What is blepharoplasty?
Blepharoplasty is a surgical procedure in which excess skin and
fat around the eyes are removed. Excess skin can develop because
of:
- aging
- a history of puffy eyelids because of allergies or water
retention
- an inherited tendency toward droopy eyelids.
When is it used?
This procedure may be used when:
- your upper field of vision is partially blocked by excess skin
- you have aches in your brow from trying to use your forehead
muscles to lift drooping eyelids
- you want to change your appearance.
How do I prepare for this procedure?
You will need to arrange for someone to take you home after your
surgery. Allow some time to rest at home.
Follow your doctor's instructions. Do not wear eye makeup on the
day of surgery. No special preparation is needed if you are to
have local anesthesia. If you are to have general anesthesia, eat
a light meal, such as soup or salad, the night before the
procedure. Do not eat or drink anything after midnight before the
procedure. Do not even drink coffee, tea, or water.
If you take important medicines regularly, ask your doctor about
taking them on the day of surgery. If you take aspirin, warfarin
(Coumadin), or vitamin E ask your doctor if you should stop taking
it before surgery.
What happens during the procedure?
The surgeon marks the skin that will be removed. He or she also
finds any fat pads that need to be removed. The surgeon cuts away
these tissues. If needed, the surgeon may modify muscles that
control the eyelids to help them function better. Then the surgeon
sews up the incisions with stitches.
What happens after the procedure?
You may have swelling or bruising ("black eyes") for about a week.
You may have mild pain or discomfort right after your surgery. Ask
your doctor if you can take acetaminophen for pain.
You may want to rest quietly for a day or two with your head
raised. Also, you may put cold compresses (a washcloth moistened
with cold water) over your eyes to reduce swelling and bruising.
Right after the surgery, the incisions are red and visible. Since
they are made in natural creases in your skin, they may not be
visible when they heal.
If you wear contact lenses, wait about 4 days after your surgery
before you put them in. If you wear glasses, you may wear them
right away. Wait 2 weeks before using eye makeup.
What are the benefits of this procedure?
This procedure corrects vision problems caused by droopy eyelids.
Also, you may look younger and less tired.
What are the risks of this procedure?
There are always risks associated with anesthesia. Ask your doctor
about these risks. Other risks may include:
- bleeding
- infection
- rarely, double vision or loss of vision.
If your doctor removes too much skin, too much of the front of your
eye may be exposed. This may lead to dry eye and problems with
your cornea (the clear dome on the front of the eye).
When should I call my doctor?
Call your doctor immediately if you:
- have severe or worsening pain
- have a loss of vision
- have a lot of drainage from your eye
- develop a fever.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File SRG5005F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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