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An eyelid tuck, or , is a surgical procedure to improve the appearance of aging associated with the upper and lower eyelids. Signs of aging in the upper eyelids include loose sagging skin that creates fullness and disturbs the natural contour. Occasionally, this excess skin can be so severe that it impairs vision. In addition, puffiness in the upper eyelids could be due to excess fat deposits. Signs of aging in the lower eyelids include bags and dark circles, drooping of the lid margin, and excess skin. These effects of aging can create a tired or sad appearance. This procedure is performed in a certified operating suite with either local anesthesia, intravenous sedation, or general anesthesia. The upper eyelid blepharoplasty utilizes incisions that can be concealed within the natural structures of the eyelid. The lower eyelid may be corrected with an incision below the lower lash line. In addition, a trans-conjunctival approach is an alternate technique that allows the incision to be hidden inside the lower eyelid. This technique allows redistribution or removal of excess fat; however it does not allow for removal of excess skin. It is important that you work with your plastic surgeon to choose the best option for you depending on the outcome you wish to achieve. The goals of surgery are to produce a more rested and refreshed appearance through repositioning or removal of excess fat and removal of excess skin. Blepharoplasty procedures can be performed in conjunction with other procedures such as brow lifts to rejuvenate the aging forehead and brows and facelifts to rejuvenate the aging face.
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Disclose medical conditions such as hypertension and any thyroid problems. Discuss your health related to your eyes such as glaucoma or dry eye syndrome. It is important to work closely with your plastic surgeon. Be prepared to discuss your expectations and desired outcome. Make sure all of your questions and concerns are addressed. Aspirin, Motrin, non-steroidal anti-inflammatory medications, and some over-the-counter herbal medications must be discontinued at least 2 weeks prior to surgery. These and other drugs and substances may cause excess bleeding and bruising. You can usually begin taking them again after a week or so. Your plastic surgeon will discuss this in detail with you and you will also be given a sheet with a list of common medicines to avoid for a short period. Your plastic surgeon will detail the risks associated with surgery.
Following your surgery, you will have ointment applied to your eyelids that may cause your vision to be blurry. It is important to keep your head elevated and you may have to apply cool compresses to aid in healing and minimize swelling. You will be given specific instructions on how to care for your incisions including any medications that you may need to take. Healing time is highly variable, but most patients’ experience moderate swelling and some bruising that can persist up to 2 weeks. Sutures are usually removed within the first week after surgery. It is best to avoid strenuous exercise and heavy lifting for 2-3 weeks after surgery to minimize the chances of bleeding. It often takes several months for swelling to fully resolve, and 6 months or longer for the incision scars do fade. You may also be interested in the following procedures Brow Lift, Nose Surgery or Face Lift.
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