Our Summary

This research paper talks about upper lid blepharoplasty, a common cosmetic surgery that helps restore and rejuvenate the upper eyelids. It is a safe and reliable procedure. To achieve the desired result, it’s important to understand the anatomy of the brow-upper lid, changes that occur with aging, and to assess the specific needs of the area around the eye. Older patients may need extra volume added to their upper lids. Asymmetries and drooping (ptosis) should be identified and discussed before surgery. Clear photographs and honest discussions about what the patient hopes to achieve and what is realistically possible are crucial to a successful outcome.

FAQs

  1. What is upper lid blepharoplasty and why is it performed?
  2. What factors are crucial to achieving a successful outcome in upper lid blepharoplasty?
  3. What specific needs might older patients have in regards to upper lid blepharoplasty?

Doctor’s Tip

Additionally, it is important for patients to follow all pre-operative and post-operative instructions provided by their surgeon to ensure proper healing and optimal results. This may include avoiding certain medications, refraining from smoking, and taking care of the incision site. It is also important for patients to have realistic expectations about the outcome of the surgery and understand that individual results may vary. Communication with your surgeon throughout the process is key to ensuring a successful and satisfying outcome.

Suitable For

Patients who are typically recommended for blepharoplasty are those who have:

  1. Excess skin and fat on the upper eyelids that create a tired or aged appearance
  2. Drooping or sagging eyelids that obstruct vision
  3. Asymmetry in the eyelids that causes a noticeable imbalance in the appearance of the eyes
  4. Ptosis, or drooping of the eyelids, that affects the functionality of the eyes
  5. Desire to achieve a more youthful and rejuvenated appearance in the eye area

It is important for patients considering blepharoplasty to have realistic expectations and to discuss their goals with a qualified and experienced plastic surgeon. Additionally, patients should be in good overall health and have no underlying medical conditions that could affect the outcome of the surgery.

Timeline

Before blepharoplasty:

  1. Consultation with a plastic surgeon to discuss goals and expectations of the surgery.
  2. Pre-operative assessments such as medical history, physical examination, and possibly blood tests.
  3. Discussion of risks, benefits, and potential complications of the procedure.
  4. Pre-operative instructions such as avoiding certain medications and stopping smoking.
  5. Surgery scheduling and preparation for the procedure.

After blepharoplasty:

  1. Recovery period with swelling, bruising, and discomfort around the eyes.
  2. Follow-up appointments with the surgeon to monitor healing and address any concerns.
  3. Gradual improvement in appearance as swelling subsides and incisions heal.
  4. Potential for temporary sensitivity to light and dry eyes.
  5. Final results of the surgery becoming more apparent over time, typically within a few weeks to months post-surgery.
  6. Long-term maintenance of results through proper skincare and sun protection.

What to Ask Your Doctor

Some questions a patient should ask their doctor about blepharoplasty include:

  1. Am I a good candidate for blepharoplasty?
  2. What are the potential risks and complications associated with the procedure?
  3. What type of anesthesia will be used during the surgery?
  4. How long is the recovery period, and what can I expect in terms of downtime?
  5. Will I have visible scarring after the surgery, and how can it be minimized?
  6. What results can I realistically expect from the procedure?
  7. How many blepharoplasty procedures have you performed, and what is your success rate?
  8. Will I need any additional procedures or treatments to achieve my desired results?
  9. How long will the results of the blepharoplasty last?
  10. What post-operative care instructions should I follow to ensure optimal healing and results?

It is important for patients to have open and honest communication with their doctor about their expectations, concerns, and any questions they may have before undergoing blepharoplasty surgery.

Reference

Authors: Hahn S, Holds JB, Couch SM. Journal: Facial Plast Surg Clin North Am. 2016 May;24(2):119-27. doi: 10.1016/j.fsc.2016.01.002. PMID: 27105797