Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat, excess skin and
muscle-from the upper and lower eyelids. Eyelid surgery can correct
drooping upper lids and puffy bags below your eyes-features that make
you look older and more tired than you feel, and may even interfere with
Eyelid surgery is
usually performed under local anesthesia-which numbs the area around
your eyes-along with oral or intramuscular sedatives. You'll be awake
during the surgery, but relaxed and insensitive to pain.
usually takes one to three hours.In a typical
procedure, the incision follows the natural lines of your eyelids, in
the creases of your upper lids, and just below the lashes inthe lower
lids. The incisions may extend into the crow's feet or laugh lines at
the outer corners of your eyes. Working through these incisions, the
surgeon separates the skin from underlying fatty tissue and muscle,
removes excess fat, and often trims sagging skin and muscle. The
incisions are then closed with very fine sutures.
Complications are infrequent and usually minor. Nevertheless, there is
always a possibility of complications, including infection or a reaction
to the anesthesia.
complications that occasionally follow blepharoplasty include double or
blurred vision for a few days; temporary swelling at the corner of the
eyelids; and a slight asymmetry in healing or scarring.
surgery, some patients may have difficulty closing their eyes when they
sleep; in rare cases this condition may be permanent. Another very rare
complication isectropion , a pulling down of the lower
Your eyelids may feel tight and
sore as the anesthesia wears off, but you can control any discomfort
with the pain medication .
Your must keep your head elevated
for several days, and to use cold compresses to reduce swelling and
bruising. (Bruising varies from person to person; it reaches its peak
during the first week, and generally lasts from two weeks to a month.)
Your eyelids may feel dry at first and your eyes may burn or itch. For
the first few weeks you may also experience excessive tearing,
sensitivity to light, and temporary changes in your eyesight, such as
blurring or double vision.
The stitches will be removed three
to four days after surgery.
You should be able to read or watch
television after two or three days. However, you won't be able to wear
contact lenses for about two weeks.
You may be sensitive to sunlight,
wind, and other irritants for several weeks, so you should wear
especially important to avoid activities that raise your blood pressure,
including bending, lifting, and rigorous sports.
Healing is a gradual process, and
your scars may remain slightly pink for six months or more after
surgery. Eventually, though, they'll fade to a thin, nearly invisible
the other hand, the positive results of your eyelid surgery-the more
alert and youthful look-will last for years. For many people, these
results are permanent.
You must stay in Costa Rica at least 6 days after
I recommend the Las Cumbres Inn where you will receive personal
attention, required medication and transportation to and from surgery. I
visit my patients at Las Cumbres frequently following surgery to check
on your recovery.