Dr. McMahan, thank you for my new eyelids. I can’t believe how easy it was! My hoods and bags have miraculously disappeared. At my high school reunion I looked 20 years younger than everyone else. (OK, the Fraxel laser helped as well) My only regret is that I didn’t have it done years ago.
~ Mary, Columbus
Blepharoplasty is the plastic surgery performed to make alterations to the eyelids – both upper and lower. Superfluous folds on the upper eyelids are removed and unattractive bags or dark circles are eliminated from the lower eyelid area using this method.
When you consult with Dr. McMahan about the appearance of your eyelids, he will explain the surgery to detail so that you are well informed and prepared. As part of the procedure, loose skin is carefully marked for removal in the upper eyelid by gently pinching to identify the extra folds. The patient is made to sit upright while this is done.
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A local anesthetic is injected into the eyelid even if you have opted to have general anesthesia. The marked skin is then cut out. Electronic cautery is used to minimize bleeding while the excess skin, fat cells and extra muscle are removed. Sutures are subsequently removed three to five days later.
During lower eyelid surgery, less skin and fat is removed through the incision made at the outer corner of the eye. If too much skin is removed from this area, ‘scleral show’ or the ‘wide-eyed stare’ look could be the result. Eversion, or ectropion, is another possibility.
To combat the stinging and burning sensations that you may feel when the anesthetic wears off, Dr. McMahan will prescribe oral pain medication. You don’t have to be anxious about scarring since the skin around the eyes is one of the thinnest on the body. This means scarring will hardly be visible.
Keep your head elevated using pillows as props for several days instead of lying down flat. This decreases the after effects of bruising and bleeding. Use ice packs as often as possible and avoid exertion and bending over in the first two to three days.