Open Upper Blepharoplasty (Upper Eyelid Surgery)

Overview of the procedure:

Open Upper Blepharoplasty is a popular type of cosmetic surgery procedure that removes excess skin, fat or muscle from droopy upper eyelids.

The upper eyelid incision is made in the natural crease line that occurs 1 cm above the eyelashes. The incisions might extend into the crow's feet or laughter lines at the outer corners of your eyes. Working through the incisions your surgeon will separate the skin from the subcutaneous layers and remove excess fat and trim sagging muscle and skin. The incisions will then be closed with very fine sutures.

Duration of the operation:

Open Upper Blepharoplasty usually lasts for about 30 minutes to 1 hour.

Post operative care:

After surgery, you should rest quietly with head elevated. Oral medications will help with pain and discomfort. The doctor will also prescribe an antibiotic to prevent infection. Instructions to follow for several days, includes: proper way to clean your eyes, use of cold compresses to minimize swelling, use of lubricating eye drops, head elevation, no makeup, no alcohol, no television, and no contact lenses. You should also limit activities for a few days.

Recovery Period:

Stitches are removed about a week after surgery. Bruising and swelling will continue to gradually subside after stitches are removed. Bruising usually disappears within 7-10 days duration. Sunglasses and protective sun block are required for several weeks. Normal activities can resume after about 10 days, though strenuous activities such as lifting, bending and exercise can resume after about three weeks. Most patients are back to work within 1-2 weeks.

Possible Risks and complications:

Complications are rare; however there are risks associated with any medical procedure. Possible complications include: infection, bleeding (rare) but can cause loss of vision, prominence of the scars, asymmetry in healing or scarring, dryness, decrease sensation in the eyelid, difficulty closing the eyes, or any reaction to anesthesia and in rare instances blindness. You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.

Anesthesia use:

General anesthesia or local with sedation

Hospital admission:

Open Upper Blepharoplasty can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.

Preparation before Surgery:

• Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation.
• Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process.
• You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period.
• Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding.

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