Blepharoplasty
Beautiful Eyes
Eyes are a very beautiful and perhaps the most existing feature on your face.
Eyes are a very beautiful and perhaps the most existing feature on your face. They are expressive and there is nothing better than a having a pair of gorgeous eyes. As you grow older, eyes stretch, and the muscles supporting them weaken which may gather fat above and below the eyes which causes droopy upper eyelids and bags under the eyes.
Blepharoplasty, also known as Eyelid Surgery, as the name suggests is used to give better appearance to the eyelids. This also rejuvenates the area surrounding the eyes. This surgery can be performed both on lower and upper eyelids. It repairs the droopy eyelids and also removes excess skin, fat and muscles. Blepharoplasty is not only used to improve the appearance of the eyelids but also relieves the symptoms if you are experiencing some problems with the eyes as well. Sagging skin around your eyes can also reduce your side vision (peripheral vision). Blepharoplasty can also reduce these vision problems and makes your eyes look younger.
Blepharoplasty or Eyelid Surgery can treat
- Loose or folds of skin present on the upper eyelid which disturbs the vision or natural look of the eyes
- Excess skin or fine wrinkles of the upper eyelids.
- Drooping eyelids.
- Fatty deposits which make eyes look puffy.
- Under eye bags.
Discussions with Dr Amit Agarwal during a Blepharoplasty consultation should include
During a Blepharoplasty consultation, a candidate should positively discuss these points with the surgeon:
- What look exactly are you expecting after the surgery?
- About your facial profile with respect to the surgery.
- Any previous medical history or surgery.
- Any drug allergies
- Current medical conditions, if any. Any supplements or medications.
- Alcohol, tobacco intake.
A candidate opting for Blepharoplasty should fill up these criteria for better results
- A healthy person
- Individuals interested in improving their looks.
- You should not have any serious eye conditions.
- You should preferably be a non-smoker.
- You should be confident and positive about your looks to achieve the improvement of your appearance.
- You should be motivated enough to undergo the procedure.
- You should have realistic expectations.
Dr Amit Agarwal's focus during the consultation
Your main concern could be excess skin roll over your upper eyelid and you may ask for eyelid surgery (Blepharoplasty). Proper assessment will be done by Dr Amit Agarwal to tell whether the skin roll or excess on your upper eyelid is due to eyelid laxity or due to brow ptosis. The brow ptosis is corrected by lateral brow lift and/or by injecting botox in medial brow region.
- Assess your general health status and present medical conditions, if any.
- Take photographs.
- Discuss the risks and complications of the surgery.
- Discuss the options other than surgery for you.
- Discuss about how the result of the surgery will be.
- Need for fat grafting on face or combining any other procedure for better results.
Questions to be asked with Dr Amit Agarwal
You should always ask questions if any, related to your surgery to be clear of the outcomes of the surgery. Few of the suggestive questions can be:
- Are you the perfect candidate for the Surgery?
- Do we have any other suggestive option other the surgery?
- Do you have to be admitted at the centre for blepharoplasty?
- How long will the surgery go on?
- What will be the possible outcomes of the surgery?
- How long will be my recovery period?
- What can be the possible risks and complication related to the surgery?
- What happens if you do not find the results of the surgery satisfactory?
- What am I expected of, in order to receive best results after the surgery?
Preparations to be done for the surgery
The preparations which are to be done for Blepharoplasty or Eyelid surgery include:
- Get the tests done which are prescribed by Dr Amit Agarwal.
- Monitor your current medication after discussing it with your doctor.
- Stop smoking at least two weeks prior to surgery.
- Do not take any anti-inflammatory drugs, aspirin or any herbal supplements as they can aggravate bleeding.
- Admission will be done on the same day at the centre.
- Written consent form will be signed explaining the procedure after the admission.
- Meeting with the anaesthetist for Pre Anaesthetic check-up (PAC) before the surgery if you are planning to undergo the procedure under General Anaesthesia.
- Nil per oral for minimum of 5-6 hours before the planned procedure.
- Markings will be done before the surgery.
Blepharoplasty procedure includes
Blepharoplasty or eyelid surgery procedure includes the following steps:
- Generally this surgery is performed under Local Anaesthesia but can be opted to be done under General Anaesthesia if you are not comfortable with Local Anaesthesia.
- An incision is made in the second step of the surgery. Usually these incisions are made with such fineness so that the scars after the surgery can be concealed with the natural crease of the eyelid region. So, for the upper eyelid, incision is made within the natural crease of the eye lid. This incision allows removal of excess skin. Repositioning of the fat deposits and fat excision is only done in very rare cases. In the lower eyelid region, the incision is made just below the lower eye lash. Redraping of fat present below the eye is done over the cheek in such a way that it gives a uniform and levelled appearance. Excess skin is removed through this incision, with the proper positioning or removal of the excess fat.
- Third step includes the closing of the incision with the help of sutures. These sutures will be removed after a week of the surgery. Usually during the eyelid surgery or blepharoplasty, cold compress or the lubricating ointment is applied. Sometimes it is covered with gauze dressing, after the surgery is finished.
