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The plastic surgery for eyelids, blepharoplasty is done to correct defects, deformities, and disfigurations of the eyelids; and to aesthetically modify the eye region of the face. With the removal or the repositioning (or both) of excess tissues, and the reinforcement of the corresponding muscle and tendon, the blepharoplasty procedure resolves functional and cosmetic problems of the periorbita, i.e. the area from the eyebrow to the upper portion of the cheek.

Indications

Younger patients opt for this surgery to get rid of the fat deposits in the upper or lower lid that make the eyes look dull and tired. Older people normally undergo changes with age such as excess eye lid skin with and without protruding fat. Most patients seeking surgery want a fresher appearance, which requires re-establishing the natural arrangement around the eyes as it was in their younger years. Some also suffer from restricted vision because of droopy lids. Although more common in women, now men are also increasingly opting for this type of surgery.

Procedure

Incisions are made along the natural skin lines or creases of the upper and the lower eyelids; the natural creases later hide the surgical scars, especially when affected in the skin creases below the eyelashes of the lower eyelid.

Depending upon the technique applied by the plastic surgeon, for instance in the case of a transconjunctival blepharoplasty, the incisions can be made from the conjunctiva, the interior surface of the lower eyelid. Such technique allows the cutting and removal of the lower-eyelid adipocyte fat without leaving a visible scar, but the transconjunctival blepharoplasty technique cannot remove the excess eyelid-skin.

A blepharoplasty operation usually lasts 12 hours. Post-operation, the initial swelling and bruising consequent to the surgery will subside and resolve within 12 weeks. The final, stable results of the become apparent after several months.

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