Eyelid surgery is a procedure to remove fat along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes. These make you look older and more tired than you feel, and may even interfere with your vision.
However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Eyelid surgery can be done alone, or in conjunction with other facial surgery procedures such as a Facelift or Browlift.
The best candidates for Eyelid surgery are men and women who are physically healthy, psychologically stable and are realistic in their expectations. Most patients are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.
The initial consultation with Mr Klein is very important. Mr Klein will need your complete medical history, so check your own records ahead of time and be ready to provide this information. You should carefully discuss with Mr Klein your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate. Don’t hesitate to ask Mr Klein any questions you may have, especially those regarding your expectations and concerns about the results. Mr Klein will explain the procedure in detail, including the risks and limitations, the type of anesthesia that will be used, the type of facility where the surgery will be preformed and the costs involved. Be sure to tell Mr Klein if you smoke, and if you’re taking any medications, vitamins, or other drugs. Please be aware that in most cases, health insurance policies do not cover the cost of Eyelid surgery, unless you can prove that drooping upper lids interfere with your vision.
Eyelid surgery may be performed in an outpatient surgery center, or a hospital, or Mr Kleins Rooms. It’s usually done on an outpatient basis; rarely does it require an inpatient stay.
Mr Klein may use general anesthesia; in that case, you’ll sleep through the operation. Eyelid surgery may also be performed under local anesthesia which numbs the area around your eyes along with oral or intravenous sedatives. You’ll be awake during the surgery, but relaxed and insensitive to pain.
All surgery carries some uncertainty and risk. When Eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia. During your consultation the procedure will be explained in detail, including the risks and limitations.
Eyelid surgery usually takes one to three hours, depending on the extent of the surgery. If you’re having all four eyelids done, Mr Klein will probably work on the upper lids first, then the lower ones. In a typical procedure, Mr Klein makes incisions following the natural lines of your eyelids: in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, Mr Klein separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures. If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, Mr Klein may perform a Transconjunctival Blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin. Underlying fat along with excess skin and muscle, can be removed during the operation.
|A. As people age, the eyelid skin stretches, muscles weaken, and fat accumulates around the eyes, causing “bags” above and below.|
|B. Before surgery, Mr Klein marks the incision sites, following the natural lines and creases of the upper and lower eyelids.|
|C. Underlying fat, along with excess skin and muscle, can be removed during the operation.|
|D. In a Trans-conjunctival Blepharoplasty, a tiny incision is made inside the lower eyelid and fat is removed with fine forceps. No skin is removed, and the incision is closed with dissolving sutures.|
|E. Mr Klein closes the incisions with fine sutures, which will leave nearly invisible scars.|
|F. After surgery, the upper eyelids no longer droop and the skin under the eyes is smooth and firm.|
After surgery, Mr Klein will probably lubricate your eyes with ointment. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with pain medication prescribed by Mr Klein. Mr Klein will follow your progress very closely for the first week or two. The stitches will be removed two days to a week after surgery. Once they’re out, the swelling and discoloration around your eyes will gradually subside, and you’ll start to look and feel much better.
You should be able to read or watch television after two or three days. However, you won’t be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while. Most people feel ready to go out in public or back to work in a week to ten days. By then, depending on your rate of healing and Mr Klein’s instructions, you’ll probably be able to wear makeup to hide the bruising that remains. Mr Klein will probably tell you to keep your activities to a minimum for three to five days, and to avoid more strenuous activities for about three weeks. It’s especially important to avoid activities that raise your blood pressure, including bending, lifting, and rigorous sports. You may also be told to avoid alcohol, since it causes fluid retention.
Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they’ll fade to a thin, nearly invisible white line. On the other hand, the positive results of your Eyelid surgery – the more alert and youthful look-will last for years. For many people, these results are permanent.