Eyelid Surgery (Blepharoplasty)

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Eyelid Surgery (Blepharoplasty)

Blepharoplasty includes surgery to repair droopy eyelids that may involve removing excess skin, muscle and fat. As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes.
Besides making you look older, severely sagging skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert.

Before Blepharoplasty

• Stop taking aspirin, ibuprofen (Advil, Motrin IB), naproxen (Aleve, Naprosyn), and any other medication or herbal supplement associated with increased bleeding. It's best not to use these medications and supplements for two weeks before and after surgery. Take only medications approved by your surgeon.
• Quit smoking several weeks before your surgery. Smoking can reduce your ability to heal after surgery.
• Do not wear makeup of any kind on the day of surgery.
• Make sure someone is available to transport you home and watch after you during the first several hours after you are released following surgery.

After Blepharoplasty

• It is not crucial that the eyes be covered. However, an ointment to prevent dryness of the eye area may be used.
• Swelling usually reaches its maximum on the morning after surgery, while bruising may increase slightly for several more days.
• While you recover, your eye area will be bruised and red with swollen eyes, particularly during the first few days. The whites of your eyes (sclera) also may become red and bloodshot. It may take a few weeks for healing to be complete, during which time you should not wear eye makeup.
• On the first day, you should apply cold packs each hour you are awake, for about 10 to 15 minutes at a time. The ice should reduce the swelling and keep bruising to a minimum. On the second day, apply cold packs every few hours for about 10 to 15 minutes at a time.


Blepharoplasty and Brow Lift, Patrick L. Hodges, M.D.
Blepharoplasty, Nirmala Subramanian