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Blepharoplasty therapy|Effects of a blepharoplasty

Effects of a blepharoplasty

What complications might occur after blepharoplasty?

Scarring:  Scars normally fade to fine white lines and are only a problem in patients who are hereditarily predisposed to develop thick, raised scars.  Even if a person is prone to scarring, it may nonetheless resolve itself over time.  Minute amounts of cortisone sometimes are injected into the scar to flatten it and make it less obvious and one of the vascular lasers can remove persistent redness in Blepharoplasty therapy.

Puffiness:   Occasionally, lid puffiness is prolonged due to a problem with the lymphatic vessels in the eyelids which, when functioning normally, reduce tissue fluid.  This problem usually resolves itself over time

Scleral Show:  A problem that may occur with an external lower lid blepharoplasty is scleral show, where the whites of the eyes are exposed under the iris. 

This happens because the scar contracts as it heals, causing the edge of the lower eyelid to be pulled downward.  This can occur even in the most carefully executed surgery.  Scleral show can usually be resolved by upwardly massaging the lower lid on a regular basis over a period of time.  If the problem does not resolve itself, then either too much skin was removed or the lower lid has poor tone.  In the former case, a lid tightening procedure could be done.  Any corrective surgery should be postponed a full year following the original surgery in order to ensure that healing is complete.  If the lower eyelid is lax 6 months later, a wedge of tissue is removed from the outer third of the lower lid to tighten it in Blepharoplasty therapy.

Scleral show is unlikely with the transconjunctival lower eyelid lift because no skin is removed with this technique.  Texture changes and lose skin are treated    with laser resurfacing in Eye lid surgery.

Lack of Symmetry:  If one eyelid looks different from the other after surgery, it is usually due to difference in the amount of scarring and swelling in each lid. 

In most cases, this is resolved over time, as the scar heals and the swelling subsides.  If the problem persists, either the eyelids were different before the operation and the surgeon did not take this into account, or some variation in the surgery occurred from one eyelid to the other.  This is why eyes are always photographed prior to surgery in Eye lid surgery.

When can makeup, glasses, and contact lenses e worn?

Makeup could be used to camouflage bruising 4 days after the surgery. Makeup, however, should not be applied to the actual scar until 10 days after surgery, and false eyelashes should not be used for 3 weeks.

Eyeglasses may be worn immediately after the surgery.  Contact lenses should not be worn for at least 3 weeks to avoid pulling and stretching the incision.

Are there any restrictions on driving and flying?

Driving should be avoided for 2 or 3 days after the surgery.  As to flying there is no restriction unless you are the pilot.

What is the ideal age for a blepharoplasty?

Cosmetic surgery, including that of the eyes, can be performed at any age.  Anyone who feels young but looks old is a candidate for cosmetic surgery.  The actual chronological age may be a consideration, only because younger tissue tends to recover better than older tissue does.

Can blepharoplasty be combined with other surgery?   

Eyelid surgery is often performed in combination with other cosmetic procedures, such as laser resurfacing, facelifts, facial liposuction, and brow lifts.

How long do the effects of a blepharoplasty last?

The surgery does not stop the aging process, soft tissue around the eyes will continue to develop the signs of aging.  It is, however, unlikely that a second full blepharoplasty will be needed.  Usually, secondary procedures, such as lid tightening or laser resurfacing, are sufficient to correct minor imperfections around the eyes in the future

What results cause dissatisfaction?

In some cases there may be excess skin remaining in the eyelids.  It is usually seen as a drooping eyebrow.  A brow lift, rather than further surgery to the eyelid, will correct this problem.

If the lower lids continue to sag, it may be due to malar bags, which are best treated with laser resurfacing.

Eyelid surgery will not remove crow’s feet.  Laser resurfacing is the best treatment alternative for crow’s feet.  However, if a person prefers not to go through the post surgical recovery time required for laser resurfacing, collagen injections may be a reasonable alternative.

Noticeable contour irregularities may be due to bulges that occur when there has not been enough fat removed from the fat pads.  This is easily corrected by removing more fat.  At the other extreme, the eye may look hollowed out or sunken if too much fat has been removed.

Eyelid surgery will not remove dark circles under the eye.  In fact, it may worsen the problem because, with removal of fat, the resulting concavity will give an illusion of even darker circles.  A daily application of bleaching agents such as hydroquinone or kojic acid is helpful in reducing dark circles under the eyes if they are due to pigment changes in the skin and not the underlying vasculature showing through the thin transparent skin of the lower eyelid.  It may also be possible to resolve the problem using a pigment removal laser such as the Q-switched ruby, Alexandrite or Nd:Yag systems, although this is not always effective.

Prolonged discoloration following extensive bruising may occur a few weeks.  In unusual cases, it may take 1 to 2 years to disappear, but bruises are rarely permanent.   

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