Eyelid Surgery (Blepharoplasty)
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Candidates

Adults of all ages can benefit from blepharoplasty. Patients in their 20s and 30s may get hereditary traits that make them look older or tired. Patients who have excess skin or bags on the upper eyelids, patients who have excess skin, bags and dark circles on the lower eyelids.

Incisions and technique:

I prefer to perform blepharoplasty using a CO2 laser. The technique depends on the problem, excess fat and skin of the eyelids and the position of the eyebrows. In the upper eyelid the incision is hidden in the natural fold of the skin and extends to the corner of the eye. Excess skin and fat is removed. The incision is made with the laser without bleeding. The lower eyelid fat pockets are removed through an incision inside the eyelid in the conjunctiva. No points needed. If there is a need to remove skin and muscle, a second skin incision, hidden below the eyelashes, is masked by the natural folds of the skin. The laser can also be used to smooth the skin of the lower eyelids.

Objective

Eyelid surgery can be planned according to the problem. If only the upper eyelids are affected there is no reason to operate the lower eyelids and vice versa. If the problem is caused only by excess fat without excess skin, it is not necessary to remove skin. If excess skin is the problem, it may not be necessary to remove fat. However, 40- to 50-year-old patients usually already need to correct upper eyelid drooping and fat pockets under the eyes, removing excess fat from skin and muscle. Sometimes it is recommended to raise the eyebrows, when the drooping eyelids are accompanied by the drop of the eyebrows. Chemical peeling may be necessary when dark pigmentation forms under dark circles. Crow's feet can be treated simultaneously with a laser peel.

Recovery Time

Reading, two or three days. Back to work, 7 to 10 days. Contact lenses, two weeks. Exercises: About three weeks. Bruising may take several weeks to disappear, but usually with corrective makeup or sunglasses the appearance is almost normal.

Duration of Results

Many years. Sometimes permanent.

Anesthesia

Usually local with sedation or general. Inpatient / Outpatient: Generally outpatient.

Operating Time

1 to 1 and half hours

In/Outpatient:

One to three hours.

Risks

Hematoma (accumulation of blood under the skin) that may need to be drained, infection and reaction to anesthesia. Blurry or double vision. Bleeding, dry eyesight, slight scar asymmetry. There may be transient difficulty in closing the eyes completely (rarely permanent). If the lower eyelids become pulled, a second surgery may be required. Blindness is extremely rare.

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Cascais
Av. 25 de Abril, 900

Lisbon
Hospital Saint Louis
Rua Luz Soriano 182, 1o. andar
Bairro Alto

 

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