Eyelid Surgery

Eyelid surgery, scientifically referred to as blepharoplasty, is a surgical procedure done to correct sagging, droopy eyelids and create a rejuvenated appearance. Under eye bags are also addressed during this surgery as blepharoplasty encompasses the correction of all issues involving the lower and upper eyelid. As we age, our skin loses its elasticity causing excessive skin to collect on our eyelids. Gravity and genetics also play a role in our appearance and some people are plagued by hooding of the upper eyelids that is so bad it affects their vision.

Who is a good candidate for eyelid surgery?

Eyelid surgery can be performed on men and women who are 35 and older. However, if sagging, droopy eyelids are genetic and effect you at a younger age, impairing your vision, you surgeon may decide to let you undergo this procedure. If you are in overall good health but have bulges of skin in the upper or lower eyelids, you are a good candidate for this procedure.

If you smoke you will need to quit at least two weeks prior to your eyelid surgery. Smoking hinders our body’s natural healing process by denying oxygen intake to the brain. You will also need to keep from smoking as you recover from your procedure to ensure optimal healing.

Finally, when you meet with your surgeon for an initial consultation, they will ask that you reveal any medications you are taking and your health history. This will also help them determine if you are an ideal candidate.

What does recovery from blepharoplasty entail?

Immediately following your eyelid surgery, you will need to take it easy. Your doctor will prescribe painkillers and, in some cases, antibiotics. It’s important that you only take what was prescribed/cleared by your doctor to treat your discomfort.

During the first week after your blepharoplasty procedure the area will be sore and tender. You can use a cold compress to help bring down the swelling and bruising. Light walking is allowed to ensure that you don’t remain completely sedentary as you recover. After about two weeks most people report that they are able to return to their normal activities and at this point you can resume wearing eye makeup.

Some people find that they are sensitive to light in the week following their procedure or experience irritated or dry eyes. Should this occur, contact your surgeon immediately so he/she can prescribe eye drops to help alleviate these symptoms.

What to look for in a surgeon

The Canadian Society for Aesthetic Plastic Surgery (CSAPS) is the only recognized body in the country. Your surgeon must adhere to their strict code of ethics and conduct and also be board-certified by the Royal College of Physicians and Surgeons of Canada. Besides certification, schooling and experience you must feel comfortable with your surgeon. You should have a good rapport with your surgeon and trust them.

There are three important questions you need to ask potential surgeons to see if they’re capable of performing your eyelid surgery:

1. Where did you complete your training?

2. How many eyelid surgeries have you done?

3. How long have you been in practice?

What happens during eyelid surgery?

Eyelid surgery can be performed on the upper or lower eyelids or both. No matter which part of the eyelid you are having surgery on, you will be administered anesthesia for your comfort.

For upper eyelid surgery, your surgeon will make an incision along the contour of the natural fold of the upper eyelid. Then, excess skin and fat are removed to create a fresher, more alert look.

Lower eyelid surgery can be done through two different techniques. The first technique involves your surgeon making an incision on the outside of the lower eyelid below the lashes. The second techniques requires an incision inside the lower eyelid. Both techniques result in the excision of muscle, fat and tissue from the area to create a smooth, rejuvenated appearance.

The technique used during your eyelid surgery depends on how much excess material needs to be removed and your age.

Blepharoplasty does leave a scar where the incision lines are made. However, scarring fades over time and in several months following your eyelid surgery the lines will barely be visible.

Eyelid surgery is often done in conjunction with laser skin resurfacing, facelifts or filler injections because the procedure itself does not eliminate facial wrinkles or dark undereye circles.

Eyelid surgery does not affect your vision because the procedure only deals with the outer part of the eyes and not the eyeball itself. Blepharoplasty will only change how you see (for the better) if droopy eyelids are getting in the way of your vision.