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Blepharoplasty for Eyelids

Eyelid aesthetic surgery, also known as blepharoplasty, refers to the extraction of the excess tissue in the below and above areas around the eyelids and firming of the adjacent areas around the eye. Through this procedure, drooping below and above areas around the eyelids, sagging bags as a result of too much fat, creases around the eyes are removed and fixed. The old, tired look of the person is changed into a youthful and more vivid appearance.

Cosmetic eyelid procedures are usually applied after the age of 35. This types of aesthetic surgery poses less risk and pledge more remarkable results to the patient. Younger persons can also undergo this procedure if they have bags at eyelids due to genetic factors.

A careful examination of the eyelid and brows should be made to decide on the extent of the surgery. If there is a droopy eyebrow alongside the eyelid bags, eyebrow lift surgery shall be considered as well. Otherwise the results won’t be satisfying for the patient.

Effects of Aging on Eyelids

The skin is elastic and firm during young ages. As people grow older, the elasticity of the skin reduces. As a result of loss of elasticity in skin, the excess skin is first accumulated on the eyelids. For that reason, the first signs of aging are observed around the eyelids. Changes due to aging in the eyelids lead to tired and dull appearance of a person. Here are main signs of aging on the lower and upper eyelids:

· Drooping bags and difference in color tone under the eyes

· Sagging upper eyelid

· Creases and sagging of eyelid skin

· Lines of crow’s feet lines around eyes

· Tired looking appearance

Over the course of aging, weight-bearing skin and fat tissues around the eyes begin to lose its ability to resist to gravity and other negative factors. The sagging skin and fat tissues around the eye region may negatively affect your appearance and also narrow your field of vision. In addition, parallel wrinkles may develop on forehead as a result of undeliberate eyebrow lifting to raise drooping tissues. Even headaches may occur due to continuous movement on forehead. As a result of these factors, aging can trigger a vicious cycle that exacerbate aging look around eyes.

Eyelid surgery is definite solution to both correct the old-looking appearance and the negative effects on physiological and psychological effects on a person. For those who want to undergo blepharoplasty surgery for aesthetic or functional reasons, eyelid surgery can be conducted on the upper eyelid or lower eyelid. It can be applied on both regions depending on the need. Blepharoplasty is often carried out with other aesthetic operations such as brow lift, forehead lift, and endoscopic midface surgeries.

How Is Blepharoplasty Performed?

Blepharoplasty is conducted under mild desensitization and local anesthesia which numb the area close to the eyes. During the procedure, the patient is not put to sleep but does not experience any discomfort. However, patient might feel restlessness and gets stressed. General anesthesia (being completely asleep during the operation) might be chosen in such cases.

Eyelid cosmetic surgery takes 1-2 hours at the most. Following anesthesia, incisions are created by following the natural lines on the above areas around the eyelids and just under the eyelashes on the below areas around the eyelids. After the incisions are created, the skin is severed from the deeper fat and muscle structure. The protruding adipose tissue is smoothed and unwanted muscle and skin tissue are extracted. In the past, the adipose tissue removal was conducted in each surgery. However, as it was acknowledged that contraction of adipose tissue due to aging magnifies the eye hole, thus causing an older look of the person, it is targeted to save the adipose tissue to a great extent in modern surgery. Then, the incisions are covered with unnoticeable stitching. If fat-muscle bags exist in the below areas around the lower eyelids though without too much skin, an incision is created inside the eyelid seamlessly. It is generally performed in young patients with more firm skin.

Consultation with Cosmetic Surgeon

The consultation is an important moment to ask your expectation and learn about the exact outcomes from the surgery. It's natural to feel some anxiety, whether it's due to expectation from the new look from the surgery or a bit of preoperative stress. Don't be refrained from about discussing these feelings with your cosmetic surgeon.

If you made your mind to have eyelid surgery, be prepared to discuss the following points with the cosmetic surgeon:

· Continuing and previous health conditions, allergic reaction to medication

· Ongoing prescribed drugs, including vitamins, herbal supplements

· History of drinking and smoking

· Previous operations and medical treatments

Your provider might want to assess your general health condition and assess any prior health situations or risk factors. The doctor will take following steps if the patient is convinced to receive the procedure:

· Takes photos for comparison after surgery

· Proposes your eyelid surgery options

· Devises a course of treatment

· Mentions about likely outcomes of eyelid surgery and any potential risks

· Mentions the type of anesthesia that will be used

Aftermath of Surgery

The surgery is finished with the application of wound treatment on the eyelids. In the initial days after the treatment, both eyelids and the surrounding area will swell. On the very day after the procedure, ice press is made to control swelling and possible bruising. Additionally, certain medications such as antibiotics, swelling reducer, painkillers are given. Eye drops are given to patients to avoid eye dryness. Depending on the type of anesthesia, the patient can be discharged 1-4 hours after the surgery. A 3-5 day of home rest will be advised by the doctor, with the head to be kept in upright position at that period. A noticeable pain is not expected during the initial week after the surgery.

Eye drops and pomades can be utilized across the first 5 days in order to alleviate the feeling of dryness in the eyes. As mentioned earlier, the head should be maintained in the upright direction while lying down in the first week. On the 4th or 5th day, the stiches will be removed. It shall be sufficient to rest for 7-10 days before resuming work. During the next 3 weeks, patient should avoid performing strenuous exercises.

