EYELID SURGERY QUESTIONS AND ANSWERS

The following Eyelid Surgery questions are asked by real people like you. The answers are provided by board-certified doctors or qualified medical providers who meet our exacting standards.

FREQUENTLY ASKED QUESTIONS ABOUT EYELID SURGERY

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Eyelid surgery, also called blepharoplasty, is a surgical procedure improving not only the appearance but functional problems of the eyelids. In another word, droopy eyelids not also make you look older, but they also impair vision. However, eyelid surgery can rejuvenate the area surrounding your eyes. Surgery can be performed on the upper lids, lower lids or both. Nowadays, thousands of people choose eye lid surgery or blepharoplasty to improve appearance and correct the possible problems caused by droopy eyelids. It is very important to know that eyelid surgery does not change the form of the eyes. But it makes the eyes look more open and it tightens droopy and loose skin around the eyes.

Eyelid surgery, also called blepharoplasty.

    • Puffiness and bags under the eyes
    • Bags under eyes
    • Drooping lower eyelids
    • Excess skin and wrinkles of the lower eyelid
    • Deformities of the eyelids

Blepharoplasty is the fourth most frequently performed surgery in Iran, so you can make sure that our highly skilled plastic surgeons provide you with desirable results. Also, eyelid surgery cost in Iran is much lower than other countries, so many people choose to have this surgery in Iran.

It is highly recommended to stop taking aspirin or any other blood thinners some days before the surgery to reduce excess bleeding during the surgery.

Yes, it is generally performed under general anesthesia.

Depending on your condition, the surgeon decides to perform the surgery on upper lids, lower lids, or both. Your surgeon makes precise marks on your skin to determine where excess skin needs to be removed. Then he starts making tiny delicate incisions in the upper and or lower lids, leaving no visible scars after the surgery.

In some cases, the surgeon will combine the procedure with a brow lift or a face lift to achieve the most desirable result.

Like any other eye surgery, you may experience red and dry eyes and also mild swelling and bruise which is quite normal. Your surgeon will prescribe you eye drops and instruct you applying cold compress respectively. The healing process is short and less than 2 weeks. You must avoid wearing makeup and contact lenses at least 1 week after the surgery in order to reduce the risk of infection and swelling.

Yes. Blood-thinning medicines (e.g., aspirin, aspirin cardio, Tiatral, Marcoumar, Sintrom, AlkaSeltzer, Ponstan etc.) should be stopped if possible 5 days before the operation. Do not stop taking these medications of your own accord: we will discuss this in advance with your family doctor. If you have noticeable bruises or if you have persistent bleeding after injuries, this is also taken into account in the surgical planning.

For the last 5 days prior to the operation, avoid analgesics (e.g., headache) containing acetylsalicylic acid, which is included in medications including Aspirin, Aspirin Cardio, Tiatral and AlkaSeltzer. Other painkillers are allowed.

The doctor will specifically discuss this question with you during the preliminary examination.

Yes. Immediately after the operation, there is a certain swelling of the eyelids, which is usually the strongest on the second day after the operation and then slowly decreases. A cooling face mask can help to minimize swelling in the first 48 hours.

This depends on a variety of factors. Most patients have no or minimal bruising. In any case, a bruise is usually not dangerous, but usually a “cosmetic” problem that resolves itself after 2 weeks. The following groups are at increased risk for post-operative bruising: smokers, people with high blood pressure, and the elderly.

Sutures are usually removed after six to seven days. Please do not use creams or make-up until then. After suture removal, neither ointment nor cream should be applied to the eye for three days.

Many individuals choose blepharoplasty to reduce the appearance of bags under their eyes, to eliminate droopy and tired looking eyelids, and to restore peripheral vision that has been impaired by severely sagging eyelid skin.

Eyelid surgery only fixes peripheral vision that is blocked by droopy eyelids. There are many other causes of peripheral vision loss, including glaucoma, occlusions, a detached retina or a compression of the optic nerve. If you are experiencing peripheral vision loss, it is important to schedule an appointment with our eye doctor for a thorough examination and diagnosis.

Eyelid surgeries are generally performed on an outpatient basis. Since local anaesthetic is used, we do ask that you bring an alternative driver with you or have someone drop you off and pick you up. The surgery typically takes two hours or less, but can take longer.

Since the surgery is performed on an outpatient basis, you will be allowed to go home and recover as soon as the local anaesthetic has worn off, and it has been determined that it is safe for you to return home. Recovery times vary. In general, your stitches, if not self-dissolving, will be removed after 10 days, and most patients are fully recovered after one month. However, recovery can take longer.

After your surgery, our eye doctor will provide you with paperwork on activities to avoid and signs of serious complications. Most people experience swelling, bruising and redness at the incision sites. You may also have some light sensitivity, double vision and watery eyes. Keeping the head elevated and using cool compresses can reduce swelling and bruising. In addition, we may prescribe eye drops or creams to help with discomfort.

Most patients are using their televisions, laptops, or media tablets within one to two days after surgery, and can read and work at a computer workstation within three to four days after surgery. The eyes will fatigue quicker during this period, however. Patients generally return to work seven to ten days after surgery and resume athletic workouts two weeks after surgery. We ask our patients to recognize that healing occurs gradually over weeks to months, although most improvement occurs in the first month.

Most patients with heavy eyelids have had the condition since birth and are candidates for upper eyelid surgery in their twenties, though most wait until their mid-thirties or later. Lower eyelid bags are nearly universal and come on with age, although the exact age usually depends on hereditary factors.

Patients who “throw away” eyeglasses following corrective vision surgery often find that eyelid bags heretofore hidden by the glasses appear more pronounced. Patients who have had successful corrective vision surgery are excellent candidates for cosmetic eyelid surgery. We usually recommend that three to six months separate cosmetic eyelid surgery and refractive surgery.

Yes, other facial surgical and laser procedures can be combined with eyelid surgery. Brow lift (forehead lift), fillers and facial laser resurfacing are the most commonly performed additional procedures.

As with any surgical procedure, some scarring is to be expected. However, scarring with blepharoplasty is minimal and practically non-existent after several months of healing.

Fat and loose skin around the eyes usually appears with age, but some young people are genetically prone to it, so there really is no set age when blepharoplasty is performed.

No. A blepharoplasty is not designed to remove the wrinkles at the outer corners of your eyes (crow’s feet) or to fix sagging brows. There are other procedures available that can be used to remove wrinkles near the eyes, including laser resurfacing and intense pulsed light treatments.

Stitches are normally removed three to five days after your surgery. The removal process may sting a little, but is usually not too uncomfortable.

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