Aesthetic surgery of the eyelid, also known as Blepharoplasty, involves the removal of excess skin and fat from around the eyes to give a fresher, more alert and rested appearance. With the passage of time and also due to certain hereditary factors the upper eyelids become heavy, and a fatty bulge may form below the lower eyelids. These problems can be addressed very effectively by (Blepharoplasty) achieving quite a stunning result.The surgery can be performed on adults of any age depending on the extent and degree of their problem. The younger adults are usually those who have inherited traits.The following criteria may help you decide if you are a candidate for this type of surgery: -excess skin causing a "double fold"of the upper eyelid,which may sometimes impair vision and tends to make the eyes feel tired towards the end of the day.- a puffy appearance of the upper lids.- Fine wrinkles of the lower lids- Bags under the lower lids- Droopy lower lids showing showing the white below the coloured portion of the eye It is sometimes necessary to do some adjunctive procedures to achieve the desired result , such as laser resurfacing of the lower lids for finer wrinkles , and bleaching creams to get rid of dark circles due to pigmentation beneath the eyes.

Your personal consultation will involve a discussion on what you perceive to be the main problems. Also a complete medical history will be taken with particular emphasis on allergies, high blood pressure, thyroid problems and diabetes. I usually have all my patients visit an ophthalmologist prior to surgery to establish a baseline of ocular function and visual acuity, along with an examination to rule out "dry eye" which can be exacerbated by this operation. Surgery of the eyelids involve incisions which are usually hidden within the natural skin creases of the eyes, such that they are well camouflaged when healed. Of all the areas of the body the eyelids provide perhaps the best outcome for surgical scars. The upper lid incision is in the shape of an ellipse to remove excess skin, and is hidden in the natural upper lid crease. The lower lid incision is placed a few millimeters below the lid margin, being hidden by the lower eyelashes. Through these incisions, fatty tissue is also removed, along with any excess muscle. Some times the fat is redistributed and the muscle may need to be repositioned to address problems of laxity.

For younger patients who have no excess skin but only excess fat, an incision can be placed within the eyelid, sometimes with the help of a laser to remove the fat. Fortunately, significant complications from eyelid surgery are infrequent. Some of the potential complications will be discussed with you in more detail during your consultation include haematoma (accumulation of blood underneath the skin) , infection and reaction to anaesthesia. There may also be some dryness of the eyes after surgery. Usually, the only problem after lid surgery which may prevent you from going back to work is the bruising which takes two weeks to fully resolve. Sutures are removed in two to three days, and the puffiness around the eyes due to the surgery largely resolves in a weeks time. Any straining , bending or lifting should be avoided during the early postoperative period, however you should be in a position to resume your normal activities in ten days or less.

Your vision may be slightly blurred in the first few days after surgery, and you should not wear contact lenses for a week or two.The results of eyelid surgery are long lasting and very gratifyingly removal of fat is permanent and generally will not recur. The skin continues to age however, and skin laxity along with fine wrinkling of the eyelid area may at some point return. Some patients find that they want to make additional improvements at a later time.