A blepharoplasty is an aesthetic intervention that seeks to improve a persons look, returning the lost brightness. Depending on the flaws to be corrected, the surgeon chooses one option or the other. The upper blepharoplasty removes the localised skin excess on the upper eyelids that causes a tired appearance and, occasionally, interferes with the patients vision. In patients with both of these flaws, a complete blepharoplasty can be performed, combining both techniques. The postoperative period of these two is very similar.

A blepharoplasty is an intervention with definite and favourable results in most of the cases, that doesn’t modify the shape of the eyes, but improves their appearance. This surgery is rarely done on very young people, as the majority of the cases the corrections are due to flaws built up over the years.

Postoperative advises

Once the operation is done, the doctor applies an ophthalmic ointment in the eyes, which will remain covered with a cold serum bandage to help removing the inflammation from the area and reducing the discomfort. Most of the patients don’t feel a lot of pain after undergoing this intervention. However, it’s important to follow a series of recommendations during the first days:

  • Keep relative rest for the first three days, without making physical efforts in order to avoid a rise of the blood pressure and a possible bleeding. It’s also not recommended to cook or being exposed to high temperatures.
  • Sleep in the supine position (face up), and with the head a little bit raised compared to the body.
  • Do not do physical exercise during the first week.
  • Perform washings with physiological saline solution and apply ice in the area. It’s also good to make a chamomile tea and put it in the fridge, to keep slowly applying it through soaked gauze.
  • Take painkillers in case of feeling eye strain.
  • Don’t be afraid if during the first days you can’t fully close the eyes when going to bed. This happens as a consequence of the postoperative swelling and disappears as the days go by. Applying cold packs in the area will relieve this feeling.
  • Apply specific eyewash and ointments, always under medical indication, to reduce burning, itching, eye dryness, blurred vision or hypersensitivity to light. It’s recommended to use sunglasses, dark and large in size, during the first weeks.
  • Even though you may have blurry vision you can read, watch the TV or work on the computer, always in moderation. After a blepharoplasty, the patient can drive after on week has passed since the intervention, as long as the vision is not blurry.
  • Go to the doctor’s consultation one week after the surgery so that the doctor can remove the stitches and check if the operation turned out as expected.
  • Use eye makeup during the first weeks to cover up the possible bruises that may appear after the surgery. Normally they don’t disappear until 10 or 15 days go by.

The recovery time depends on the activity the person usually carries out, even though it’s around 10 or 12 days. Those who work on the computer or work while sitting will be ready to return to their routine in less than one week. The downtime is estimated to be around 7 days, a period of time after which the patient can resume his normal activity.

Side effects of a blepharoplasty

A blepharoplasty is an intervention that, done the right way, offers optimal results. But sometimes undesired side effects occur. In the case of upper blepharoplasty, these would be:

  • Permanent eye dryness. This is a consequence of the excessive skin removal, preventing the upper eyelid from completely covering the eyeball. This can lead to a keratoconjunctivitis sicca (dry eye syndrome) and, in some cases, affect the epithelium, cause ulcers on the cornea and reduce the visual acuity. This can also be due to en excessive removal of fat or a bad scarring.
  • Removal of more or less skin than necessary. To correct this, it’s necessary to perform another intervention of the eyelid, and not before four months have gone by since the first operation.
  • More or less fat removal than needed.
  • Damage to the muscles of the eyelid (hardly ever happens).

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