Ophthalmology (Eye Diseases)
Blepharoplasty and Plastic Surgery
Blepharoplasty (BLEF-uh-roe-plas-tee) is a type of surgery that repairs droopy eyelids and may involve removing excess skin, muscle and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes.
Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.
Why have blepharoplasty?
You might consider blepharoplasty if droopy or sagging eyelids keep your eyes from opening completely or pull down your lower eyelids. Removing excess tissue from your upper eyelids can improve your vision. Upper and lower lid blepharoplasty can make your eyes appear younger and more alert.
Blepharoplasty may be an option if you have:
- Baggy or droopy upper eyelids
- Excess skin of the upper eyelids that interferes with your peripheral vision
- Excess skin on the lower eyelids
- Bags under your eyes
What you can expect with blepharoplasty
Before the procedure
Blepharoplasty is usually done in an outpatient setting. Your surgeon injects numbing medication into your eyelids and administers intravenous medication to help you relax.
During the procedure
If you have surgery on your upper and lower eyelids, the surgeon generally works on your upper lids first. He or she cuts along the fold of the eyelid, removes some excess skin, muscle and possibly fat, and closes the cut.
On the lower lid, the surgeon makes a cut just below the lashes in your eye's natural crease or inside the lower lid. He or she removes or redistributes excess fat, muscle and sagging skin, and closes the cut.
If your upper eyelid droops close to your pupil, your surgeon may do blepharoplasty with a procedure called ptosis (TOE-sis) that provides additional support to the eyebrow muscle.
After the procedure
After surgery you spend time in a recovery room, where you are monitored for complications. You can leave later that day to recuperate at home.
After surgery you may temporarily experience:
- Blurred vision from the lubricating ointment applied to your eyes
- Watering eyes
- Light sensitivity
- Double vision
- Puffy, numb eyelids
- Swelling and bruising similar to having black eyes
- Pain or discomfort
Your doctor likely will suggest you take these steps after surgery:
- Use ice packs on your eyes for 10 minutes every hour the night after surgery. The following day, use ice packs on your eyes four to five times throughout the day.
- Gently clean your eyelids and use prescribed eyedrops or ointments.
- Avoid straining, heavy lifting and swimming for a week.
- Avoid strenuous activities, such as aerobics and jogging, for a week.
- Avoid smoking.
- Avoid rubbing your eyes.
- If you use contact lenses, don't put them in for about two weeks after surgery.
- Wear darkly tinted sunglasses to protect the skin of your eyelids from sun and wind.
- Sleep with your head raised higher than your chest for a few days.
- Apply cool compresses to reduce swelling.
- After a few days, return to the doctor's office to have stitches removed, if needed.
- For about a week, avoid aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Aleve, others), naproxen (Naprosyn), and other medications or herbal supplements that may increase bleeding. If needed, use acetaminophen (Tylenol, others) to control pain.