This procedure consists in removing extra fat, skin and muscle from the upper and lower eyelid, corrects fallen eyelids and the bags under the eyes that give an older and tired look and that can even affect sight.

The best candidates are those physically and psychologically healthy patients that have realistic expectations.

Like in any other surgical procedure, there are some risks involving the surgery. But they can be reduced to minimum risks if you discuss everything with your personal plastic surgeon and follow step by step all his instructions. The normal complications that may appear are inflammation and blurry or double vision.

After the surgery some patients may present some difficulties closing their eyes when they sleep.

The first appointment is very important. Your doctor will need a complete medical history. You should always be honest to him, mentioning all your diseases, allergies, medications, etc. Let him know what your expectations are and don’t hesitate to ask any questions.

The surgeon will explain the different techniques, the type of anesthesia and the costs of the intervention. Eyelid surgery is usually done using local anesthesia and oral or intravenous sedation. Some surgeons may use general anesthesia.

PROCEDURE
The usual technique is to make small incisions following the natural eyelid lines. Through them, skin will be detached from the subcutaneous tissue and muscles. The accumulated fatty tissue will be removed as well as muscle and skin if necessary. Finally, the skin will be closed with thin sutures.

If in your case there is no need to remove lower eyelid skin, a transconjuntival surgery can be performed, this way the incision is done inside the lower eyelid leaving no visible scars.

There is another technique in which no fat deposit is removed from the lower eyelid. On the contrary, fat is replaced in a better location.

After the intervention the surgeon will spread an ophthalmologic ointment.

Pain, if there were any, will be reduced with the proper pain killers prescribed by your surgeon.

You will also be instructed to use cold compresses to reduce inflammation and burning. Stitches will be removed within the 2 to 5 days after the surgery. Ones removed, the inflammation will quickly disappear and you will start to feel and look better.

Most patients go back to their normal social life in 7 to 10 days. Eyes may be sensitive to sun light, wind or any other irritating factor. That is why it is a good advice to wear sun glasses the first few days. Activities that may raise blood pressure should be avoided.

The healing process is gradual, which is the reason why scars may have a pink pigmentation for 6 months or more after the surgery. After that they will start becoming more natural color until they become practically invisible.

Duration of the procedure: 30 minutes to an hour.

Anesthesia:Local, combined o general.

Hospitalization: Ambulatory.

Recovery: you may Start reading 2 days after the surgery, go back to work 5 days after and Start exercising again after 3 weeks.

Duration of the results: from several years to permanent.

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