Eyelid Reduction – (Blepharoplasty)
Blepharoplasty is a delicate operation to remove the excess damaged skin and unsightly bulging fat around the eyes so to create a more radiant and youthful appearance. It can improve the visual field. The operation can be performed for the upper and lower eyelids.
In cases of previous ocular and eyelid reduction referred to Mr Beigi, if there has been some unwanted result or complication, the surgery will be naturally more expensive. In this type of operation, the deep scar tissues will be released, some patient might require internal or external eyelid grafts. As a result, post-operatively, there is a higher chance of the need for resuscitation of the wound, hyperplasia (wound thickening) and adjusting the height of the eyelid. In patients who have lower lid surgery, there is a higher chance of having watery looking eyes. As suggested above, they will require further adjunctive surgery under local anaesthesia at week 1 or week 3.
During the operation Mr Beigi will make cuts around the natural lines of your eyelid and remove the excess damaged skin and sculpt the fat pad of the eyelid. Upper eyelid surgery is usually performed under local anaesthesia. However, lower eyelid blepharoplasties and combined upper and lower lid blepharoplasty are performed under general anaesthesia.
During standard eyelid operations, other necessary adjustments might be made such as: internal lifting of the eyebrow, upper part of the cheek and lifting of the corners of the eyelid with or without tightening them. Naturally this operation is more extensive and time consuming.
Frequently asked question by Surgical Patients prior to Eyelid & Mid-Face Surgery:
What happens after the consultation?
Following a detailed consultation and a decision on the exact type of the operation, you will be offered a date. You should stop Aspirin and non-steroidal anti inflammatory agents 2 weeks before the operation. If the operation is under localanaesthesia it will be performed as a day case. Otherwise there will be a one night stay. You will be admitted to a dedicated room in Spire Norwich Hospital. You willhave your operation on the same day. Upper eyelid blepharoplasty will take about 1 hour; the same length of time is required for lower lid blepharoplasty. As a result if both upper and lower lids are done it will take 2 -3 hours. Please note that Mr Beigi’s standard blepharoplasty involves multi layer readjustment of the eyelid and is more extensive than the standard blepharoplasties offered by other cosmetic surgeons.
What happens after the operation?
Following the operation you will return to your room with dressing covering both eyes. If you are a day case patient one of the dressings will be removed in the afternoon. You will then be discharged to go home. The other dressing will be removed the next day. In the case of an overnight stay, the dressing will remain on both eyes until the next morning when the dressing will be removed and you will be discharged to go home.
•After your operation your eyelids will be swollen particularly for the first few days. If you can take oral Arnica then this is recommended, if you were on Aspirin before your operation you can restart it two days after the operation.
•We recommend that you sleep with two or three pillows for the first 2-3 nights.
•No bending or lifting for 2 days. No strenuous exercise for 2 weeks.
•No eye make-up or other products for two weeks.
•Ice packing (frozen peas wrapped in a tea towel) for three minutes three times a day for 1 week.
•If you wear glasses, please check the position of it on the nose with Mr Beigi as this may affect the final outcome.
•We recommend that you do not travel abroad during the first 2-3 weeks after your operation.
Important Comments Before Signing the Consent Form
Following blepharoplasty eyelid swelling and bruising is varied from person to person. Bruising will disappear after 2 weeks. Sub-clinical swelling might persevere up to 3-4 weeks. For lower lid blepharoplasty it takes up to 3 months to see the actual cosmetic outcome. However, in most cases the outcome is very clear within the first 3 weeks.
You will have a post operative check 1 week and 3 weeks after your surgery to assess the scars and eyelid position. The eyelid sutures will be removed on week 1. In some cases some sutures will be left on the outside aspect of the eyelid and will be removed 10-14 days after the operation.
There is a 3-5% chance of a wound hyperplasia which means that the scars might look a bit thickened which will be dealt with by massaging or by injection of steroids on week 3 revision. There is a small chance that some asymmetry of the eyelid needs to be rectified by a small procedure under local anaesthesia at this stage as well.
With extended lower lid blepharoplasty involving cheek fat lift, there will be an ongoing upper cheek swelling and numbness which can last for several weeks in 3-5% of patients. Lower lid tightness and rarely retraction with a watery looking eye can be experienced in small number of cases.
First and second post operative consultations have already been included in your surgical fee. However, in 5% of patients who will need a Depo-Medrone injection an extra consultation fee of £100 might incur. There is also a 5% chance that you will require a small revision this will incur a fee of approximately £350.00-£550.00 to cover hospital costs.
Frequently asked question by Surgical Patients:
What is the difference between Standard and Extended Blepharoplasty?
Standard blepharoplasty addresses excess skin and fat in the eyelids.
Extended Blepharoplasty addresses the hooding of the upper eyelid, and involves sculpiting under the eyebrow.
Extended Lower Eyelid Blepharoplasty involves mid face lift.
As a result extended eyelid surgery improves the area from eyebrow to upper cheek. Standard blepharoplasty cannot do this.
What is the best age to have surgery?
This depends on every patient’s requirement. There are patients as young as 19-years old and patients in their 80’s that can benefit from cosmetic eyelid and mid-face surgery.
The commonest age of our patients is 40—70 years old.
How long is the recovery period?
Upper eyelid – 1 week
Lower eyelid – 2 weeks.
When can I resume exercise?
2 weeks after surgery.
How long will the effects last?
Standard surgery – 10 years
Extended Surgery – probably for life
Can it be repeated?
Yes but the dynamics of surgery will be different and more complex.
When can I wear make-up?
1-2 weeks after surgery
When can I wear my contact lens?
1 week after surgery
Do I need to sleep with my pillows raised?
For the first 2 nights
What is something goes wrong and what can go wrong?
Treatment can be over or under corrected. There can be poor lid closure and lower eyelid retraction, but the chances of these are very small and we specialise to deal with any complications.
How long will I need to take off work?
What will I look like after surgery?
Depends on how badly people bruise. There will be some degree of bruising on upper and lower eyelid which resolves completely within 2 weeks.
Do I need to stay in hospital?
No for standard eyelid surgery.
Yes for extended upper and lower eyelid surgery
How many operations does Mr Beigi do each year?
Over 600 per year.
How soon can I fly after surgery?
3 weeks after surgery as we recommend that all patients to be available for their week 1 and week 3 follow up appointments.