What is blepharoplasty?
Blepharoplasty is the most common type of aesthetic eyelid surgery. It is performed to correct bags and remove excess skin from the lower and upper eyelids.
When is it performed?
The majority of blepharoplasties are performed to remove bags from under the eyes, which usually appear with age, due to congenital causes or are associated with renal or cardiac diseases. In this process, the skin around the eyes is stretched, the muscles are relaxed and the fat is removed from the orbit.
It is the relaxation of the skin and the eyelid muscles, together with the orbital fat and, in some cases, the presence of fluid, which makes the face look aged and tired; this is corrected, generally, for cosmetic purposes. Drooping of the upper eyelids can also interfere with vision. In this case, a blepharoplasty can be performed to improve the patient's peripheral vision.
How is it performed?
The surgery acts on the eyelids to free and remove the excess skin and tighten the orbicularis muscle, as well as removing the excess fat, if necessary, and removing the eyelid bags.
At the IMO, we perform laser-assisted blepharoplasties, which eliminate the need for visible cuts in the skin, leave less haematoma, reduce inflammation and enable faster recovery.
|Patient before blepharoplasty surgery|
|Patient after blepharoplasty surgery|
It is important that the blepharoplasty is performed by an ophthalmologist specialised in ocular plastic surgery to minimise the risk and post-operative problems. When this surgery is performed on the upper eyelid, special care must be taken, since the levator muscle is situated in this area.
In terms of the lower eyelid, the main complication associated with this procedure is retraction, which can occur in 20% of cases, when inappropriate techniques are used. This complication results in the lower eyelid staying too low, leaving the eye wide open. As well as being unsightly, it causes an additional problem relating to ocular dryness, due to the eyelid not closing adequately.
After the surgery
At the IMO, when the lower eyelid is operated on, a blepharoplasty is performed using a transconjunctival laser. The incision is not visible and retraction is avoided.
This procedure is usually combined with other skin treatments, such as chemical peeling or laser resurfacing. In such cases, the patient is advised to avoid exposure to the sun and to continuously moisturise the affected area.