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Blepharoplasty

Blepharoplasty, or eyelid surgery, is performed to improve the appearance of the eyes and create a more youthful look. This surgery is one of the common procedures in the field of cosmetic surgery, which involves removing excess skin, fat, and muscle from the eyelids, resulting in a noticeable improvement in a person’s appearance and making the face appear younger and fresher. The positive results of this procedure may last for many years and sometimes can be permanent for the individual.

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Before and after blepharoplasty surgery at Mana Clinic

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All about blepharoplasty surgery

Blepharoplasty

Blepharoplasty is a surgical procedure performed to improve the shape and function of the eyelids and the skin around them. In this procedure, excess skin, wrinkles, and fat are removed from the eyelids to enhance their appearance and function. Blepharoplasty can be performed on the upper and lower eyelids and is typically used to address issues such as droopy eyelids, wrinkles and creases in the eyelid skin, eyelid puffiness, vision problems, and other issues related to eyelid function and appearance.

During blepharoplasty, the surgeon draws a cutting line on the eyelids and, using surgical tools, removes excess skin and fat and reconnects the eyelid skin to the incision site. Then, fine stitches are used to cover the eyelid skin back to the incision site.

Types of blepharoplasty for eyelid beauty

There are various types of blepharoplasty procedures that can be performed in different shapes and areas. Some of the various types of blepharoplasty procedures include:

Upper Blepharoplasty: In this type of blepharoplasty, excess skin and fat in the upper eyelid are removed. This surgical procedure is commonly used to eliminate wrinkles and creases in the upper eyelids, improve vision, and boost the self-confidence of patients.

Lower Blepharoplasty: In this type of blepharoplasty, excess skin and fat in the lower eyelid are removed. In addition to eliminating wrinkles and creases in the lower eyelids, this type of blepharoplasty can also improve signs of thyroid problems, irregular blood circulation, and fat removal from under the eyes.

Upper and Lower Blepharoplasty: In this type of blepharoplasty, excess skin and fat in both the upper and lower eyelids are removed. This type of blepharoplasty can improve the functional shape of the eyelids and improve vision in all eyelids.

Transconjunctival Blepharoplasty: In this type of blepharoplasty, the incision is made inside the lower eyelid, and excess fat under the eye muscle is removed. This type of blepharoplasty is commonly used to improve lower eyelid fat and puffiness.

Asian Blepharoplasty: This type of blepharoplasty is specifically designed for Asian patients with monolid eyelids. The goal of this surgical procedure is to create upper eyelids in eyes that typically lack functional eyelid folds.

Upper Blepharoplasty

Upper blepharoplasty is a type of plastic surgery aimed at removing excess skin and fat from the upper eyelid. This surgical procedure is recommended for patients who feel that excess skin in their upper eyelids causes vision problems, fatigue, and discomfort.

In upper blepharoplasty, the surgeon removes excess skin in the upper eyelid and, if necessary, also removes fat from this area. This surgical procedure is usually performed in a hospital or plastic surgery center and is done under local or general anesthesia. After the surgery, the patient typically needs to rest for a few days and avoid contact with water and shampoo at the surgical site.

Lower Blepharoplasty

Lower blepharoplasty is a type of plastic surgery used to improve the shape of the lower eyelid and remove excess skin and fat from it. This surgical procedure is usually performed for individuals whose eyes appear puffy and tired and may be due to excess skin and fat in the lower eyelids.

In lower blepharoplasty, the surgeon removes excess skin in the lower eyelid and, if necessary, also removes fat from this area. In some cases, the surgeon may use fat transfer from another area of the body to fill in the fat-free skin under the eyes. This surgical procedure is typically performed under local anesthesia and generally, after the surgery, the patient needs to rest for a few days and avoid contact with water and shampoo at the surgical site. After a few days, the patient can naturally return to their daily activities.

What is blepharoplasty Surgery?

blepharoplastysurgery, also known as blepharoplasty, is a cosmetic surgical procedure aimed at addressing issues such as excess eyelid skin and drooping. It’s typically recommended when individuals experience discomfort or aesthetic concerns due to these issues.

