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Eyelids

What is blepharoplasty?

Blepharoplasty is a surgical procedure that involves correcting excess skin and muscle and fat pockets on the upper and lower eyelids. Over the years, the tissues around the eye age, the skin becomes looser and tends to fall, giving the look of sadness and tiredness. Therefore, with this surgery of the eyelids it is possible to rejuvenate the look.

In some cases, excess skin is so important that it can interfere with the field of vision that it can be accelerated by hereditary factors, stress, insomnia, skin diseases, or excessive exposure to the sun.

This eyelid surgery is performed in isolation or together with others such as the cervicofacial or frontal lift. It should be noted that blepharoplasty does not eliminate “crow’s feet” or other wrinkles around the eyes, as well as eyebrow drooping.

 
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Who is the ideal candidate for eyelid surgery?

The ideal candidate is a man in good physical health who wants to improve his facial expression and aesthetics and combat the visible effects of aging by correcting the appearance of his droopy eyelids and puffiness under the eyes. They may be unsuitable, candidates suffering from disorders such as cardiovascular disease, diabetes, thyroid disease or insufficient production of tears.

It is recommended that the candidate undergo an eye examination by an ophthalmologist before and after the intervention because there are eye diseases of the eyelids such as dry eye, blepharitis, eyelid laxity … that can be aggravated by performing this surgery or determining that the result is not expected.
Another type of candidate for blepharoplasty is someone concerned with correcting their vision impairment caused by drooping folds in the upper eyelids.

There is no stipulated age for this type of intervention since the appearance of bags under the eyes can occur at an early age, due to a family tendency to have bags, as well as advanced ones. Although usually, patients with blepharoplasty are over 35 years old.

 

Eyelid surgery, what is it?

Eyelid surgery is a fast, outpatient surgery performed under local anesthesia and sedation, although general anesthesia may be chosen depending on the case. It usually lasts between 40 minutes and 2 hours depending on whether it is the top, bottom or both. And it is not necessary more than to remain in the clinic a few hours after the intervention.

In upper blepharoplasty, a small incision is made, following the natural groove of the eyelid, to remove excess skin and restore normal muscle tension. If required, fat pockets that cause drooping of the upper eyelids are also removed.

As for the lower blepharoplasty corresponding to the lower eyelids, if there is an excess of skin, an external incision is also made following the natural lines, just below the eyelashes.

For the removal of fat pockets on the lower eyelids, it can be done externally, through a small cut under the eyelashes and closed with a very fine suture that serves to tighten the skin. It can also be carried out internally known as transconjunctival, through an internal incision through the conjunctiva without a surgical scar through which fat is removed. No suturing is necessary as this tissue heals on its own. This is the most common procedure for young people 45 and older who do not need to have their skin removed. The eyes are protected with protective contact lenses, after applying a few anesthetic drops.

In the event that the candidate requires surgery on all four eyelids, the intervention begins at the top. Normally incisions are made in the natural lines of the upper eyelids and just below the eyelashes in the lower ones, thus ensuring that scars are minimal and imperceptible. In both cases, the skin of the area around the eyes is protected with sterile dressings throughout the process.

 

After eyelid surgery

After blepharoplasty, the patient may notice discomfort due to a certain degree of inflammation in the treated area and even the appearance of edema or bruising around the eyes. Discomfort is alleviated with medication prescribed by the plastic surgeon. It is advisable to keep the head elevated during the first days and the application of cold compresses to reduce swelling and bruising.
The patient may notice excessive tearing, hypersensitivity to light and temporary changes in visual acuity. In this case you will need to wear sunglasses. There are patients who begin to read or watch television in 2 or 3 days. On the other hand, you will not be able to wear contact lenses if you use them daily until after 2 weeks.
If stitches have been placed in the incision, these are removed in the consultation after a few days, when it is verified that the skin has closed well. The edema and bruising will gradually decrease until completely disappearing, and the patient will begin to look and feel much better. You can return to routine life two weeks after surgery, avoiding physical exercise or intense efforts, including bathing in swimming pools or in the sea.

In order for recovery and healing to be much faster and more satisfactory, it is important to involve the patient in caring for and cleaning the treated areas.

In some cases, lymphatic drainage massages can be performed during the first weeks to facilitate the decrease in edema.

 

The results

The postoperative period of male blepharoplasty is simple and the results are lasting. They may be collected 3 months after the intervention. The bruises will gradually disappear and will not influence the final result. Scars may appear pink in the first few months, but will become a nearly invisible clear line.

For men who want to regain the youthful appearance of their eyes, eyelid surgery really offers unique benefits.