This is an operation to lift the eyelid skin. It can be done as a standalone procedure to rejuvenate the eyes, or in conjunction with other procedures such as lower blepharoplasty, brow lift and / or face lift.
Why have upper blepharoplasty
As we age, our upper lid skin can become saggy and droopy. This is unsightly and looks ageing. Patients also complain that their eyes feel heavy. Women often noticed that they have problems applying eyeshadow in that area.
Surgery to lift the upper eyelid can result in a fresher look, with people commenting that you look well rested.
How is the operation done
The operation can be done under local or general anaesthetic. A cut is made in the natural skin crease of the upper eyelid. Excess skin is removed, sometimes with a strip of muscle if necessary. Occasionally bulging fat also needed to be trimmed, however this is kept to a minimal as removing too much fat results in a sunken look of the eye, conversely looking even more ageing.
Does it hurt
After the local anaesthetic wears off, there might be some mild discomfort initially. The surgery is not associated with excessive pain. However it is not uncommon to have some dry and gritty sensation of the eyes for a few days. Lubricating ointment will help to ease this, and will be prescribed for you to take home.
After the operation
Do expect some swelling and bruising for the next couple of weeks. Sleeping semi-upright with a few more pillows will help drain the swelling. Contact lens and makeup around the eyes should be avoided for 2 weeks. Refrain from exercise and heavy lifting for 4-6 weeks.
The stitches can be removed within 5 to 7 days.
How long do I have to be off work
You can return to work within a week to 10 days when majority of the swelling and bruising have subsided.
As with any other surgery, scarring takes a while to settle, and infection can occur in the operated site.
The most important complication of the surgery is bleeding post-operatively. Minor bleeding can be stopped with simple pressure and ice packs. Occasionally returning to theatre to deal with the bleeding is necessary. Very rarely, the bleeding can accumulate behind the eyeball, in this instance causing an emergency as pressure on the eyeball can lead to blindness. This would necessitate an immediate return to theatre.