Techniques of Eyelid Surgery (Blepharoplasty)
There are multiple approaches to eyelid surgery. The particular blepharoplasty technique is chosen based on the specific problem(s) that a patient presents with. To summarize, eyelid concerns can be classified as skin excess and eyelid fullness. Skin excess refers to loose, redundant and lax skin that gives an aged appearance to the eyelids. Eyelid fullness refers to unwanted volume and fullness of the lids that can create a fatigued and worn-out look. Many patients present with both skin excess as well as eyelid fullness.
Skin excess is treated by excision of redundant skin from the eyelid and this will always require a skin incision usually placed just below the eyelashes for the lower lids and within a natural skin crease for the upper lids. Excess volume is a result of natural fat collections that everybody has as a normal part of eyelid anatomy. In cases of excess eyelid fullness, these fat pads will have migrated too superficially as part of the aging process. Excess volume is therefore treated by removal of a portion of these fat collections to optimize the contour of the upper or lower lids. Many cases will require both a skin excision and a fat excision which would both be done during the same blepharoplasty procedure.
Eyelids Post-Op Care
1. Elevate your head at all times and sleep with several pillows
under your head
2. Leave the tapes on until you see Dr. Backstein
3. No Aspirins, Advils or any other anti-inflammatories for 2 weeks post-op
4. You may have a great deal of bruising around your eyes - this is normal.
5. When upper eyelids have been done, you may find that your eyes don't fully close. Don't worry this will pass. If your eyes do not fully close, use the prescribed eye gel before bed at night and use regular eye drops during the day to keep your eyes lubricated.