- Fourth or last step includes observation of the result, which can only be seen clearly after the swelling and bruising subsides.
Precautionary instructions will be given which includes
You can be discharged on the same day or next day after surgery.
- There can be substantial swelling and bruising of the eyelid region which usually subsides in a week.
- Sutures are non-absorbable, they would be removed after a week. Dr Amit Agarwal does not prefer to be use absorbable sutures for eyelid surgery as in few cases granuloma might be formed delaying healing process. But on request, absorbable sutures can be placed which does not require to be taken off
- There should be no vigorous exercises after the surgery until the surgeon recommends. Always keep your head elevated over pillows while lying down on bed or preferably by placing a folded mattress or quilt under the bedding. Ice fomentation can be done.
- In the days following surgery, there will be pain which can be subsided by the pain killers given by Dr Amit Agarwal.
- Soreness might last for few weeks.
- You will be made to walk few hours post-surgery or the very following day, depending on your will and wish.
- You can start exercising after four to six weeks post-surgery.
- You can return to work depending on your will power and the type of work required between 2 -3 days.
- You can return to your normal lifestyle after 2weeks of surgery.
There will be some specific instructions given to you by Dr Amit Agarwal which includes:
- How to take care of the surgical site.
- About the follow up dates.
- How to take the medications or application of creams. There are not many medications though.
There will be some amount of swelling and bruising which will slowly subside. There will be some amount of discoloration, discomfort and dryness which can be controlled with ointments, medications and sometimes cold compress.
The Risks and complications of Blepharoplasty include
There can be some amount of swelling and bruising which usually subsides with time. There can be dryness in the eyes which reduces with drops. There also can be some sensitivity to sun or bright light in the early days after surgery. These are all temporary aftermaths of the surgery which reduces as the time passes by.
The risks and complication, if any considering your medical conditions will be discussed with you prior surgery. Still if you have any other question in your mind, never hesitate to ask it with Dr Amit Agarwal.
- The surgery is usually performed under local anaesthesia. On request it can be done under General anaesthesia. The Risks related to general anaesthesia are very rare. General Anaesthesia is very safe in present times and with best machines and a qualified anaesthetist, chances of encountering any complication is less than 0.1 percent in a healthy individual. We at Kayakriti Plastic Surgery and Dental Centre are equipped with world class anaesthesia workstation, other equipments and two very qualified intensivists for the surgical procedures to be very safe and smooth.
- Rare chances of Infection which usually subsides with good antibiotics.
- There can be persistent swelling and bruising, ocular discomfort in the surgical area which reduces with time.
- If you have a poor blood supply, the healing can be poor giving rise to wound healing problems (seen more in smokers, diabetes, hypothyroidism and in persons with multiple diseases).
- Rare chances of ectropion of the lower eyelid, asymmetry of the eyes, wound dehiscence, scar abnormalities. Over correction of upper and eyelid laxity can lead to few of the mentioned problems. So do not request your doctor for more than appropriate skin removal during the planning session.
- Epiphora (excessive tearing) can happen which usually subside in few days.
- Rare chances of bleeding can occur in persons with undiagnosed bleeding tendencies, on blood thinner medications, herbal supplements for weight loss. It can lead to haematoma formation under the eyelid region. Long standing and unrelieved hematoma can lead to blindness also. So, consult your doctor immediately if it happen sin your case. The doctor will drain the blood out of the area after removing a single suture.
- Possibility of revision surgery if the results don't meet your desired expectations.
These are the risks and possible complication which should be discussed by you with Dr Amit Agarwal before the procedure.
The total benefits of blepharoplasty will be seen after the swelling and bruising subsides.
You should always follow a healthy lifestyle to maintain your profile and confidence.
Do's and Don'ts
- You should always listen carefully what doctor discusses with you during the consultation.
- You should always tell your doctor about any previous medical condition or illness to get the best outcomes of surgery.
- You should maintain the lifestyle which doctor suggests you after the surgery.
- You should always consult your doctor immediately in case of any complication.
Frequently Asked Questions
Firstly, if you are having any functional problem with your eyelids, or you have loose or saggy skin around your eyes whether it lower or upper eyelid, you can opt for this surgery. Secondly if you want to enhance the look of your eyes, you can opt for the surgery.
If you have vision problem, you have to discuss this issue with your surgeon before the surgery. Generally, there are no complications related to vision in surgery.
Dark circles can be diminished after the lower eyelid surgery, they surely will reduce but perfect result can only be obtained if a separate procedure is combined with blepharoplasty suggested only to you after your consultation with the doctor.
If you have an intact vision, the chances of changed vision are negligible. So, you should not worry about it and opt for the surgery./p>
In normal conditions, we send the patient home on the same day of surgery but if your surgery is a part of other surgeries, this will be best advised by our doctor.
Usually the scars are hidden under the natural creases of the eyelids, so there won't be a prominent visible scarring.
You will open your eyes on the very same day on our doctor's advice.
No, there won't be any long term pain after the surgery. There will be medications given to you by the doctor after the surgery to reduce the on-going pain which will eventually subside once you become stable.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
Three pillars of kayakriti
Privacy
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Trust
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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