Eyelid Reduction Surgery

eyelashesHave you ever looked at your eyes and wished that you could do away with the sagging under your eyes, in other words, get rid of your eyebags. The fact is that the older we get the less sleep we seem to get because of various reasons, whether it’s work, pleasure, children or what have you, sleep always seems to be the one area of our lives that we choose to sacrifice. This sacrifice often causes a droop under the eyes, or bags, because the muscles in that area tend to lose their tightness, causing the skin to sag.

What is involved in blepharoplasty

Eyebag reduction or Blepharoplasty, is often an elected cosmetic surgical procedure done in order to improve the puffy condition of the lower eyelid, as well as reducing the wrinkling of the skin. Although this type of surgery is often an elective, cosmetic procedure, there are cases when an advanced amount of upper eyelid skin is present, which may protrude over the eyelashes and cause a loss of peripheral vision. When this condition occurs then an upper eyebag reduction is performed in order to perform the peripheral vision.

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History of eyelid surgery

This term of Blepharoplasty for this cosmetic surgical procedure was coined by Karl Ferdinand von Grafe in 1818. This technique was used for the repairing of deformities of the eyelids that were caused by cancers. However, evidence exists that the roots of this cosmetic procedure began around 3000 years ago with the ancient Egyptians. In fact evidence exists that cosmetic procedures such as this did in fact exist throughout the ages.

During the Middle Ages, these surgeries were prohibited because they were viewed to be spiritual and unethical. The lack of sanitary conditions and poor hygiene also contributed to this ban for fear of infections and death. Thankfully, during the Renaissance, texts from ancient Greece and Rome were discovered that illustrated these surgical procedures and techniques.

How is the procedure performed?

The basic procedure for eyebag reduction is to make an incision on the inside surface of the lower eyelid or in the natural crease of the upper eyelid. This incision allows the excess fat to be removed without leaving an externally visible scar, but this does not allow for the removal of excess skin.
If a patient wishes, external skin resurfacing with a chemical peel or a carbon dioxide laser may be performed simultaneously, this allows for a faster recovery process.

cosmeticHow long does eyelid surgery take?

The operation typically takes one to three hours to complete with initial swelling and bruising in one to two weeks. The final result takes at least several months to become stable. However, in comparing before and after photos of the patient the results are fully appreciated. Considerations that may affect the outcome are dry eyes, laxity or looseness of the lower lid and the prominence of the eye in relation to the cheek. The latter can predispose to lower lid malposition. All of these factors can definitely effect the outcome of this type of cosmetic surgical procedure, but following the physician’s instructions can help insure success.

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