Eyelid Surgery or Blepharoplasty, is a cosmetic procedure around the eyes to remove excess skin, fat and reposition muscle and cheek tissues as needed. Eyelid surgery does not remove fine wrinkles on the outside of the eye and does not necessarily improve dark circles under the eyes as well. These will need to be improved by additional procedures and skin peels, which can be done at a later time. Blepharoplasty can be done alone or in conjunction with other facial surgeries.
Good candidates for eyelid surgery are men or women who are otherwise physically healthy and realistic in their expectations. A few medical conditions do make eyelid surgery more risky and these need to be thoroughly evaluated in a consultation.
During the consultation, Dr. Rigano will examine your eyes and discuss the problems that the patient sees in their own eyes. After this, reviewing relevant information from past eye exams is quite beneficial. There are several techniques for eyelid surgery, again each have their own special benefits.
When eyelid surgery is performed by a Board Certified Plastic Surgeon complications are infrequent and usually minor. Most patients can have Blepharoplasty done under local anesthesia with some IV sedation in an office setting.
Upper eyelid surgery typically involves a lazy-S-shape skin excision of fat of the upper eyelid as well as removal of small amounts of protruding fat. In the lower eyelid, occasionally the lid structures need to be repositioned. A small amount of fat can be removed with some underlying skin as well.
Ice is quite important in the first 24 hours after Blepharoplasty to minimize bruising and swelling. The eyelid will feel tight and a little bit sore, but significant pain is quite rare. Close follow-up is very important since the eyelids heal very quickly. Sutures commonly come out between 3 to 5 days. Patients return to normal very quickly and typically return to work and are ready to go out in public within 1 week to 10 days.
The scars fade very nicely with time and typically become almost invisible white lines