Blepharoplasty

Blepharoplasty is a cosmetic surgical procedure that reshapes both the upper and lower eyelid as well as relocates the excess tissue that surrounds the eyelids and strengthens the surrounding muscles and tendons. Blepharoplasty is typically performed to remove excess eyelid skin that causes loss of peripheral vision by blocking a person’s line of sight, causing difficulty with daily activities such as driving and reading.

Upper eyelid blepharoplasty can be done both to improve one’s vision or for cosmetic purposes.  Lower eyelid blepharoplasty is always done for cosmetic reasons, since it improves the physical appearance of the eyes by removing the “eye bags” and reduces the wrinkling of the skin in the area.

After the surgery, most patients will experience bruising and swelling that lasts about seven to ten days. Patients should have ample time to rest their eyes and should avoid wearing eye makeup and contact lenses during the recovery period.

Although risks and complications are rare for the blepharoplasty procedure, it is still advisable to be aware of possible complications. Complications can include bleeding, which may lead to possible infection. Invariably, such complications are the result of not following Dr.Fisher’s advice on how to avoid them. An insignificant movement can produce very detrimental post-operative complications, such as bending over to pull up an item of clothing within 2-3 days of the operation or trying to take off the bandaged area and conduct a self-inspection at home. All these may cause abnormal folding of the eyelid skin and abnormal discoloration, which may have to be repaired by another surgical procedure. Patients may also experience an inability to fully close their eyes after the procedure.  All side effects should be immediately reported to Dr.Fisher.

Patients also have the option of having injectable fillers like Juvederm or Restylane to replace volume in the area between the lower eyelid and the cheek to replace the fat from this area that has moved or sunk with age. As newer, longer lasting fillers become available, non-surgical alternatives to blepharoplasty are now possible.  Non-surgical blepharoplasty takes about ten minutes, is relatively painless, and causes little to no bruising. The effects of non-surgical blepharoplasty can last around 18 months. After the procedure it is common to have swelling or below the eye. In any case, patients should not be upset and give themselves plenty of time to recover, because each person reacts differently and there are many factors to recovery, such as age or previous stressful environment, which has affected the area etc.

Dr. Fisher will introduce you to critical points you should understand in regard to the expected aesthetic and functional enhancements as well as the possible risks of blepharoplasty surgery.  Always disclose your prior surgeries and/or medical history even if you think it may not be relevant. Dr. Fisher rarely encounters complications, and never does so in patients who diligently and religiously follow his advice and post-operative suggestions.

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