Inside Lower Eyelid

Outside Lower Eyelid

Is this right for me?
Eyelid Adjustment (Blepharoplasty) is a procedure to remove unwanted fat pads, excess skin and muscle from the upper and lower eyelids. This procedure can enhance your appearance and your selfconfidence. It can rectify drooping upper lids and puffy bags below your eyes which can make you look older than you are and more tired than you feel. It can even interfere with your vision. This surgery will not remove crows feet or other wrinkles, dark circles under your eyes or lift sagging eyebrows. Blepharoplasty can be done alone or along with other facial surgery such as a Facelift or Brow Lift.
The best candidates for eyelid surgery are men and women who are physically healthy and realistic in their expectations. Most are 35 or older, but if droopy eyelids run in your family you may decide to have eyelid surgery at an earlier stage. Some medical conditions can make this type of surgery more risky. These include thyroid problems, dry eye syndrome, high blood pressure, circulatory disorders, cardiovascular disease, and diabetes. A detached retina or glaucoma is also reason for caution. Please check with your ophthalmologist before you have surgery.

Risks
Complications are infrequent and usually minor. However, there is always a possibility of complications with any surgery including infection or a reaction to the anaesthetic. You can reduce your risks by closely following the surgeon's instructions both before and after surgery. You may experience double or blurred vision for a few days with swelling at the corner of the eyelids and a slight asymmetry in healing or scarring. These side effects are normally temporary. After surgery, some patients can have some difficulty closing their eyes when asleep. In rare cases this condition could be permanent. Another very rare complication is ectropion, which is a pulling down of the lower lids. If this happens further surgery would be required. The majority of people do not experience these complications, but you should discuss each of them with our surgeon to make sure you understand the risks and consequences of eye surgery. Because of these complications, it is important that you complete the health questionnaire which will be given to you on your arrival at nu-age medical spa. Previous eye surgery may preclude Eyelid Adjustment.

What is involved?
At your consultation, the surgeon will evaluate your health and discuss your expectations in detail. Upper and lower lids can be operated on separately or together and usually as a day case. Upper eyelid surgery can be done using a local anaesthetic, However, if both upper and lower are done together the surgery is more likely to be done under a general anaesthetic. For upper eyelid surgery the surgeon will make an incision along the natural crease of the upper eyelid. For lower lid surgery, the incision is generally made just below the lower lashes. This allows loose skin, relaxed muscle and excess fat to be removed. The incisions are well camouflaged by natural creases. The scars will pink for a while, but normally fade quickly leaving faint white lines. Please tell our surgeon if you smoke, take any medication, vitamins, or other drugs. Our surgeon will also explain what anaesthetic will be used and where the surgery is to be performed. It is very important that you tell the surgeon what your expectations are and he / she will inform you of alternatives and any risks and limitations. Once you have been fully informed you can decide with the surgeon the best possible options for you.

Preparing for surgery
Our surgeon or nurse will give you advice on how to prepare yourself for surgery, this will include guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications. You will be asked to sign consent forms to make sure that you understand the procedure, and any risks and potential complications of your surgery. There will be waiting period of at least two weeks from the time of your consultation to the day of your surgery. After surgery Initially you will be likely to have some pain and discomfort which can be controlled with analgesia. Your eyelids may feel tight and sore as the anaesthetic wears off, but this can again be controlled with medication. Bruising and swelling varies from person to person, it usually reaches its peak during the first week and can last from two weeks to a month. You'll be shown how to clean your eyes and the surgeon will usually recommend eye drops or ointment to be applied during the first week. In the first couple of weeks you may also experience some watering, light sensitivity, and some blurring or double vision. The stitches will be removed between 3 to 5 days after surgery. Once they're out, the swelling and bruising will gradually subside, you'll start to look and feel much better. You should be able to return to work within a week to ten days, depending on the level of activity required for your job. But your scars will be quite pink for at least six weeks. You should be able to read or watch television after a couple of days. You won't be able to wear contact lenses for a couple of weeks, and even then they may feel uncomfortable for a while. You may also be told to avoid alcohol, since it causes fluid retention. We will arrange for you to be driven home after your surgery, but you may need help at home for a day or two after the operation.

How long will the results last?
Although no surgery will stop the ageing process, the results can last for many years, and you should look younger and feel more refreshed. You are more likely to be happy with your surgery if you are fully informed, understand the procedure thoroughly and your expectations are realistic.