Dr Mohan Thomas is the only Cosmetic Surgery Expert in India who has vast experience in Blepharoplasty Surgery, Liposuction Surgery, Megaliposuction Cosmetic Surgery, Corrective Cosmetic Surgery, Tummy tuck, Arm lift, Thigh lift, Breast Augmentation, Breast reduction, Breast lift, Brow lift Surgery, Face lift Surgery, Gynaecomastia Surgery, Hair restoration, FAMI, Nose surgery, Otoplasty Surgery, Chin and cheek augmentation, Scar Removal, Cleft, Lip & Nose deformity Surgery, Aesthetic genital surgery, Butt augmentation, Body Contouring after weight loss as well as Dimple Creation, Implants for body contouring and Plastic Surgery India.
 
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Blepharoplasty Cosmetic Surgery in India
 
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BLEPHAROPLASTY

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What is Blepharoplasty?
 

Definition:
 

Eyelid surgery (Blepharoplasty) is an operation/ cosmetic surgery procedure that corrects sagging or drooping eyelids as well as bags and bulges around the eyes. These conditions develop as a result of laxity of the eyelid skin and protrusion of fat around the eyes. Excess skin is treated by excision. If excess fat is present, it can be removed simultaneously. Surgical correction is appropriate for all age groups.

 

Eyelid surgery, or blepharoplasty (BLEF-uh-ro-plas-te), repairs droopy eyelids by removing excess skin, muscle and fat. To help decide if this surgery is right for you, find out what you can realistically expect and explore the benefits and risks involved.

 
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Why Have A Blepharoplasty?
 

Over time, your eyelids may thin and lose elasticity, which causes them to sag. Often, fat from behind the eyeball migrates forward, giving the appearance of "baggy" eyes. If severe, it can interfere with vision or wearing glasses.

 
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At first, bags or sagging eyelids may be noticeable mostly in the morning.
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As the condition progresses, you may look tired throughout the day.
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In addition to changing your appearance, sagging eyelids may interfere with your vision.
 

Most of the patients choose to have Eyelid surgery when they elect to have a face-lift or other facial surgical procedure. Although more women elect to have Eyelid surgery, the operation can also be performed on men.
 

Are You A Good Candidate For Blepharoplasty?

 

As with any surgical procedure, there are certain factors that make you a suitable candidate:
 
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Good health
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Good muscle tone under your eyes (if considering lower-lid surgery)
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Healthy skin with no serious sun damage
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 An understanding that the procedure will not eliminate further signs of aging
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 An understanding that the procedure cannot correct crow's feet, fine wrinkles under your eyes, or severely sagging brows
 
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The Procedure
 

Blepharoplasty usually is performed in an outpatient facility under local anesthesia in a matter of one or two hours. If local anesthesia is used, you will be well sedated but partially awake during the surgery. You may be able to tell that the surgeon is working on your eyes, but you will not feel any pain. If general anesthesia is used, you will sleep through the procedure.

 

Blepharoplasty usually is performed on the upper lids first, then the lower lids. Whether you are having upper, lower, or both lids done, the procedure generally follows this format:
 
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Making the incision. Incisions will be made following natural lines and creases, extending into fine lines or crow's feet at the outer edges of your eyes.
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Achieving a better shape. Excess skin, fat, and muscle are removed at the surgeon's discretion.
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Closing the incisions. The number of sutures (stitches) varies, depending on your surgeon's judgment. These delicate sutures will be removed three to four days after your surgery. Hairline scars will fade, becoming barely visible within 6 to 8 weeks.
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 Protecting the eyes. Moist gauze will be applied to your eyes after sutures are in place.
 

Risks and Uncertainties

 

As with any surgical procedure, there are possible risks and complications. For eyelid surgery, the following are possible:
 
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Bleeding
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Infection
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Blood clots
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 Visible scars
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 Tightness in lids
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 Drooping lower lids
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 Dryness
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 Partial vision loss in one eye (extremely rare)
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 Blindness (extremely rare)
 

Usually, these conditions improve within weeks. Occasionally, however, these conditions are permanent, or further surgical procedures are necessary to correct them.

 
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Postoperative Course
 
Patients apply ice compresses on the day of surgery to minimize swelling. No other precautions are required. Sutures are non absorbable and require removal. Make-up can be worn within a week of surgery if necessary but 2 weeks are preferable. Most patients can return to normalcy within a few days of their surgery. Bruising, coupled with some swelling, often persists for several days beyond that time, but is usually easily camouflaged by make-up or sunglasses. Discomfort is usually relatively mild after blepharoplasty.
 
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Risks of the Operation
 
Due to scar contracture, very rarely there is a complication called ectropion – in which the lower lid is pulled down and outward. This is minimized by the transconjunctival approach, when indicated. Additional risks include rarely, postoperative dryness of the eye and visible scaring.

Patients who are subject to dryness of the eyes should notify us of this problem. Blepharoplasty can exacerbate this problem. Precautions should be taken to keep the eyes moist after surgery.
 
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Results of surgery
 
Most patients can anticipate a marked improvement in the appearance of the eyes. There is a fresher, more wide-open appearance. Bags and pouches are significantly reduced. Some actually experience an improvement in their eyesight or peripheral vision as a result of removal of skin that was hanging over the pupil and obstructing vision.
 
Lines and “Crow’s Feet” about the eyes are diminished but not eliminated by the operation. Chemical peel or laser resurfacing is required for this purpose. Botox can also we used selectively for "Crow's Feet" and other lines.
 
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  Aftercare
 
Dressing – No dressing is usually required. You may need a lubrication ointment at night to prevent dryness and irritation.
 
Sutures - Removed in 5-7 days.
 
Wound Care – Upper blepharoplasty incisions may be cleaned with dilute peroxide and coated with bactroban or Neosporin ointment using a Q-tip applicator twice a day.
 
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Activity – Avoid exercise and activities that increase heart rate or blood pressure significantly for first 7-10 days. Elevate the head of the bed 30 degrees. Lying flat increases swelling to the eye. Ice application over your eyes off and on as much as possible every hour for a day will help.
 
Special Instructions – Contacts may be worn after about one week. Blood tears and drainage are normal, especially the first few days.
 
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