"My eyes are the most improved and my tummy tuck has given me a better shape …"

Diana Burn

Information by Dr Rick van der Poel
Edited for the website by Lorraine Melvill

Cosmetic Eyelid Surgery – Blepharoplasty

Blepharoplasty is a relatively simple surgical procedure for rejuvenating the eyes. This is done by removing excess skin from both the upper and lower eyelids and fatty tissue from the lower lids. It is performed for both cosmetic or functional reasons. It must be understood that most of the wrinkles around the eyes are etched into the skin and cannot be removed by this procedure. A laser resurfacing may be done if the patient would like to decrease wrinkles.

The following questions are often asked about blepharoplasty.

Will I have scars?

The incision on the upper eyelid is made within the eyelid fold so the final scar rests within this natural crease. On the lower eyelid the incision and therefore the final scar are situated just below the eyelashes and extend into the crow's feet. Initially the scars are red but will fade within seven to 14 days although the extension to the crow's feet remains visible for longer, disappearing in time. Tissue oil should be massaged into the scars ten days after the operation to improve their appearance and accelerate their maturation.

What care is necessary after the operation?

You should plan to be off work for seven to 10 days. Although you will be bruised and swollen after the operation you will have minimal pain. You should sleep propped up in a sitting position with two to three pillows for the first two nights. The best treatment for the bruising is the application of ice packs and you may take anti-inflammatories and medication for pain if necessary.

The incisions may ooze slightly and can be dabbed lightly with cotton-wool buds. The prescribed ointments should be applied to the incision lines three times a day.

You will be checked after 48 hours and replace dressings if necessary. You should not remove these, yourself as you might loosen the stitches. These will be removed 4 - 5 days after the operation.


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