Understanding blepharoplasty: what you need to know

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If you’ve ever considered eyelid surgery or blepharoplasty, you may have many questions about the procedure. Dr Tina Khanam, an ophthalmologist based in London, provides a clear overview of what blepharoplasty involves, why it might be necessary, and how to prepare for it.

For a visual exploration, watch the video below.

What is blepharoplasty?

Blepharoplasty, commonly known as eyelid surgery, is a procedure designed to address issues with the eyelids, whether for functional or cosmetic reasons. Patients often seek this surgery to correct droopy or baggy eyelids, which can affect both appearance and vision.

For the upper eyelids, excess skin can sometimes impede vision, making it difficult to perform everyday tasks like driving. For the lower eyelids, bagginess or puffiness caused by excess fat and skin can be both a cosmetic concern and a cause of discomfort. Blepharoplasty helps by removing or repositioning the excess skin and fat to improve both appearance and function.

Preparing for blepharoplasty

Preparation is a crucial part of the blepharoplasty process. To ensure the best possible outcome and minimise risks, here’s what you need to do:

1. Avoid certain medications

Before the surgery, it’s important to stop taking any medications that can increase bleeding risk, such as aspirin or blood thinners. These medications can heighten the chances of complications like haemorrhaging.

2. Quit smoking

If you smoke, it’s advisable to stop before the surgery. Smoking can impair healing and affect the overall recovery process.

3. Control blood pressure

High blood pressure can increase the risk of complications during and after surgery. Keeping your blood pressure in check is essential for a smooth procedure and recovery.

What to expect after surgery

Post-surgery, it’s normal to experience some swelling and discomfort. Dr Khanam advises using cold compresses to help reduce swelling and manage any discomfort. It’s also essential to take it easy in the days following the procedure.

  • Reset and recovery: You may need to take a few days off to rest and recover. During this time, avoid vigorous activities that could raise your blood pressure and affect healing.
  • Healing process: After eyelid surgery, it’s normal for the area to look worse before it gets better. The initial days may involve swelling and bruising, but these symptoms should improve over time.
  • Follow-up care: In some cases, additional procedures may be necessary if not all excess skin or fat was removed initially. Choosing an experienced surgeon who regularly performs blepharoplasty can help ensure that the procedure is done effectively and minimise the need for further surgeries.

Choosing a surgeon

When selecting a surgeon for blepharoplasty, experience matters. Look for a surgeon who specialises in this procedure and has a track record of handling various cases and potential complications. A skilled surgeon will be able to guide you through the process, address any concerns, and provide a realistic expectation of the results.

Blepharoplasty can be a transformative procedure for those struggling with droopy or baggy eyelids, improving both appearance and function. By understanding the preparation required, what to expect during recovery, and the importance of choosing an experienced surgeon, you can approach the surgery with confidence.

Dr Tina Khanam is a highly skilled ophthalmologist based in London, specialising in both cosmetic and functional eyelid surgery, including blepharoplasty. With extensive experience in addressing issues related to droopy and baggy eyelids, Dr Khanam offers comprehensive care tailored to individual needs.

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