Blefaroplasia (eyelid surgery) is an aesthetic surgical operation on the eyelids (both upper and lower), involving removal of excess skin, correction of muscle laxity and removal of excess fat, thus correcting the tired and aging appearance of the face. In addition to the aesthetic benefits, blepharoplasty improves the field of vision, because it removes excess skin around the eyes that sometimes cause difficulties in opening the eyelids completely.
Blepharoplasty plays an important role in facial rejuvenation and age perception. Anatomical changes in the eyelids are due to age, resulting in damage to the collagen and elastane fibers, loss of bone volume and dehydration, favoring loss of muscle tonus and skin elasticity.
At the lower eyelids, excess skin can occur as well as herniation of the periocular adipose tissue. Skin laxity, decreased bone density, and the impact of gravitational force on the skin are factors that cause deep eye appearance in the orbits. Intervention on the lower eyelid involves removing excess skin and fat bags and is performed under general anesthesia.
An assessment by the plastic surgeon, an ophthalmological consultation and a set of analyses are required before the operation. It will also be necessary to stop some medication (e.g. anticoagulant and antiaggregants) and smoking at least one month in advance. The intervention is performed under local anesthesia with or without sedation, with little or no visible incisions, depending on how each patient develops scars.
Postoperative, it is normal for the area to have edema (swelling), ecchymosis (bruising) and/or an itching sensation. Postoperative pain is minimal or absent and recovery takes about two weeks. Physical effort must be avoided during recovery, contact lenses are not recommended during this period and sun glasses may be worn from the day after the operation.