximately 5% or less may require a further surgery to improve the appearance of one or both eyelids.

Recurrence: the excess skin does gradually recur in time, although usually many years or decades after the initial operation. This may require a repeat procedure.

Pain

The local anaesthetic will wear off in the first 1-4 hours after surgery. At this time, the eyelid can become quite painful 다운로드. You can take simple painkillers such as paracetamol or ibuprofen if you have no allergies or contraindications to these. If you are in pain, please ask the nurses or me for painkillers.

Bruising

It is common to have bruising of the eyelid or the whole area around the eye after eyelid surgery. You may have a ‘black eye’, which can take a week or so to settle down. There also may be a scab along the suture line or some numbness of the upper eyelid.

Bleeding

You may have a little bit of bleeding in the hours or even first few days after surgery. You can gently dab this with a clean tissue. Occasionally there is more bleeding at about five days after surgery, particularly in people who take blood thinners such as aspirin 다운로드. If there is a lot of bleeding at any time please put some firm pressure on the bleeding area with a pad of tissues and if it does not stop contact the clinic or me immediately or attend an eye casualty department.

Infection

Infection is uncommon after eyelid surgery, although any wound can become infected. Infection will cause the eyelid to become increasingly red, swollen and tender a few days after surgery and there may be some discharge. If this occurs you should contact me immediately or attend an eye casualty department or GP.

Poor eyelid closure

The eyelids may feel ‘tight’ after surgery. Inability to close the eyelids after surgery (lagophthalmos) happens very occasionally. Eye lubricating cream can be used to keep the surface moist and comfortable and this almost always settles with time 다운로드.

Dryness and grittiness of the eyes

The eye can feel a bit gritty or dry after surgery. This can usually be managed with artificial tear/lubricant drops, gels or creams and almost always settles in time.

 

Additional complications of lower lid blepharoplasty surgery

Lower lid blepharoplasty surgery is much less commonly undertaken than upper lid surgery. It is a more challenging operation with a greater risk of an unsatisfactory outcome and should only be undertaken by a surgeon with training and experience in this procedure. The major additional complication is that excision of excessive skin can cause the outer side of the lower eyelid to curve downwards slightly (lid retraction) 다운로드. This usually improves in time, but occasionally continues to have a poor cosmetic appearance and very rarely revision surgery, sometimes with skin grafting is required to improve it.

Visual Loss

There is a tiny risk (probably less than 1 in 10,000) of visual loss with any eyelid surgical procedure. The risk is slightly higher for lower lid blepharoplasty than upper lid blepharoplasty

 

What should I do in preparation for surgery?

Blood thinning medications such as aspirin, clopidrogel (Plavix, Iscover) and warfarin can make bleeding more likely during and after surgery. If you are taking these drugs please tell me and we can discuss whether to continue them. If possible it is advisable to stop anti-inflammatory drugs like ibuprofen (Nurofen), fish oil, ginger, ginseng and garlic containing supplements 2 weeks before surgery 나를 찾아줘 영화.

If you smoke I would recommended that if possible you stop smoking for at least 3 days prior and 1 week after surgery, because smoking impairs wound healing and increases the risk of infection.

Avoid heavy alcohol intake in the days before and after surgery. If you are having sedation or general anaesthetic, you are required to have nothing to eat or drink for at least six hours before surgery.

On the day of surgery please dress casually and wear a top which buttons at the front. Please wash your face on the morning of surgery and ideally men should shave. Do not wear any makeup, jewellery or contact lenses.

 

What happens after my operation?

An eye patch is sometimes placed over the eye after surgery 90년대 음악 다운로드. You can remove it the next morning unless the nurse or I give you different instructions. If surgery has been done on both eyelids, one of the eye patches will be removed before you go home. You will be given drops and ointment to use and a clinic appointment will be made for a check-up about a week later.

You will usually need about one week off work. Try to avoid driving for a few days after the operation.

You will be given a more detailed information sheet with guidance for the post-operative period

 

 

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