UPPER BLEPHAROPLASTY INFORMATION
is the medical name for the operation which removes eye bags. The prefix
"upper" simply refers to the upper eyelid, and hence upper blepharoplasty
is also known as an upper eyelid reduction. This operation removes the
loose skin and excess fat which are above the eye, generating a younger,
With age many people develop redundant skin on the upper eyelid which
is at best unsightly and at worst may interfere with vision. In addition,
some of the fat from within the eye socket prolapses (moves forward) making
the situation worse. Blepharoplasty is a relatively common procedure performed
in both men and women, and gives excellent results.
Before the operation
There is nothing
special or complicated to be done by the patient. If you are on the oral
contraceptive pill or HRT you should continue to keep taking it, and inform
the surgeon or anaesthetist in the hospital. It would be advisable to
stop any herbal medicines and avoid aspirin or ibuprofen-like drugs for
2 weeks before and after the operation.
The operation itself
come into the hospital on the morning of surgery. The operation is usually
performed under general anaesthetic and takes about one hour. It is possible
to this operation under local anaesthetic; however, a quick general anaesthetic
is preferred by most patients. When you wake up you will have steristrips
(paper stitches) over the upper eyelids. Patients often go home that afternoon.
follow-up and after care
dressing should be left alone and not interfered with. It is important
to rest and take it very easy for at least 2 weeks after the operation
and it is essential to avoid all strenuous activity during this period
- this includes all sexual activity. You wound be advised to take 10 days
off work to allow any swelling and bruising to settle. It is critical
that you do not bend down and lower your head as this increases the possibility
of bleeding and bruising. Vigorous sport such as jogging or the gym should
be avoided for 4 weeks.
At between 5 and 7 days you will be seen in the clinic and the steristrips
and stitches removed. A check-up clinic appointment at 3 months after
the surgery will be arranged for you.
carry a risk of complications, although in upper blepharoplasty these
are very low. There will be small scars on the upper eyelid which heal
very well and with time become almost invisible. Very occasionally the
scars may be red for a few months but they usually settle down by themselves
without any treatment. They can be easily covered by make-up during this
The risk of infection is very low, about 1 %, and responds well to antibiotics.
Some patients complain of dry or gritty eyes after the operation. This
is related to changes in lubrication of the eye or swelling of the lining
of the eye. Fortunately, these changes are temporary and resolve spontaneously.
If the dryness or grittiness is a problem during this period simple lubricating
eye drops can be prescribed.
Many patients will notice that there is bruising of the upper eyelid area,
the amount of which varies between individuals. This bruising resolves
by 10 days. The most serious complication is of severe bleeding behind
the eye itself after surgery. This is called a "haematoma" (collection
of blood) and can interfere with vision. Great care is taken to avoid
this extremely rare problem, which has an incidence quoted at 1 in 40,000
is a simple day case procedure designed to reduce the excess skin and
fat of the upper eyelid. It gives good, predictable results and improves
the appearance of the eyes.
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