Eyelid Surgery (Blepharoplasty)

 

Eyelid muscles are inserted into the skin, and lose their tone as a normal function of ageing. In the upper eyelid this produces a fold of skin which may result in hooding of the eyelid. Such hooding may obscure the eyelash in severe cases, and is treated by the excision of excess tissue within a skin crease of the upper eyelid.

In the lower eyelid, loss of muscle tone permits fat underneath the eyeball to bulge forwards to produce an eye bag. Treatment in this case involves the excision of excess skin and associated fatty tissue, via incisions located in a skin crease.

This procedure is known as a blepharoplasty.



Blepharoplasty

  • Carried out as a day case general anaesthesia or local anaesthesia / sedation
  • Planned excision of tissue is marked on the skin
  • one long suture under the skin for each incision
  • Suture ends are taped to the skin with Steristrip adhesive tape
  • Polyfax ointment is applied four times a day for 7 days following surgery
  • Sutures are removed at around 7 days


  • Complications

  • Respiratory Depression (intravenous sedation)
  • Hallucinations (intravenous sedation)
  • Bleeding at time of surgery
  • Bleeding following surgery black eyes are not uncommon
  • Severe bleeding following surgery may require suture removal
  • Inadequate removal of tissue ( incomplete elimination of hooding / eye bag)
  • Excessive removal of tissue (distortion of eyelid / inability to close eyelid)
  • Dry Eye / Watering Eye
  • Lid Asymmetry
  • Infection (rare)
  • Loss of skin as a function of haemorrhage or infection
  • Revision Surgery may be required to treat complications
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    It is to be noted that blepharoplasty will not remove fine wrinkles in the skin. These are removed by skin resurfacing techniques.