BLEPHORAPLASTY / EYELID SURGERY
Blepharoplasty in Galway | Eyelid Surgery
What do I need to know about this procedure?
BBlepharoplasty is a procedure that removes fat deposits, excess skin or muscle usually from both the upper and lower eyelids. This improves the appearance of the eyes and/or improves the range of vision of the patient.
This procedure will require an anaesthetic. See the Local Anaesthetic or General Anaesthetic patient information sheet for information about the anaesthetic and the risks involved. If you have any concerns, discuss these with your doctor.
Important information
Before the operation, you must tell the surgeon performing the operation and the anaesthetist of any medical problems, allergies, prescribed drugs (particularly blood-thinning drugs), use of recreational drugs or alcohol consumption. Smoking in the pre or post-operative period is known to cause complications. The operation will result in a scar or scars. Make sure you know before the surgery as to the type of scar or scars, the size and where your scar/s will be. The surgeon may ask you to do certain things before you can have surgery, such as exercise, lose weight or stop smoking, which could also improve your post-operative recovery.
What are the risks of this specific procedure?
General risks:
∙ Infection can occur, requiring antibiotics and further treatment.
∙ Bleeding could occur and may require a return to the operating room. Bleeding is more common if you have been taking anticoagulants or antiplatelet medications
∙ Small areas of the lung can collapse, increasing the risk of chest infection. This may need antibiotics and physiotherapy.
∙ There is an increased risk in obese people of wound infection, chest infection, heart and lung complications, and thrombosis.
∙ A heart attack or stroke could occur due to the strain on the heart.
∙ A blood clot in the leg (DVT) causing pain and swelling. In rare cases part of the clot may break off and go to the lungs
∙ Death as a result of this procedure is very unlikely.
Specific Risks:
∙ The scar may be pink and slightly thickened in the first few weeks after surgery, particularly in the lower eyelid. This may require make-up camouflage until it settles.
∙ Bruising around the eyelids which may spread to the white part of the eye where it may remain for 7 to 10 days.
∙ The upper eyelid may slightly open when asleep for some weeks. As a result, the tissue at the front of the eye can dry out and cause scarring, which will reduce the quality of eyesight. Long term problems with tear formation or dry eye may also result.
∙ Ectropion, where the lower eyelid appears to be pulled down too far. The skin below the lower eyelid may not be as smooth as desired.
∙ Weakness of the lower lid for up to two weeks. This usually settles without treatment, but may require further surgery.
∙ Formation of small lumps in the lower eyelid. These generally disappear over the period of a few months. During this time, there may be temporary corneal irritation and abrasions.
∙ Excessive tear formation and sensitivity to bright light for the first few days.
∙ Blurring of vision, due to swelling and use of ointment in the eye.
∙ Double vision, which may last for a day or two after the operation. This usually recovers spontaneously and is a result of the bruising.
∙ Wound infection, bruising and fluid collecting under the skin. This may require drainage of any tissue fluid that is infected or accumulated under the skin. This may delay the speed of wound healing and may cause disfigurement.
∙ Blindness. This is an extremely rare possibility.
Questions to ask my doctor/healthcare professional:
If you do not understand any aspect of the information in this patient information sheet or any other information you have been given about your condition, treatment options and/or proposed procedure, please talk about this with your doctor/healthcare professional.
Post-operative FAQs:
Is bruising and swelling normal after surgery? Yes, it is normal to experience bruising and swelling after the surgery.
How long does swelling last after eyelid surgery? Your eyelids will be swollen or bruised for about 1 to 3 weeks after the surgery. After that, you might still have some residual swelling that might take several weeks to go away but is barely noticeable.
How do you reduce swelling and bruising after upper eyelid surgery?
Use a cold compress to minimise swelling
Quit smoking for the specified time duration before and after the surgery
Stay clear of blood-thinning, anti-inflammatory, and herbal supplements for at least 2 weeks post-surgery
Drink lots of water
Eat home-cooked meals that are low in sodium
Do not wear makeup until your incisions heal fully
Avoid wearing contacts lenses
How can I heal faster after eyelid surgery? Healing time varies from patient to patient. While most people can return to work about one week after the surgery, complete healing usually takes from four to six weeks.
Can you ice too much after eyelid surgery? It is recommended to use a cold compress during the first three days of surgery. However, don’t overdo it and be very careful otherwise you will end up with an ice burn. It is recommended to use a cold compress for 10 to 15 minutes and then stop for 10 to 15 minutes. It is recommended to carefully ice your eyes for at least three days after eyelid surgery.
Can I drink coffee after eyelid surgery? It is recommended to not drink coffee and other caffeinated beverages for the first few days after eyelid surgery. Stick to water and fresh juices instead.
What do you put on your eyelids after eyelid surgery?
Use the antibiotic ointment on your stitches or wounds 4 times per day for 7 days. Do not skip this step if you wish to promote healing and prevent infections from occurring.
You should not use any creams, cosmetics or anything on your skin immediately after eyelid surgery. It is recommended to use a cold compress for the first two to three days. You can go back to applying your regular skincare products and makeup once your incisions are fully healed.
You can use scar creams or gels on your eyelid once your incisions have fully healed. Use gentle massage motions to allow the cream to be absorbed into your skin and avoid putting on unnecessary pressure.
When can I sleep on my side after blepharoplasty? You can start sleeping on your side two weeks after the surgery if you feel extreme discomfort sleeping on your back. However, it is recommended to avoid sleeping on your side for four weeks if you can.