Blepharoplasty (eyelid surgery) is a surgical procedure to enhance and rejuvenate the appearance of eyelids and surrounding area of the eyes. This surgery rejuvenates the surrounding area of the eyes to make a person look youthful and alert.

Indications for blepharoplasty are

  • Puffiness in the upper eyelids resulted from excessive fat deposits can be corrected by upper eyelid surgery.
  • Drooping of upper eyelid folds due to loose or sagging skin can be treated by eyelid lift surgery
  • Excess skin, fine wrinkles or droopiness of the lower eyelid can be removed by lower eyelid surgery.
  • Bags under the eyes can be corrected by blepharoplasty.
  • Upper eyelid crease that is not prominent or absent (oriental eye) can be created by upper eyelid blepharoplasty.

Blepharoplasty cannot alter dark circles around the eyes, nor it can change sagging eyebrows.

Ideal candidates for blepharoplasty

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Individuals with positive outlook and specific goals in mind for eyelid surgery or blepharoplasty
  • Individuals without serious eye conditions
  • Non-smokers

Preoperative evaluation for blepharoplasty

Communication is vital in order to achieve the patient’s goals. During the initial consultation, patients will have the opportunity to discuss their goals and desirable results with the plastic surgeon. The plastic surgeon will work closely with the patients to reach an agreement about the expectations from the surgical procedures involved and their long term benefits.  Every patient is different, therefore a specific treatment regimen is planned to suit an individual’s need.

  • Discussion about patients’ expectations and desired outcome
  • Medical conditions, drug allergies and previous medical or surgical treatment
  • Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
  • Discussion of type of anaesthesia
  • Examination of the face and periorbital area
  • Photography for preoperative and postoperative evaluation

Preparation for blepharoplasty

  • Get laboratory testing or a medical evaluation
  • Adjust your medications if you have certain medical conditions
  • Stop smoking and alcohol well in advance of the scheduled date for surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements before surgery

The risks and safety information on blepharoplasty 

It is important for patients to understand that every surgical procedure has its own complications and down time. However, if a patient is assessed properly before the surgery and postoperative care is given adequately, these risks can be eliminated or reduced.

Some of the common risks of blepharoplasty:

  • Infection
  • Bleeding
  • Poor wound healing
  • Skin discoloration
  • Swelling due to blood clot or fluid accumulation
  • Scarring
  • Temporary numbness at operated sites
  • Asymmetry
  • Possibility of revision surgery
  • Anaesthesia risks

Postoperative expectations

After the surgery there may be swelling, bruises, discomfort, irritation or dry eyes for several days that can be controlled with oral medications, cold compression, eye drops and ointment. Oral antibiotics and analgesics will be prescribed to reduce the risk of infection and postoperative pain respectively. Stitches will be removed 5-7 days after the surgery. The final result of surgery will appear within several weeks, but it may take up to a year for incision lines to fully refine.

Postoperative care

  • Keep your head elevated especially when sleeping for several days
  • Regular application of antibiotic ointment and cold compression around the operated areas
  • Avoid strenuous physical activities for two weeks
  • Wear sunglasses to protect eyes
  • Do not wear contact lenses after surgery unless directed by a physician

How much will a blepharoplasty surgery cost?

Cost is always a consideration in elective surgery. The cost of eyelid surgery can vary widely.

The cost of blepharoplasty surgery may include:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Anaesthesia fees
  • Prescriptions for medication, and
  • Medical tests

Most health insurance companies do not cover cosmetic surgeries or their complications. However, when eyelid surgery is performed for reconstructive purpose to eliminate the redundant skin covering the eyelashes (ptosis), it may be covered by insurance. Carefully review your policy or find out more from your medical insurance agent.