Surgery to remove bags on eyelids, technically known as blepharoplasty, is a procedure to remove fat and excess skin and muscle from the upper and lower eyelids. Blepharoplasty can correct drooping upper lids and puffy bags below, characteristics that make us look older and more tired than we are and that, sometimes, can interfere with the vision. However, blepharoplasty does not eliminate “crow's feet” or other wrinkles or drooping eyebrows. It can be performed in isolation or together with other cosmetic surgeries of the face, como el lifting cervicofacial o el lifting frontal.
Who is the ideal candidate to undergo surgery to remove bags on eyelids – blepharoplasty?
Ideal candidates for undergoing blepharoplasty are those seeking improvement, and not an absolute perfection, in appearance. If you have a general state of good health, has a psychological stability, and is realistic in your expectations, will be a good candidate. Patients usually have 35 years or more, but in some cases with familial tendency to have bags, patients are younger. Blepharoplasty improve your appearance and self confidence, but we get to parezcamos otra persona that we try to Manera different. Before deciding whether to perform a blepharoplasty think what you want to achieve and discuss with your plastic surgeon.
There are some medical conditions that can cause more risks exist when performing a blepharoplasty, such as thyroid problems, lack of sufficient tears, High Blood Pressure, cardiovascular disease and diabetes. Glaucoma and retinal detachment may also pose a risk; in certain cases, ophthalmologic examination prior to blepharoplasty may be necessary.
Surgery
Blepharoplasty is performed in the operating room, within a clinic or hospital. Normally, do not need to stay in the clinic more than a few hours after surgery.
Usually performed under local anesthesia and sedation, the less frequently, under general anesthesia, depending on the preferences of your surgeon. If done with local anesthesia and sedation, the patient feels relaxed and eyelids are insensitive to pain; general anesthesia the patient is asleep during the operation.
The procedure usually takes between one and 3 hours, or more when combined with other interventions. If you are going to do all four eyelids, usually begins with the upper. Most of the time the incisions are placed in the natural creases of the upper lids and just below the lashes in the lower; in some cases they may extend into the crow's feet. Through these incisions the skin from the fat and underlying muscle is separated, removing excess fat and, sometimes, excess skin and muscle. The incisions are closed with very fine sutures.
In other cases, in young patients in whom there is only excess oil, You can perform a transconjunctival blepharoplasty of the lower eyelids; incision placed inside the lower eyelid, leaving no visible scar.
Design areas of skin that will be removed.
Excess fat, and excess skin, will be removed during surgery.
Resulting incisions. In transconjuntival blepharoplasty incision is made through the conjunctiva.
Return to normal
After surgery, will apply an ointment in the eyes to oil them, and in some cases, a soft bandage. You may have discomfort on the eyelids; if any, easily alleviated with medication prescribed by your surgeon (submit if severe or persistent pain should see your surgeon). You should keep your head elevated for several days after surgery and apply cold compresses, to reduce swelling and bruising. It will teach you how to wash eyes and indicate whether you should apply eye drops to keep the eyes hydrated.
During the first few weeks you may notice excessive tearing, hypersensitivity to light, and temporary changes in visual acuity, blurred vision as the double. During the first two weeks your plastic surgeon will detail its evolution. Stitches are removed between 2 days and week. The swelling and bruising will gradually decrease until it disappears completely, and begin to look and feel much better.
Most patients who undergo a blepharoplasty begin to read or watch TV in 2 from 3 days. However, lenses may not be, if present, until 2 weeks, and still may feel uncomfortable for a while. They usually return to work or a week or 10 days; then, Makeup may be applied to cover bruises. It may be necessary to wear sunglasses for a few weeks and apply sunscreen on your eyelids. Must maintain a relative rest during 3 a 5 days and avoid heavy activity 4 weeks.
The results
Scars may look pink during the first months. Will disappear gradually into a clear almost invisible line. The results of blepharoplasty, a younger, more awake appearance, years remain; often, the results are permanent.
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