Blepharoplasty is typically performed with either a combination of local anesthesia and sedation or with general anesthesia. The incisions are usually made within the natural lines of the eyelids to allow for less visibility. In cases where only excess fat of the lower eyelids needs to be removed, an incision will be made within the lower eyelid only, resulting in no visible scarring on the skin. Once the incisions are made, the skin is separated from the underlying fatty tissue and muscles, excess fat is removed, and sagging skin and muscle are trimmed. The incisions are then closed with sutures. Blepharoplasty generally takes between one and three hours to complete.
Bruising and swelling are common after blepharoplasty and tend to fade within several weeks. It’s best to keep the head elevated for the first few days and to apply cold compresses to help minimize bruising and swelling. Some temporary discomfort may occur, including tightness or dryness of the eyelids and burning or itching of the eyes. Excessive tearing, blurring and light sensitivity may also occur during the first few weeks. The stitches are typically removed within two to seven days. Most patients find that they can return to work within seven to ten days, though more strenuous activities and alcohol consumption will need to be postponed for several weeks.
As with all types of surgery, there are potential complications and these may include adverse anesthesia reactions, asymmetry, bleeding, difficulty in closing the eyes, dry eyes, infection, pulling down of the lower eyelids, temporary blurred or double vision, and whiteheads.
Contact Dr. Mingrone to learn more about San Jose blepharoplasty surgery or to schedule a consultation.
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