Blepharoplasty

Who Is It For?

As eyelids are constantly subject to permanent movements, it is not surprising that it is one of the first areas where loosen skin appears. Fat deposits and skin folds are formed here, too. In consequence, the face looks tired and older than it actually is; in extreme cases the drooping upper eyelids may even obstruct normal vision, which is not only a cosmetic problem anymore. For people who feel that their eyes seem hooded, old or tired, upper eyelid surgery is a very effective procedure that can restore a more youthful appearance and can be performed alongside other facial cosmetic surgery procedures.

Get Prepared

Make sure you will get time off work (depending on the operation and the nature of your job). You will need support and help from the family and friends in the recovery period (avoiding physically demanding jobs, important social events etc.); if needed (and possible), arranging  for children care.  

No acute illnesses should occur in the period of at least 3 weeks prior to the planned eyelid surgery (a viral illness, a cold etc.). If so, it is necessary to inform us.

One week before the operation, do not take any medications containing acetylsalicyclic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal etc.). It might increase bleeding during and after cosmetic eyelid surgery.

Ideally, one month (minimum two weeks) before the eye lift procedure women should stop taking hormonal contraception or replacement in order to prevent thromboembolism.

Consult your GP or your surgeon in Prague regarding other medications you take regularly. Bring your usual medicine and pills, if possible in the original packaging.

It is recommended to stop or considerably reduce smoking two weeks before the operation. If you are a smoker don’t forget to bring nicotine patches with you.

Ideally, women should not have their period when operated. If they do, they need to inform their doctor.

How Is It Done?

The eye lid surgery can involve either only upper or lower eyelids, or both at the same time. In the case of upper eyelids, the incision is made in the natural skin fold, in the case of lower eyelids it is made under the eyelash line. During the operation, excess skin and fat deposits are removed. 

Surgery

The eye lid surgery is performed under local anaesthesia or by client’s request under intravenous sedation, which is more comfortable because the patient sleeps during the operation. It takes approximately one hour.  

After Surgery

The client stays at the clinic overnight. Immediately after the operation compressive bandage and cooling gel straps are applied. It is necessary to avoid bending forward, flounces and physical effort for one week after the operation. Immediately after the procedure it is important to rest. The ideal position is on the back, with the head and body slightly elevated, to reduce, as much as possible, any post-operative complications such as bleeding, haematomas or swelling. Cooling with ice compresses also helps to reduce swelling, as well as medication that might be recommended by the physician. You should avoid sudden movements and bending forward.

Post-operative Instructions

Possible Reactions

In some cases your temperature may rise slightly for two to three days. An analgesic can easily ease the discomfort connected to any possible pain in the area operated upon.

You may have gummy eyes for approximately one week.

For the first few weeks, you may experience excessive tearing, sensitivity to light, and double or blurred vision.

You may have difficulty closing your eyes when you sleep.

Possible Complications

Post-operative bleeding, or bleeding caused by insufficient post-operative care at home

Bruising and swelling of the eyelids may last 1-2 weeks.

Prolonged healing, Haematomas, Infection of the wound

Imperfect effect resulting from non-observance of the post-operative instructions

Healing is a gradual process and your scars may remain slightly pink for six months or more.

Tiny whiteheads may appear after stitches are taken out; can be easily removed by surgeon.

Facial makeup can cover up bruising after the sutures are removed. Sutures will usually be removed in 5-7 days.

Back To Normal

If no complications occurred, it is normally possible to return to work and resume customary non-exercise activity within 7-10 days after the operation. Normal physical activity including exercise can be resumed after three weeks.

Result

Scars fade after one to two weeks. The result is remarkably noticeable and it is long-lasting or even permanent.

Extra

According to the client’s needs, the operation involves either the upper or the lower eyelids, or both at the same time. The operation might even be a part of a major surgical intervention, especially a face lift.


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