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Eyelid Surgery -
About the Operation
Indications for surgery
Eye-lid bags are a combination of excessive skin on the lid with or without bulging fat from under the eye-lid. This can make the eye look older, tired or ‘puffy. The changes may affect only upper or lower eyelids or both of them.
Procedure in brief
The eye-lid bags can be composed of both skin and fat. This varies from patient to patient. In older patients it is usually extra skin with variable amounts of fat while in younger patients it tends to be mostly prominent fat that is the problem. The standard blepharoplasty is removal of this extra skin and then removal or re-distribution of bulging fat. The incisions are just below the lid margin on the lower lid and in the lid crease on the upper lid. In some younger patients the incision can be made inside the lid to remove fat only (Trans-conjunctival blepharoplasty).
Incisions
The incisions on the eye-lids heal extremely well and can be very difficult to see. This is particularly true in the upper lid. Although a very good operation for male and female patients the use of eye shadow and mascara does make it easy to hide the scars earlier in the female patient.
Scars
Scars on the eyes tend to heal very well. Although a little pink initially in the first few weeks they then fade to white. Most patients will form extremely good quality scars over time. Some reach this quickly while others take longer. A very small number produce red or raised scars although this is very rare on the eyelids.
Medicines and smoking
All medical history will be sought before any surgery. Do not take herbal medicines prior to surgery or for 3 days following (arnica etc). Also avoid aspirin, ibuprofen, and voltarol-based tablets. It is always better if you do not smoke. If you are a smoker try and stop for five days before and after surgery as it can reduce the chances of complications.
