The eyelids are the place where the aging is the most visible and the most attention-grabbing. Due to its structure it is almost inevitable that the skin wrinkles occur on eyelids which are both very moving and very thin skin in older ages. All sagging, loosening around them also affect the eyelids.
The forehead descends with the age. Along with the forehead, the eyebrows begin to fall over the upper eyelids. The eyelids do not have such a lifting force therefore they begin to slip downward. There is a membrane that surrounds the eye round and separates the fat bags that support it from the lower eyelids. It works as an elastic membrane and as barrier. With the advancing age this membrane becomes loose and the load of the oil bags becomes inaccessible. So "eye bags" are formed.
The skin of the eyelids is the thinnest skin in the body and sticks to the moving muscles beneath it. Therefore, each eye movement is slightly becomes wrinkled and saggy. Side wrinkles called "crowfoot" on the edges of the eyes are can be example. A deep pit appears at the upper line of the cheeks. This is caused by the sagging of the cheeks.
In a standard eyelid surgery, eyelid skin, a thin muscle layer under the skin, and fats that fill the eye bags are removed. Although this is a very common operation, it often causes disappointment in patients. The reason for this is that some of the basic problems we have mentioned belong not to the operated tissues but to the neighboring other structures such as cheeks and forehead. For example; the great amount of stacking in the upper eyelids comes from the sagging eyebrows.
The best way is to approach the eyelids as part of the face.
The steps are as follows:
I. First of all, if there is a deep pit descending to your cheeks below your eyes, this pit must be filled. The pit should be removed by spreading down the fat that forms the under-eye bag and by lifting up the cheeks. In this way a continuous smooth surface extending from the cheekbones towards the lower eyelids can be formed.
II. If your cheeks are saggy, this must be corrected. It is possible to lift the cheeks for this, or to lift the middle face during the lower eyelid surgery.
III. If your forehead and eyebrows stacked on your eyes, first of all these should be corrected. The eyebrows should be placed to the correct position by temporal stretching. If there is still sagging in the upper eyelid, this should be treated. Crowbar also appears in the temporal area without sagging, temporal stretching will also eliminate this problem.
After all these problems are over, it will be enough to get the excess muscle and excess skin on the eyelids.
The operation is pain free, but after the operation the eyelids will swell. This process lasts for 7 days. You do not need to be hospitalized. Your eyes will be open after the surgery, only thin bands will be attached on the eyelids.
The complications related to blepharoplasty are less than the complications of many other aesthetic surgical procedures. However, there may be some temporary problems may arise. Hematomas may arise because many thin blood vessels are affected during surgery. They usually decrease after a few days and do not leave a permanent mark.
During the surgery, eye muscles may be slightly damaged and lead to double vision. There may be excessive eye burning for a few days following the operation, but these usually disappear in a while.
Along with being rarer, more serious complications may occur. One of them is that if too much skin is removed from the lower eyelid, the lid may turn out as a result. If it is too much, it can be corrected by surgery.
SUMMARY OF THE SURGERY:
Type of the anesthesia: Local or general.
Where the surgery should be performed: In a hospital operating room.
Duration of the surgery: 1-3 hours.
Duration of stay in the hospital: It is possible leaving hospital on the same day.
Post-surgical pain and bother: Several days dull ache. Oral simple painkillers are usually sufficient.
Swelling, bruising: Between 3–7 days, moderate, sometimes severe.
Medical dressing: There is no dressing until the stitches are removed. Everything is taken with the stitches.
Stitches: 5th day
When you can start to work: 3-7 days.
Sport : Hike after 2 weeks, running after 3 weeks. After 4 weeks, it would be right to start hard sports.
Final form: A slight edema usually continues in the first month. And final form, occurs at 3rd months.