Blepharoplasty is the surgical intervention on the eyelids which aims to eliminate defects caused by age, or those related to the patient's physiognomy. This intervention involves two eyelids (upper or lower) or all four simultaneously.

Blepharoplasty proposes to correct the signs of aging that appear on the eyelids by replacing the "tired" look of the eyes, with a fresher and tighter look. It involves intervention in cases where the upper lids are droopy and there is an excess of skin that forms a visible fold. Such an intervention can also be performed when we are dealing with drooping lower lids that are accompanied by small horizontal wrinkles as a result of skin retraction, and more recently when we are dealing with fatty hernia that causes "bags under the eyes" or " swelling" of the eyes.

The intervention aims to surgically correct excess skin and fat on the eyelids, without affecting their function. The intervention can be practiced in both women and men, after the age of 40, but it can be done even earlier, as a result of factors of heredity and not those related to age (such as fat bags under the eyes).

Before the intervention

Before the intervention, a medical visit and an eye analysis are performed by the surgeon to see if there are any abnormalities that could complicate the intervention. It is advisable to perform an ophthalmological examination to examine any possible ocular pathology.

Anesthesia

Three types of procedures are distinguished in the types of anesthesia applied in this intervention: Local anesthesia, where the analgesic product is injected to obtain insensitivity of the eyelids; deep local anesthesia with sedatives that are administered intravenously; and classical general anesthesia, during which the patient is in a state of sleep. The choice of anesthetic technique will be discussed between the patient, the surgeon and the anesthesiologist.

interference

Each surgeon has his own operative technique which he uses to achieve the best results for the patient, but still the basic principles are the same. The incisions (cuts) in the upper lids are distributed in the sill between the movable and immovable part of the eyelid.

On the lower lids, they are performed 1-2 mm below the eyelashes and can be extended a little further. The marks of the incisions are certainly also the future scars which, being hidden in the natural folds of the eye, remain invisible.

When the intervention targets only the "eye bags" and there is no excess skin, an internal blepharoplasty can be performed with incisions on the inside of the lower lid that leave no visible scars. Sutures are made with very thin, usually non-dissolvable threads that are removed a few days after the intervention.

interference

Each surgeon has his own operative technique that he uses to achieve the best results for the patient, but the basic principles are still the same. The incisions (cuts) in the upper lids are distributed in the sill between the movable and immovable part of the eyelid.

On the lower lids, they are performed 1-2 mm below the eyelashes and can be extended a little further. The marks of the incisions are certainly also the future scars which, being hidden in the natural folds of the eye, remain invisible.

When the intervention targets only the "eye bags" and there is no excess skin, an internal blepharoplasty can be performed with incisions on the inside of the lower lid that leave no visible scars. Sutures are made with very thin, usually non-dissolvable threads that are removed a few days after the intervention.

Dr. Vladimir Filaj

Plastic surgeon