Edema and bruises in the eyelids occur differently among people. They generally start to go away after the 5th day and go away fully in 14-16 days. After the 10th day, makeup can be made to conceal the bruises easily. Soon after one to two weeks, there might be transient complaints such as being sensitive to light, blurry sight or tears. The patient could have sensitivity to wind, sunlight, and other factors for a couple of weeks. Therefore, it had better wear sunglasses when gone outside.

Post-Surgery Recovery

After aesthetic eyelid surgery, there will be a brief period of complaints such as edema (swelling), bruising and redness around your eyes. During the follow-up visit one week after the surgery, the stiches and tapes around the eyes will be removed. The patient will notice that the bruises complete disappear and he or she will attain the normal look to a great extent.

After the surgery, doctor will prescribe antibiotics, painkillers, drugs like swelling reducers in addition to eye drops in order to alleviate pain and avoid infection. Patient should avoid activities such as reading books, using a computer, watching TV. Otherwise the patient may have eye dryness.

At the end of the first week, patient will feel mostly recovered and feel well enough to resume daily activities. Nonetheless, strenuous activities and heavy exercises should be avoided for four weeks.

Possible Risks of Eyelid Surgery

After each surgery, patient will have temporary scars around the surgical area. It should be noted that these scars will be very thin and unnoticeable. The eyelid area will have the least scarring. The incisions made during the procedure are made in the natural fold lines of the upper and lower eyelids.

A degree of scarring remains following each procedure. The important point is the fact that this marks are not noticeable. Eyelids are different from other body areas as the scarring occurs less obvious on them. The cuts made during the procedure are located in the natural fold lines of the above and below areas around the eyelids. Incisions marks might remain for a duration of several months after the surgery. However, the redness decreases and goes away and skin will attain its normal color over time.

More serious complications such as bleeding, infection, wounding and excessive scarring that occur in many cosmetic surgeries, are rare in this surgery. There might be a brief problem when blinking and closing eyes. If this complaint does not disappear quickly, a second surgical intervention may be needed. Such a complication arises in excessive skin removal.

Our eyelids have exceptional properties when compared to our other organs and structures. They have the moving ability and consist of muscles that function in both directions when opening and closing. They have a structure bonded with eyelashes and a systemic integrity to put a distance between eyelashes and eye. Anatomically, they have a thin structure and the circular muscle in this structure allows the closure of the lid rather than the adipose tissue as in the whole body.

Due to the sophisticated nature of the blepharoplasty, it is important that the cosmetic surgeon should have necessary experience and knowledge of the relevant body part. Furthermore, the doctor should have also comprehensive knowledge on eye physiology and eye diseases in order to assure that the procedure will not cause an irreversible harm in eye-eyelid organ.

Who are Ideal Candidates for Eyelid Surgery?

· Good candidates for blepharoplasty can be described as follows:

· Healthy individuals with no prior medical conditions that hamper healing

· People who do not smoke

· Individuals who do not have unrealistic goals and psychological disposition on surgery results

· Individuals who do not have serious eye conditions

Eyelids are the area which is less prone to scarring compared to other body parts. People over 35 years of age who start to observe sagging skin and bags in the above and below areas around the eyelids are proper candidates for the surgery.

Benefits of Blepharoplasty

Eyelid surgery pledges to remove aging signs near eyes. Here are the main expected benefits from this surgery:

· It enables removing the excessiveness and wrinkles around eyes.

· The patient receives the look he/she desires thanks to the smoothing out of creases and lines around eyes.

· Smooth blinking of eyes is allowed by eyelid surgery.

· Creation of a proportional look in the face is offered by the procedure.

· A youthful skin is achieved thanks to the extraction of too much tissue and lines near the eyelid.

· Disproportionate features on face, creases are fully erased, and the patient obtain maximum benefits around contour of eye

· The pain near the eyes are relieved

· By way of the blepharoplasty, numerous health complaints from the eye are addressed and steps are taken to avoid reoccurrence

It becomes an attainable goal for people, who want to have an aesthetic looking eyelid. Blepharoplasty allows the patient to attain the long dreamt look in a brief period. Ultimately, the person will restore the lost-confidence as a result of aging signs around eyes thanks to the appearance he/she will attain and have a youthful skin by dealing with issues.

Cost of Eyelid Surgery

According to the 2020 data provided by the American Society of Plastic Surgeons, the blepharoplasty surgery costs $4.120 in United States on average. This cost does not include other expenses such as anesthesia, operating room facilities and other cost items.

However, in Turkey, the cost of eyelid surgery is way cheaper than alternatives abroad. Thanks to its skilled health providers and high-tech medical clinics, Turkey has a good competitive edge over foreign countries and has a good reputation for good value for money. The details of eyelid surgery cost in Turkey is indicated below:

Procedure 1 session

Time to Resume Work 7-14 days

Procedure Time 2-3 hours

Healing 3-4 weeks

Anesthesia Local or General Anesthesia

Lasting of Results Permanent

Sensitivity Time Only in operation time

Hospital Stay 3-4 hours

All-Inclusive Package € 1.500-2000

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