Eyelid surgery performed by a plastic surgeon

Eyelid surgery, or blepharoplasty, is a plastic surgical procedure that reduces functional impairments caused by heavy upper eyelids and corrects signs of aging in the upper and lower eyelids. Eyelid surgeries are common and can remove sagging skin, excess fat from the eyelids, bothersome eye bags, and tighten loose skin on the lower eyelids.

For most people, changes in the eyelids become noticeable between the ages of 30–35, but eyelid surgery has also been performed on individuals as young as 20. Swelling, wrinkles, or drooping upper eyelids can create a misleading impression of mood, alertness, or age.

The results of eyelid surgery are long-lasting, and most patients are highly satisfied with the outcome. Once the surgical wounds have healed, individuals often feel their appearance is more refreshed and vibrant.

It is important to note, however, that cosmetic eyelid surgery cannot remove crow’s feet. Cosmetic surgery can be complemented with treatments such as laser therapy or chemical peels to enhance the results.

Eyelid surgery may be considered if:

• Excess skin covers the natural fold above the upper eyelid (so-called hooded eyelid).
• Loose eyelid skin causes visual field disturbances.
• You suffer from swelling of the upper eyelid.
• There is excess skin on the lower eyelid.
• You want to get rid of fine wrinkles in the lower eyelid area.
• You have eye bags and swelling.

Surgery should be approached cautiously if you suffer from circulatory disorders such as high blood pressure, thyroid problems, dry eyes, glaucoma, retinal detachment, or other eye conditions, cardiovascular diseases, or diabetes.

• Initial consultation. Planning for upper eyelid surgery begins with a consultation with a plastic surgeon. During the visit, treatment goals, concerns, and a procedure plan are discussed.
  
• Physical examination. The plastic surgeon evaluates the position of the eyelid contours, the amount of excess skin and fat, the position of the eyebrows, and the condition of the eyelid muscles. If a significantly rejuvenating result is desired, other potential procedures that can be performed alongside eyelid surgery may also be planned.
  
• Health assessment. The plastic surgeon also assesses general health. The consultation includes a review of past and current illnesses, medications, supplements, previous surgeries and treatments, as well as substance use and smoking habits.
  
• Medications. Inform the plastic surgeon of all your illnesses, allergies, and medications. Certain medications must be discontinued as per the doctor’s instructions. You will also receive prescriptions for painkillers and antibiotics.
  
• Smoking. Smoking should be avoided for at least two weeks before surgery, as it slows wound healing.
  
• Skin care. Wash your face thoroughly and avoid using makeup, creams, or other products on the day of surgery. Prepare a cold pack at home to reduce swelling.
  
• Pain management. Obtain necessary supplies, such as clean gauze and painkillers.
  
• Clothing. Wear comfortable, easily removable clothing on the day of surgery.
  
• Escort. Arrange transportation after the surgery, as you will not be able to drive yourself.

• Physical activity. Avoid physical exertion and bending over during the first few days. Light activities can usually be resumed within a few days.
  
• Swelling and bruising. Swelling and bruising may last about 1–2 weeks. Keep your head elevated and use cold compresses to reduce swelling. The final result is typically visible after a few months when the tissues have fully healed.
  
• Eye symptoms. During the first week, you may experience light sensitivity, dry eyes, blurred vision, and itching.
  
• Pain management. Severe pain is uncommon, and painkillers can be taken if needed.
  
• Showering and sauna. You can shower a few days after surgery, but avoid saunas for a few weeks.
  
• Stitches. Stitches are removed or dissolve on their own within the first week.
  
• Sun protection.The skin around the eyes requires careful protection from the sun and wind. Use sunscreen and sunglasses for protection.
  
• Eye drops. Use prescribed eye drops as directed.
  
• Sick leave. The length of sick leave after eyelid surgery depends on the extent of the procedure, but most people can return to work after two weeks.
  
• Contacting a doctor. Seek medical attention if pain significantly increases, vision disturbances occur, or signs of infection appear at the wound site.