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Things You Need To Know Before Getting Eyelid Surgery

The skin around the eyes is about ten times thinner and more delicate than that on the rest of your face. When we become older, a loss of collagen means that wrinkles and fine lines appear around the eyes first. 

But that’s not all. Intrinsic aging causes the eyelids to droop because of the loss of collagen and the weakening of the eyelid muscles. Droopy eyelids, or ptosis can be due to genetics or damage to the eye.

When that happens, a blepharoplasty or eyelid surgery might be the best option to fix the condition. We speak to Dr. Siew Tuck Wah, Medical Director of Radium Medical Aesthetics for important things you need to take note of before going under the knife.

What is blepharoplasty?

Blepharoplasty, or commonly know as “eyelid surgery”, is a surgical operation for correcting defects and deformities of the eyelids. It is also for aesthetically modifying the eye region of the face. The procedure aims to excise and removal or repositioning the skin and fatty tissue. 

Source: Blausen.com staff (2014). “Medical gallery of Blausen Medical 2014“. WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010ISSN2002-4436.

The request for the procedure is equally common for both men and women. People who undergo blepharoplasty is increasing due to cosmetic concerns over functional reasons. 

What does the procedure involve?

Blepharoplasty is considered as a minor procedure where patients can be awake, mildly sedated, or with anesthesia, depending on the patient and surgeon’s preference. Most procedures take less than hour to complete. 

There will be stitches on the opening for about a week. Some bruising and swelling can be expected for about two weeks. 

There is very little discomfort and patients can go about their usual activities after resting one or two days.

What is the downtime for blepharoplasty?

It depends on which part of the eyes the operation is performed. Upper blepharoplasty surgery that involves cutting open the eyelids may experience downtime of between one and two weeks. Lower blepharoplasty, which includes repositioning fat pads and addressing eye bags, may require a downtime of up to three weeks.

Will there be scars after blepharoplasty?

It depends on where the incision is. Most of the time, surgeons will create an incision in the eyelids that can hide and heal well. The upper eyelid incision is placed in the eyelid crease, so that any scars cannot be seen.

An eyebag revision can be done from inside the eyelids to reposition the fat tissue. The incision can be done on the eyelid line. Furthermore, eyelid skin is thin and it recovers very quickly, with minimal complications.

Can blepharoplasty help with dark circles, fine lines, and wrinkles?

A lower blepharoplasty aims to reduce the appearance of dark eye circles. In some cases, heavy eyebags can contribute to dark eye circles. In other cases, the shadow under the eyes is caused by the thin skin and the visible blood vessels and capillaries.

The removal of some fatty tissue can lead to an improvement in the appearance of eye bags, removing the shadow from this hollowness, which lower blepharoplasty aims to eliminate.

Fine lines are usually addressed using laser skin resurfacing to tighten the skin by stimulating collagen production in the skin around the eyes.

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