Blepharoplasty (or eyelid surgery) is one of the most common cosmetic procedures performed in Spain.
Blepharoplasty improves the flaccidity of the skin, eliminates the excess skin from the eyelids, and eliminates under-eye bags and dark circles.
Usually, patients over 35 years old who come to Spain to undergo eyelid correction surgery.
Blepharoplasty is planned according to the needs of each patient. It is possible to perform a blepharoplasty of the upper eyelid or the lower eyelid. In some cases it is necessary to go through an upper and lower eyelid blepharoplasty.
Eyelid surgery requires a surgeon with wide experience. For the entire face to look harmonious and beautiful, the eyelids needs to be balanced with the rest of the face and here is where good plastic surgeons stand out.
What does blepharoplasty of the upper eyelid involve?
To correct the upper eyelids, the surplus part of the skin is removed and the excess fat in the eye bags is extracted. The scar is just inside the eyelid flap and therefore it is not visible. Normally (blepharoplasty) upper eyelid surgery is done under local anaesthetic.
How is the postoperative period after a blepharoplasty of the upper eyelid?
After blepharoplasty of the upper eyelid, patients don’t usually have much pain, although there is discomfort during the first week. The inflammation could stop the eyelid from closing completely and there could be bruising.
Postoperative recommendations to reduce the discomfort after blepharoplasty of the upper eyelid:
- The first day it is a good idea to rest, with the head raised and to use cold compresses.
- Sleep with the head slightly raised on pillows.
- As the eyelid doesn’t close adequately it is crucial to protect the cornea so that it doesn’t dry out, especially at night. For this reason we prescribe anti-inflammatory drops, artificial tears and a protective eye ointment for night time. This ointment should be used for the first 2-3 weeks until we are sure that the eyelid shuts completely.
When can I return to routine after blepharoplasty of the upper eyelid?
The stitches are removed 7 days after the blepharoplasty of the upper eyelid. From that moment on the bruising can be covered with make-up.
For the first few weeks it is normal to have swelling. As well as that there could be an accumulation of liquid in the bags under the eyes. It is normal for the patient not to see immediate results. Fortunately, the eyelid heals very quickly and the inflammation disappears completely in about 4 months and the scar is practically invisible in a year. Generally after blepharoplasty of the upper eyelid, rest is recommended for two or three weeks. Intense sport and the swimming pool are discouraged during the first month.
Could there be after-effects from the blepharoplasty of the upper eyelid?
The Eyelid surgery (blepharoplasty) that we practice currently is the most conservative.
Now, we don’t now remove too much from the eye bags because with aging we lose fat and what we could end up with is a sunken eye and more dark circles.
What is involved in blepharoplasty of the lower eyelid?
For blepharoplasty of the lower eyelid there are various techniques available (classic, transconjunctival, Loeb, canthopexy) which are evaluated on the first visit, according to the characteristics of the eyelids of the patient, their face and also their expectations.
Blepharoplasty of the lower eyelid can be done under local anaesthetic, local anaesthetic and sedation, or general anaesthetic. The bruising that results from the intervention is reduced a lot if, after the surgery, you put ice on the eyes for a couple of hours. Four or five days after the eyelid surgery (blepharoplasty) the stitches are removed and drainage massages to reduce the swelling and to give elasticity to the skin.
How do I reduce the inflammation and bruising after eyelid surgery (blepharoplasty)?
With regard to the inflammation, it should be kept in mind that the eyelids swell easily. The most effective thing is to apply cold to the zone. We recommend making some camomile tea, keeping it in the fridge and afterwards soaking gauzes in it and putting them onto the eyes. You could also use cold gel masks that are sold in Chemists/Pharmacies or also use bags of frozen peas.
For the inflammation to go down faster, it is very important not to lie down completely flat, rather to lie down keeping the head up.
Any bruise has an evolution time from 10 to 15 days and it depends on the characteristics of each patient. You could use a venous congestion reliever. Arnica tablets and creams can also be a good preventive treatment.
After eyelid surgery (blepharoplasty) the eyes are more sensitive and if we read or watch television they can get more swollen. The recommendation is to forego reading and television during the first 4 days of rest.
After the first week, when the stitches are removed, if there are still any bruises, make-up can be used to hide them. We advise make-up that has yellow tones which are better for concealing bruises.
What period of the year is recommended for having eyelid surgery (blepharoplasty)?
The best time to have eyelid surgery (blepharoplasty) is the 8 months from September to April. It is necessary to protect the scars and bruises from the damage that can be caused by the sun. All facial surgeries (facelift, rhinoplasty (nose job) or Eyelid surgery (blepharoplasty)) leave bruises during the first 15-20 days. If the intervention is done in summer we need to be very strict with regard to using protection from the sun (total sunblock, sunglasses and hats or wide-brimmed sun hats)
During the summer you shouldn’t go to the beach or to the mountain where there is the risk that the scars and bruises could become pigmented. This pigmentation is visible and very difficult to treat afterwards.
How much does eyelid surgery (blepharoplasty) cost?
This is one of the first questions that our patients ask. Eyelid surgery cost depends on many factors. Without meeting the patient we don’t offer approximate prices as each patient is a different case. But we know that the economic factor is important when it comes to making a decision. Therefore, we offer the possibility for the patient to come to our facilities for a first free no-obligation visit. The patient can consult with the surgeon regarding all their doubts and worries. According to the characteristics of each patient, we will offer the best solution for each case.
Doctor Jesús Benito: Bibliography and Publications:
Rejuvenecimiento periorbitario (blefaro y actuación en pómulo mediante injertos de tejido adiposo o lifting de tercio medio). Dr. Jesús Benito Ruiz. III Simposium Internacional de Cirugía Plástica, reconstructiva y Estética. Guayaquil, 9-10 de octubre de 2013.
Refinements in Upper Blepharoplasty: The Five-Step Technique. Rohrich RJ, Villanueva NL, Afrooz PN.Plast Reconstr Surg. 2018
Blepharoplasty: Anatomy, Planning, Techniques, and Safety. Alghoul M.Aesthet Surg J. 2019
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