13 Jun
Blepharoplasty
Who is the ideal candidate to undergo a blepharoplasty?
Ideal candidates for undergoing blepharoplasty are those seeking an improvement in their appearance.
Generally, people who undergo this type of surgery are 35 years or older, but in some cases with familial tendency to have bags, they are younger.
In some cases, the skin of the upper eyelids is so flaccid that falls in the upper visual field, then the upper blepharoplasty helps regain vision.
Blepharoplasty will improve the appearance and self confidence. Before deciding whether to perform a blepharoplasty think what you want to achieve and discuss it with your plastic surgeon.
What is the Upper and Lower Blepharoplasty?
Upper and Lower Blepharoplasty is the operation to correct the signals on the eyelids facial aging manifests as skin sagging upper eyelids and bags in the lower eyelids and in the inner portion of the upper.
Eyelid surgery, technically known as blepharoplasty, is a procedure to remove fat, excess skin and muscle when needed for upper and lower eyelids.
Eyelid surgery can correct drooping upper lids and bags of inferior characteristics that make us look older and more tired than we are and, in some cases, can interfere with vision. However, blepharoplasty does not remove “crow’s feet” or other wrinkles or drooping eyebrows. It can be performed in isolation or together with other cosmetic surgery of the face, such as cervicofacial lift or forehead lift as well as facial cosmetic medical treatments such as botulinum toxin type A and wrinkle filler with hyaluronic acid …
Is a functional or cosmetic surgical procedure in order to remodel the upper or lower eyelid eliminating and / or repositioning excess tissue, as well as performing a canthoplasty which is to strengthen the surrounding muscles and tendons around the eyes.
When a significant amount of skin on the eyelid, the skin may hang over the eyelashes and cause loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In these circumstances, upper eyelid blepharoplasty is performed to improve peripheral vision. People with severe fewer excess skin may perform a similar procedure for cosmetic reasons.
To this must be added the presence of bags under the eyes, especially in the lower. In fact, the problem of the bags produced by fat on the eyelids can be found very early age, as it can be inherited.
The lower eyelid operation is almost always done for cosmetic reasons, to improve lower eyelid bags and reduce skin wrinkling.
Blepharoplasty is performed through external incisions made along the natural lines of the eyelids, such as the stripes on the top and below the lashes in the lower or inner surface of the eyelid below.
It is an outpatient surgery because it is not necessary to be entered. Recovery is rapid. The swelling and the initial bruising take one to two weeks to recover but it takes at least several months until the final result becomes stable.
Depending on the scope of the procedure, the operation takes one to three hours to complete.
What is Blepharoplasty Transconjunctival?
Transconjunctival Blepharoplasty is plastic surgery of the eyelids is performed in order to correct the lower eyelid bags.
Not leave any external scars, which also has the advantage that a smaller amount alter tissue and the fat is extracted more accurately.
Is performed under local anesthesia and sedation. Take the excess skin and fat pads through a small incision on the inside of the eyelid. The scars are hidden in the conjunctiva, eyelid after leaving a natural result without external scars.
I have to hospitalize?
In the case of upper blepharoplasty will not have to enter Cànons Clinics held in our centers specializing in Cosmetic Medicine and Surgery since we have all health records of the Generalitat de Catalunya to perform this type of surgery under local anesthesia.
In contrast, in the case of transconjunctival lower blepharoplasty or surgery will be performed in the area of a clinic, either in Barcelona Granollers or, in Reus. Normally it is not necessary to remain in the clinic only a few hours after surgery. This is usually performed under local anesthesia and sedation, so that the person who undergoes the surgery feels relaxed and eyelids are insensitive to pain.
The procedure usually takes between one and two hours. The incisions are closed with very fine sutures. For transconjunctival blepharoplasty of the lower eyelids the incision is placed inside the lower eyelid, leaving no visible scar.
Can I combine it with other surgeries and treatments?
Usually combined with brow lift surgery, an unbeatable combination. You’ll get the best results by combining blepharoplasty with elevation and repositioning of the brow in a single surgical session.
Can also be combined with other cosmetic medical procedures such as botulinum toxin, mesotherapy, wrinkle fillers.
What will return to normal?
Tras la blefaroplastia, se te aplicará una pomada en los ojos para lubricarlos. Si tuvieras molestias sobre los párpados, se alivian fácilmente con la analgesia prescrita por tu cirujano y, con la aplicación de frío local para disminuir la inflamación y los hematomas.
Se te enseñará como lavarte los ojos y, se te indicará si debes aplicarte colirios oftálmicos para mantener los ojos hidratados. Durante las dos primeras semanas tu cirujano plástico seguirá con detalle tu evolución. El edema y los hematomas disminuirán gradualmente hasta desaparecer por completo, y comenzarás a verte y sentirte mucho mejor.
After blepharoplasty, you apply an ointment to lubricate the eyes. If you had trouble on the eyelids, easily relieved with analgesia prescribed by your surgeon and with the application of local cold to reduce swelling and bruising.
It will teach you how to brush your eyes and tell you if you should apply ophthalmic eye drops to keep the eyes hydrated. During the first two weeks your plastic surgeon will follow your progress in detail. The swelling and bruising will gradually decrease until it disappears completely, and begin to look and feel much better.
Most people who undergo blepharoplasty begin to read or watch TV in 2 or 3 days. However, you can not wear contact lenses if you wear it, until 2 weeks and you still feel uncomfortable / or for a while. You can apply yourself makeup to hide the bruises.
Will need to wear sunglasses for a few weeks, apply sunscreen on your eyelids. You must maintain a relative rest for 3 to 5 days or so and avoid strenuous activity three weeks.
The end result will be a more alert and refreshed look with a more youthful appearance.
How do I have to plan Blepharoplasty?
Good communication with the plastic surgeon is essential. In the first consultation will evaluate the vision and tear production, and overall health status. You should inform your surgeon if you take any medication, if you smoke and if you are allergic to any medications. You should also say if you wear glasses or contact lenses and provide, if possible, your last eye exam.
We will examine the possibility of operating the four eyelids, lower or higher and, if necessary attach another procedure. It will explain the techniques and the type of anesthesia to be used, where will the surgery, risks and costs of the intervention. Do not hesitate to ask your surgeon all the questions you have, especially those regarding your expectations and results.
Your plastic surgeon will give you specific instructions on how to prepare for surgery, including guidelines on food intake and liquid snuff or, taking or removal of drugs and vitamins.
It is important to stop smoking at least one or two weeks before surgery. A careful adherence surgery will be performed in better condition.
Make sure also that a family member or companion can take you home when you are to be discharged and, if necessary, can help a few days.
What preventive mesures should I take?
In order to limit the risk of bleeding and bruising have to avoid taking in the 7 days before the procedure antiplatelet drugs such as aspirin, dipyridamole, ticlopidine… as well as in the 3 days prior to taking NSAIDs like Ibuprofen antiplatelet effect, diclofenac , indomethacin, piroxicam, naproxen