When specialists consider employing this surgical procedure, they are aware of its various capabilities. They understand that it can tighten and lift eyelid skin, resulting in a more attractive, youthful, and rejuvenated appearance. During this treatment, various steps are involved, with some of the most significant ones being the removal of muscles, tissues, fat, and excess skin in both the upper and lower eyelids.

Cosmetic Blepharoplasty

One of the primary applications of eyelid surgery in the realm of cosmetic procedures is cosmetic blepharoplasty. While it may not always be deemed necessary by physicians and specialists, it can enhance beauty and rejuvenate the skin if required. Over time and with age, we often witness accumulation of fat, causing swelling and puffiness in both upper and lower eyelids.

As individuals age, we also observe that the skin around their eyelids becomes lax, and the fat pads underneath become swollen. Adding weakened muscles to these conditions leaves little hope for natural improvement. In such circumstances, eyelid surgery is the preferred method of treatment. If deemed appropriate by the specialist, they may also simultaneously perform cosmetic blepharoplasty to restore lost beauty.

Therapeutic Blepharoplasty

Another method utilized within the process of eyelid surgery is therapeutic blepharoplasty. This approach is primarily reserved for cases where structural issues in the eyelids necessitate surgical intervention. Often, this method is employed when excess eyelid skin causes significant discomfort and obstruction, such as obstructing the individual’s field of vision due to its heaviness.

In certain situations, individuals with eyelid swelling find it challenging or even impossible to wear glasses, further complicating their daily lives. In such conditions, it is advisable to consult with a specialist and consider advanced treatment options in cosmetic surgery.

Applications of Blepharoplasty

Eyelid surgery, also known as blepharoplasty, has numerous applications that have contributed to its popularity in the field of cosmetic and therapeutic treatments. In this section, we’ll explore the most important applications of eyelid surgery:

  1. Addressing Issues such as Eyelid Puffiness and Under Eye Bags: Blepharoplasty can be used to alleviate problems like puffiness and swelling of the eyelids and under-eye area.

  2. Treatment of Eyelid Drooping: This is a common issue caused by the sagging of excess eyelid skin, which can hinder vision.

  3. Correction of Lower Eyelid Drooping: Drooping of the lower eyelids can lead to increased visibility of the white areas of the eyes (sclera).

  4. Treatment of Upper Eyelid Ptosis or Skin Laxity: This condition can result in various wrinkles and folds on the eyelids over time.

Benefits of Blepharoplasty for Eye Beauty and Youthfulness

Blepharoplasty offers several benefits for enhancing beauty and youthfulness. It’s one of the most common plastic surgeries concerning the eyes and eyelids, providing numerous advantages for patients. Some of the benefits include:

  1. Reduction of Wrinkles and Folds: By removing excess skin and tissue in the eyelid area, blepharoplasty tightens and smoothes the skin, improving the appearance of wrinkles and folds.

  2. Improvement in Vision: In cases where excessive eyelid skin obstructs vision, blepharoplasty can remove the surplus skin, leading to improved eyesight.

  3. Enhancement of Facial Appearance: Blepharoplasty contributes to an overall improvement in the patient’s facial appearance, boosting self-confidence and satisfaction with one’s appearance.

  4. Quality of Life Improvement: With improved vision, reduction of eyelid wrinkles and folds, and an overall enhancement in facial appearance, the patient’s quality of life is significantly enhanced, fostering self-confidence and satisfaction with their appearance.

  5. Restoration to Natural State: Blepharoplasty helps patients return to their natural state and alleviate eyelid and eye-related issues.

Potential Risks of Blepharoplasty

While complications from blepharoplasty are rare, some potential risks include:

  1. Swelling: Swelling around the eyes and eyelids is normal after surgery and typically subsides within a few days to weeks. Using ice packs and taking anti-inflammatory medication can help reduce swelling.

  2. Dry Eyes: Patients may experience dryness in the eyes due to incisions on the eyelids or other post-operative effects. Using lubricating eye drops and employing a humidifier can help alleviate these symptoms.

  3. Bleeding: Minor bleeding around the eyelids is common and can be prevented by using self-adhesive bandages for several days after surgery.

  4. Infection: Infection in the surgical area is very rare but can occur if proper hygiene measures are not followed during the post-operative recovery period. If any signs of infection are observed, it’s crucial to promptly consult with the treating physician.

