cirugia_parpadosIt is an eyelid surgery that aims to remove the upper and/or lower eyelid tissue which is characteristic of dermatochalasis. It may be aesthetic to rejuvenate the appearance of the face through the intervention of the eyelids or functional to enhance the visual field.

In both, the upper or lower eyelid is reshaped by removing and/or repositioning the excess tissue as well as strengthening the surrounding muscles and tendons. When a significant amount of skin is on the eyelid, it may hang over the eyelashes and cause loss of peripheral vision. Very often when they reach their 40s, people have drooping eyelids due to the excess skin on them. It may occur in both, the upper and the lower lids.

Blepharoplasty is performed through external incisions calculated according to the patient’s appearance, made along the natural lines of the eyelids or eyelid folds, such as the lines on the upper eyelids and below the lashes in the lower eyelids, or the inner surface of the lower lid. It is an outpatient surgery.

Recovery depends on the healing capacity of the patient and postoperative care observed. Initial swelling and bruising takes one or two weeks to disappear but it takes at least several months until the final result becomes stable and definitive. Depending on the scope of the procedure, the operation takes one to three hours. It is performed under local anesthesia and pseudo analgesia, that is, intravenous anesthetic drugs are administered by the anesthesiologist so that the patient is drowsy but always collaborative.

Non-absorbable sutures are made on the skin, which are removed after 10 days. For post-surgery care, relative rest, the application of antibiotic ointment, lubricating eye drops, oral anti-inflammatory drugs and ice on a regular basis are prescribed to the patient. The patch must only be removed by the doctor until the following day. It is important that the patient be aware that the first few weeks need “extra” lubrication, since the blinking frequency and neurological connection are altered because the eye is now more open and tears evaporate more easily.