FACIAL SURGERY
Blepharoplasty
What is the purpose of the intervention?
Blepharoplasty (from the Greek βλέϕαρον: eyelid) is the intervention that improves the appearance of the peri-ocular area.
What kind of surgery is it?
The intervention may consist in the removal of excess skin only, or extend to the reduction or repositioning of the fat bags.
The classic operation of upper blepharoplasty involves an incision, conducted in such a way as to make the scar fall into the natural crease of the eyelids and make it, in fact, invisible.
What is eliminated?
Excess skin is removed. Depending on the case, removal of fat bags may be indicated. After careful hemostasis, suture with fine stitches and dressing are carried out.The effects of time on the lower part of the eye instead favor the formation of bags: with the intervention of lower blepharoplasty these excess adipose and / or possible excesses of the skin are eliminated, through an incision performed about 1 mm from the ciliary margin, externally or through an internal, transconjunctival incision.
What kind of anesthesia do we use?
The surgery can be performed under local anesthesia with sedation, in our surgery, if the problem affects only the upper eyelid, or in general anesthesia, if it also involves the lower eyelid. According to the individual cases and preferences, the surgery can be performed on an outpatient basis for upper blepharoplasty, under normal conditions
day hospital recovery hospitalization is indicated if upper blepharoplasty is associated with lower blepharoplasty.
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How long does the intervention last?
The operation is about 45 minutes if it affects only the upper eyelids, about 2 hours hours if also performed on the lower eyelids.
What is the post-operative course?
After surgery, tablets soaked in saline or a dressing with patches are applied. At home, the patient will have to perform frequent applications of cold tablets, in order to reduce edema (swelling). It is also advisable to rest with the head raised on two pillows for 2 or 3 nights. Surgical wound healing occurs quickly.
Sutures are usually removed on the third-fifth day after surgery.
Post-operative pain (most often in the form of burning) is usually well controlled by common analgesics.
Work can also be resumed early, in about 6/7 days. Sports should be avoided for about two weeks.
What are the behavioral rules for proper healing?
- Proper eye hygiene
- Use of cold or ice tablet
- Use of eye drops
- Keep your head raised and sleep with two pillows for at least a week
- Do not strain your eyesight (television, reading, etc.)
- no alcohol
- avoid contact lenses until complete healing
- Preferably go out with dark glasses
- Do not expose yourself to the sun
Are there non-surgical alternatives?
The so-called crow’s feet wrinkles also form around the eyes, between the outer edge of the eye and the temple, giving the look a tired look.
In this case, botulinum, a substance that smoothes wrinkles, can be used. Botulinum injections are effective, safe and give results already after a few days up to 7 months. The effect is completely reversible. The botulinum is effective also in the horizontal wrinkles of the forehead and in the vertical ones above the nose which give a curly look to the eye.
An equally effective alternative, although less suitable, is the use of hyaluronic acid fillers.
Before and After
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Pre /post op after upper blepharoplasty
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