  5. Nasal Changes: In cases where surgery is performed to correct hollowing or wrinkles in the eyelids, there may be associated changes in the nose. The nose may appear more prominent or droopier in some instances. Therefore, selecting a skilled and experienced surgeon is essential.

Best Candidates for Eyelid Surgery

At first glance, it may not be easy to determine who needs to undergo this treatment method, and the main way to make this decision is through examination by a professional specialist in eyelid cosmetic surgery. Once you have been thoroughly examined and your physical and skin condition has been determined, you can proceed with the treatment.

Generally, if individuals have puffiness, particularly around their eyes, or if their skin is sagging, they may need skin rejuvenation. However, it’s noteworthy that this may not always be due to skin issues, and in some cases, individuals may experience such conditions due to allergies. Therefore, it’s better to have complete knowledge about this issue before opting for eyelid cosmetic surgery.

Cost of Eyelid Surgery

One of the most important criteria that has always been of great importance to people is the final cost of a treatment method. Eyelid surgery is no exception to this rule, so you may also be looking for information regarding this matter. There are various factors that influence the final cost of eyelid surgery, some of which are discussed below:

  1. Main Cost of Eyelid Cosmetic Surgery: This has the most significant impact on determining the cost, and factors such as the expertise of the specialist, the chosen medical clinic, etc., are influential.

  2. Hospitalization Costs: Since you can return home after surgery, there is no need to pay for hospitalization.

  3. Medication and Care Costs: Including the cost of medication and post-operative care.

  4. Pre-Surgery Medical Tests: These are conducted before the operation.

  5. Accommodation Costs for Family Members: If needed, the cost of accommodation for family members or the patient themselves.

Preparation and Precautions Before Eyelid Surgery

Before undergoing eyelid cosmetic surgery, you need to follow various measures to ensure a successful treatment process. In this surgery, you will use local anesthesia injected into your eye areas, and in some cases, sedatives may be used to calm you down. Here are some things to consider before visiting the clinic:

  • Take any necessary medications on the morning of the surgery if you have any acute conditions.
  • Avoid taking blood-thinning medications.
  • Do not wear makeup throughout the day.
  • Try to go to a quiet place after surgery and rest.
  • Remember that there will be no need for hospitalization, so arrange for someone to accompany you back home.

Stages of Eyelid Surgery

Eyelid surgery, like any treatment method, has its own complexities that only specialists can address. The process of eyelid cosmetic surgery, also known as blepharoplasty, can be performed on both upper and lower eyelids. In this surgery, incisions are made along natural lines in the lower eyelid crease, and the manner of incision ensures that they will not be visible after recovery.

This process is performed using modern medical tools, so the incisions and stitches implemented will be so precise and small that they will have minimal impact on the beauty and appearance of individuals. Additionally, excess skin, fat, and muscles around the eyes will be removed during the surgery.

How long is the recovery period for blepharoplasty?

The recovery period for blepharoplasty surgery typically lasts about one to two weeks, although it may vary for each individual depending on their specific circumstances. Here are some important points regarding the recovery period after blepharoplasty surgery:

  • After the surgery, depending on the type of procedure, the patient may need to stay in the medical facility for several hours to a day.
  • Following discharge from the medical facility, the patient should rest more and engage in very minimal activity for the first few days.
  • To reduce swelling and headache after the surgery, the patient may take anti-inflammatory medication or other prescribed drugs by the treating physician.
  • Using ice on the eyelid area for a few days after the surgery may also help reduce swelling.
  • The patient should avoid contact with water and shampoo in the eyelid area for at least one week after the surgery.
  • The patient should refrain from using contact lenses for at least two weeks after the surgery.
  • Engaging in any strenuous physical activity or activities that increase blood pressure, such as lifting heavy weights, should be avoided.
  • After the surgery, the patient should rest from work for at least one week, and if their job involves physical activities, they should refrain from them for several more weeks.

Recovery after eyelid surgery:

When any treatment method comes to an end, the recovery and improvement period for the individual begins. During this period, the patient needs long-term rest and proper nutrition to recover as quickly as possible. Once the cosmetic eyelid surgery treatment process is complete, the specialist will prescribe topical antibiotics to the treated areas to prevent infections.

