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What is blepharoplasty?

Surgery of the eyelids to improve appearance or vision is known as blepharoplasty.

Am I a candidate for blepharoplasty?

If you have excessive upper eyelid skin that creates a fold, disturbs the natural curve or comes in the way of vision or you have upper eyelid bags, then these can be improved by blepharoplasty. Similarly, lower eyelid blepharoplasty can correct excess skin, fine wrinkles and fat herniation such as eyelid bags. Lower eyelid blepharoplasty can also correct itís droopiness, which leads to excessive show of white (sclera), below the iris. The epicanthic fold, of eastern ethnic origin can be corrected if desired.

Case -1
Excess skin at upper eyelid
Case -2
Multiple folds in upper eyelid

What other eyelid conditions can be treated?

Birth defects of eyelids, known as coloboma, tumours, cysts, defects arising due to injury and excessive fat deposits known as xanthelasma can be treated. Drooping of upper eyelid, known as ptosis and inability to close the eye due to paralysis of facial nerve can also be treated in most instances.

Case -3
Xanthelasma, left eye
Case -4
Birth defect (coloboma), right eye
Case -5
Drooping (ptosis) of upper eyelids
Case -6
Loss of right lower eyelid due to injury
Case -7
Loss of right lower eyelid due to injury

What information should I give to my doctor?

You should inform him about any significant medical conditions in the past and present, especially thyroid disorders, high blood pressure, diabetes. You should also tell him if you have any eye diseases such as glaucoma, retinal detachment, previous surgery etc. If you are on any medication, such as aspirin, anti inflammatory drugs, herbal supplements etc or if you smoke, then this also should be told.

How is the surgery done?

Surgery can be done under local or general anesthesia. It is usually a day care procedure. The operation lasts 1-3 hours. The incisions (cuts) are made in natural creases in upper and lower eyelids and usually are well hidden post surgery. If there is no skin excess in lower eyelid, then a transconjunctival approach can also be used, where no external skin incisions are made. In most of the cases, you can go home the same day. Medicines are given to reduce swelling and you can also do cold sponging. Sutures are removed in 5-7 days.