As you age, the skin around your eyes loses its elasticity. You may develop loose folds of skin on your upper eyelids and deep creases under your lower lids. Your muscles in this area may also slacken so that any fat bulges forward, looking ‘baggy’.
Cosmetic eyelid surgery can remove the excess skin, fat, or both, from around your eyes.
In preparation for the procedure, Dr. Joffily will examine your eyelids, vision, tear film (the layer of tears covering the surface of your eye), front of your eye and your retina.
He will assess the condition of your skin, and measure
the position of your eyebrows and eyelids.
In preparation fort the surgery, you may be asked to make some lifestyle changes. If you smoke, you may be asked to quit, as smoking increases your risk of getting an infection and slows your recovery.
How the Eyelid surgery is performed
The operation takes one to two hours, or less if just the upper or lower lids are being treated. Your surgeon may use either conventional or laser techniques.
The procedure is usually done within a day under general anaesthesia. Alternatively, if you prefer local anaesthesia, the area around your eyes will be numbed while you stay awake. A sedative may be given with a local anaesthetic to help you relax.
For surgery on the upper eyelids, cuts are made into the natural lines and creases in your eyelids, and in the wrinkles at the corners of your eyes.
For surgery on the lower eyelids, cuts are made just below your eyelashes. This means your scars will run along the natural folds of your eyes.
Excess fat, muscle and loose skin are then removed, and the cut is closed using fine stitches. If only fat is removed and there is no excess skin, the cut may be made inside the lower eyelids, leaving no visible scar.
Your surgeon will apply ointment to your eye area to stop it from drying out and use sterile paper tape to support your eyelids.
What to expect after an Eyelid Surgery
You will need to rest until the effects of the general anaesthetic have passed. You may need pain relief to help with any discomfort as the anaesthetic wears off.
Dissolvable stitches will disappear on their own in seven to ten days. Non-dissolvable stitches are usually removed three to five days after surgery. The tape supporting your eyelids is usually removed after three to five days. Lower eyelid support may be worn for one week.
Your nurse will recommend eye ointment and give you advice about how to care for your eyes during the recovery period. You should try to have a friend or relative stay with you for the first 24 hours.
To reduce the swelling around your eyes, it is recommended to apply a cold compress, such as ice or a bag of frozen peas (both wrapped in a towel) can help to reduce the swelling and bruising. Don’t put the ice directly on your skin as it can cause an ice “burn”.
Impressive results for beautiful eyes
Still have any questions about this procedure? Ask Dr. Joffily directly.