On the second day, you should continuously use cold compresses every ten to fifteen minutes to quickly reduce swelling. It is also better to use warm compresses in the same way after two days of surgery. Regarding medication, it is better to coordinate this with a specialist and professional individuals to avoid any harm.

Complications and risks of eyelid surgery:

Eyelid surgery, like any other treatment method, has its own complications and risks, so it is better to have full information about its complications before making a final decision. Here are the most important complications of this surgery:

  • The first concern is eyelid infection, which is very important and can cause many risks to the patient in the long run, so it is better to consult a specialist physician in the early stages.
  • Inability to completely close the eyes, which will improve in a short period.
  • Double vision, which is not a major concern.
  • Formation of wounds or scars, which will improve in a short period.
  • Formation of obvious scars or wound sites.
  • Misplacement of eyelids.
  • Shortening of the patient’s eyelashes, which can improve over time.
  • Incomplete removal of excess skin.
  • Numbness of the eyelids.

What is the price of blepharoplasty?

The cost of blepharoplasty can vary depending on factors such as the location and expertise of the surgeon, the location where the surgery is performed, the amount of excess skin and fat that needs to be removed, and other variables. Generally, the cost of blepharoplasty can range from affordable to expensive based on various factors. Additionally, underlying conditions such as heart, vascular, and respiratory diseases can increase the cost of blepharoplasty.

Factors affecting the cost of blepharoplasty:

The cost of blepharoplasty may be influenced by various factors. Generally, factors that may affect the cost of blepharoplasty include:

Location of the surgery: The cost of blepharoplasty may vary in different geographical areas. The cost is usually higher in larger cities. Surgeon’s expertise: The surgeon’s expertise and experience in blepharoplasty play a significant role in determining the cost of the procedure. Experienced and highly skilled surgeons may charge more. Amount of excess skin and fat: The cost of blepharoplasty may vary depending on the amount of excess skin and fat that needs to be removed. Type of blepharoplasty: The type of blepharoplasty performed can also impact the cost. For example, upper or lower eyelid blepharoplasty may have different costs. Hospital costs: Hospital costs and medical equipment may also add to the overall cost of blepharoplasty. Insurance coverage: Some insurances may not cover the cost of certain cosmetic and aesthetic surgeries, so the patient may need to pay for all or part of the blepharoplasty cost. Post-operative care costs: Costs associated with post-operative care, such as medications, wound care, and other therapeutic interventions, are also added to the total cost of blepharoplasty.

Post-operative care after blepharoplasty includes:

Adequate rest: The patient should rest significantly in the first few days after surgery and avoid heavy activities for at least a few days. Using ice on the eyelid area for a few days after surgery helps reduce swelling. The treating physician may prescribe anti-inflammatory tablets and other medications to be taken carefully. To reduce eye dryness after surgery, the doctor may prescribe eye drops. The patient should strictly follow personal hygiene practices, including handwashing, cleaning the surgical area, and using self-adhesive dressings. Due to the sensitivity of the eye area after surgery, the patient should minimize exposure to sunlight. Wearing UV protective sunglasses helps protect the eye area.

What is the best age for blepharoplasty?

The best age for blepharoplasty may vary for each individual and depends on various factors such as health status, type of condition, and the patient’s tolerance for surgery. However, most plastic surgeons recommend the best age for blepharoplasty to be around 35-40 years old.

At these ages, the skin and tissues around the eyelids, which naturally weaken due to aging and collagen reduction, can respond well to blepharoplasty. Additionally, there is less risk of side effects at these ages, and the return to normal conditions after surgery is faster.

How is droopy eyelid treated with blepharoplasty?

Blepharoplasty is one of the most common plastic surgeries in the eye and eyelid area used to improve eyelid problems. In this procedure, the surgeon removes excess skin and tissues from the eyelids and reconstructs them to improve the shape and size of the eyelids. Blepharoplasty is generally performed in two ways: upper eyelid blepharoplasty and lower eyelid blepharoplasty.

Advantages and limitations

Advantages of blepharoplasty surgery

The beauty and youth of the eyes

Fix drooping eyelids

Long-term results

Limitations of blepharoplasty surgery

The possibility of swelling, bruising and dry eyes

Possibility of bleeding and infection

In the future, there is a possibility of needing to re-operate

If you do not find the answer to your question, contact the consultants of Mana Clinic

Answers to all your questions about blepharoplasty

Diagnosis of this issue depends on the position and placement of the eyebrows. In the initial consultation and examination session, the doctor gently pulls the patient's forehead skin to some extent. If the upper eyelid skin is sufficiently pulled and has the most significant impact, forehead lift surgery appears to be a more effective option.

