The excess skin on your eyelids caused by the sagging and the bagging due to the adipose tissue negatively affect the appearance of the people, as well as making them look older and tired aesthetically. This problem, which reduces the quality of life, is not unsolvable! Ear Nose Throat Diseases and Oral and Maxillofacial Surgery Specialist Prof. Dr. Sedat Aydın gives important information about the subject.
What is upper eyelid surgery? Why is it done?
Upper eyelid surgery, called blepharoplasty, is defined as the removal of excess skin, muscle and/or fat from the upper eyelid. It is the most common aesthetic procedure in the world. While it is a cause that vision is negatively affected as a result of significant drooping of the eyelids with aging, it is due to genetic, racial reasons and thyroid disease at a younger age; The sagging of the eyebrows is due to the excess of the upper eyelid skin and adipose tissue.
It is made from the natural lid fold of the upper lid skin, which is the thinnest skin thickness (0.4 mm) on our face. To explain this delicacy, we can explain it as "reading a text placed on the back of the skin from the other side of the skin". The distance between this fold and the eyelashes is 8-10 mm on average in whites, while it is 4-6 mm in people of Asian descent. The outer extension of the incision is curved upwards to be hidden in the “crow's feet” folds.
Can an incision be seen in upper eyelid surgery and when will it become invisible?
This incision cannot be seen because it is hidden when the eyes are open. However, when the eyes are closed, it is in the form of an indistinct scar in the area matching the old lid fold. In order for this scar not to be noticed, first of all, the surgeon performing the surgery should sew it very carefully, the structure of the thread used for suturing, the tissue reaction of the person who had the surgery, the care in the post-operative period and finally the use of some scar removal creams for the disappearance of the scar. It takes 2-3 months for this leave to go unnoticed. This period may be slightly longer in older people.
What are the conditions that will prevent the operation?
If the patient has heart disease, respiratory problems, kidney disease and previous problems related to general anesthesia, local anesthesia or local anesthesia with sedation is preferred in such patients. In addition, drugs such as blood thinner aspirin and drugs such as vitamin E should be discontinued 7 days before.
What are the types of anesthesia applied during this surgery?
The operation can be performed only with regional anesthesia of the upper eyelid, or it can be performed with general anesthesia by putting the patient to sleep. While deciding on this, the patient's choice of anesthesia, current diseases and psychology, as well as the impression, experience and experience gained by the surgeon while examining the patient are effective.
How long does upper eyelid surgery take?
It takes about 30-45 minutes.
Will my eyes remain closed after the surgery? Can I see ?
You can see with your eyes right after the surgery. However, in order to avoid swelling, redness and bruising, the area should be rested by keeping your eyes closed due to intermittent ice application.
Will there be pain after upper eyelid surgery?
Usually there is no intolerable pain. This pain is controlled with simple painkillers to be taken for a few days. However, in cases of severe pain after the operation, if there are problems with additional vision, we recommend that you inform your surgeon immediately.
When can I go home after the surgery?
In order to see if there is bleeding into the eye after the surgery, you need to rest for 2-3 hours and stay under follow-up. After this period has passed safely, you can go home, provided that you follow your surgeon's recommendations.
How long does the recovery period take?
Generally, after 5-7 days, the patient can return to normal work life. However, a period of 2-3 weeks is required for the bruises around the eyes to pass.
