Eyebag Removal (Blepharoplasty)

Surgery to the eyelids in men is subtly different from that in women. Certainly blepharoplasty surgery aims to offer a more youthful look to the eyes by removing excess skin and addressing pockets of fat but the aesthetic goals of surgery will be different.

 

The anatomy of the eyelids is understandably complex. Skin, muscle, the fat pockets below the muscle, the eye itself, and the bony eye socket are very intimately associated with each other must be very carefully analysed in order to provide a plan for surgery.

Differences exist between the male and the female eye and in the techniques needed to address them. The position of the brow and the technique of brow lifting is a good example. In men the brow should lie horizontal at the level of the bony prominence. In women, there will bee a slight arching of the brow laterally. The skin thickness is greater in men. Furthermore, whereas in women, one can consider elevation of the brow using endoscopic techniques, in men the potential for male pattern baldness limits use of this procedure.

Eyelid surgery is performed under general anaesthesia or local anaesthesia. If you are having a general then you won’t be able to eat or drink for about six hours before the operation.

Detailed instructions will be provided by the hospital on when to arrive at the hospital. Before surgery you will meet your surgeon and your anaesthetist (with general anaesthetics). Your surgeon will reaffirm with you the surgical plan and your anaesthetist will discuss with you your post operative pain relief.

The procedure usually takes around 1-2 hours and depending on the time of the operation and overnight stay.

In terms of follow up, the following guidelines are generalised and I will often vary these to match your individual needs.

In general; All of the stitches are small and removed in four to seven days. You can return to work in as little as one to two days and to some physical exercise within the first week.

Frequently asked questions

How can I help prepare for surgery?

Stop smoking.Do not take aspirin, Ibuprofen or anti-inflammatory medication in the weeks leading up to your surgery. This also applies to any ‘over the counter’ medicines such as nutritional supplements. These can affect the body’s healing process and may interact with any medication given to you during or after surgery. Your surgeon will give you instructions regarding this.

When will I be able to return to exercise?

The biggest risk is a post operative bleed following the procedure, however this usually occurs within the first week. It is better to wait 2 weeks before excercising.

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