If the upper eyelid skin is less affected or has not created significant changes, blepharoplasty may be the best option for plastic surgery. In this case, modifications to the upper eyelid will not be effective.

Additionally, if the eyebrows are sagging but there is less excess skin remaining on the eyelid, a combination of eyebrow lift and upper eyelid blepharoplasty is recommended to prevent a tired appearance and create a younger look.

Most patients report encountering the following remarks from their acquaintances when they return after the surgery: "Oh my God, you look amazing!", "You changed your hairstyle!", or "You were on vacation and...". Preserving your unique appearance indicates the success of the surgery. Although changes in appearance may be important to you and very noticeable, if these changes are not perceived by your acquaintances, you shouldn't be too surprised.

If the upper eyelid skin is less affected or has not created significant changes, blepharoplasty may be the best option for plastic surgery. In this case, modifications to the upper eyelid will not be effective.

Furthermore, if the eyebrows are sagging but there is less excess skin remaining on the eyelid, a combination of eyebrow lift and upper eyelid blepharoplasty is recommended to prevent a tired appearance and create a younger look.

This is a very difficult question because providing an answer to it depends on meeting the person's realistic expectations. Only a good and honest surgeon can inform the patient of their realistic or unrealistic expectations during the meeting. And this answer will vary for different individuals. For a better answer to this question, we recommend consulting individuals who have undergone this procedure to see if they were satisfied with it or not.

Some patients, in addition to having baggy skin around their eyelids, also have tissue or superficial irregularities on the skin around their eyes. Individuals undergoing blepharoplasty concurrently with skin-smoothing procedures can address these tissue irregularities and crow's feet as well. Skin-smoothing procedures eliminate tissue irregularities on the skin surface. These methods include laser treatments and chemical peels.

Patients who request revision blepharoplasty must take specific measures. In revision blepharoplasty, the surgeon must work on the area previously affected by changes. If we are asked to correct a previous surgery by another surgeon, then revision blepharoplasty becomes somewhat more complicated. Therefore, it may take more time compared to the initial surgery. Additionally, swelling resulting from revision blepharoplasty is more severe, and its treatment takes more time. These patients should also take similar measures to other candidates for blepharoplasty.

Patients are put to sleep by injecting a sedative, causing local anesthesia. During the procedure, patients neither hear nor see anything and are completely comfortable. Patients wake up immediately after the surgery. The injection of the sedative intravenously is a form of anesthesia. Therefore, patients should have an adult companion with them during the night after the surgery. Patients should not drive for up to 24 hours after the surgery (this period may be longer depending on the type of surgery).

Most patients express surprise at experiencing minimal pain after the surgery. Naturally, some discomfort should be expected after any type of surgical procedure. All patients are provided with a prescription for pain medication. Sometimes, patients take pain medication for 4-5 days after the surgery. Individuals who have had facial surgery may feel pain when chewing food for up to 48 hours. Typically, individuals experience no uncontrollable pain after the surgery.

The duration of the surgery depends on various factors such as the complexity of each individual's eyelids. Revision blepharoplasty takes a little longer because it requires more precision.

No, due to the effects of anesthesia, patients will not be able to drive after the surgery.

Most patients take a two-week leave from work, but typically they can return to work after one week. After two weeks, any remaining bruising and swelling can be easily concealed with makeup.

Most of the time, this operation is done on an outpatient basis, since after you are relieved, you must return home, a trusted person must take you home and stay with you at night to accompany you to the office again tomorrow to open the bandage.

You should avoid aerobic activities for up to two weeks. Lifting heavy objects or engaging in strenuous physical activities should be started three weeks after the surgery. Avoid bending, lifting heavy weights, and straining, as these activities can increase swelling and delay healing.

By the end of the first week, bruising and swelling from the surgery typically start to improve. Complete disappearance of these symptoms may take 2 to 3 weeks. You can effectively conceal bruising with makeup starting from 7 to 10 days after the surgery.