Blepharoplasty is commonly referred to as eyelid surgery. After the procedure, patients can usually be discharged on the same day. Although the duration may vary depending on the procedures performed, it is generally completed within 30 minutes to one hour. The duration of the surgery may vary depending on the patient’s condition, the procedure to be performed, and the extent of the surgery.
How Long Does Blepharoplasty Take?
Eyelids may sag due to the aging process or certain genetic factors. As a result, a person may develop a tired, sleepless, or sad facial expression. In order to correct this appearance, blepharoplasty may be performed on the upper or lower eyelids.
The duration of blepharoplasty generally varies depending on the details of the procedure, as outlined below:
- Upper Eyelid Surgery Only:
If only the upper eyelid is treated, the procedure may take between 30 minutes and one hour. It is generally considered a relatively quick and straightforward procedure. After excess skin and muscle tissue are removed, the fat tissue may also be reshaped if necessary. - Lower Eyelid Surgery:
Surgery on the lower eyelid is more complex compared to the upper eyelid. For this reason, it usually takes one hour or longer. The procedure includes removal of the fat pads and, when necessary, repositioning of these tissues. - Combined Upper and Lower Eyelid Surgery:
In some individuals, both the upper and lower eyelids may be treated. Sagging of the upper eyelids is corrected, and bagging in the lower eyelids is improved. In such cases, the procedure may take several hours.
If additional procedures are required, the duration of the surgery may be extended. The use of local or general anesthesia before the procedure may also affect the overall duration.
How Is Eyelid Surgery Performed?
Blepharoplasty is a delicate surgical procedure. The primary goal is to preserve a natural appearance while minimizing surgical intervention. In the first stage, a detailed surgical plan is created. The patient remains in a sitting position, and excess skin is carefully marked using a special surgical pen.
In the second stage, the surgical technique differs for the upper and lower eyelids:
- Upper Eyelid Surgery:
An incision is made along the natural crease of the eyelid. Since the incision line remains within the fold during the healing process, the scar is usually not noticeable. Loose skin is removed, and underlying muscle tissue may also be excised. Once the procedure is completed, the incision is closed carefully using fine cosmetic sutures. - Lower Eyelid Surgery:
To remove under-eye bags, an incision may be made from the inside of the eyelid. This approach allows the procedure to be completed without leaving a visible scar. If skin sagging is present in addition to fat pads, the incision may be made just below the eyelashes. In this case, the scar is concealed within the lash line.
The surgical process is planned by the doctor based on what is most suitable for the patient. The procedure may vary from person to person.
Who Is Blepharoplasty Suitable For?
Eyelid surgery may not be suitable for every individual. For this reason, a thorough evaluation is performed before the operation. At the beginning of the process, the doctor carries out the necessary examinations to determine whether the patient is an appropriate candidate.
Blepharoplasty is generally performed on individuals who have eyelids sagging. Surgery may be necessary, particularly in patients whose visual field is functionally restricted. In addition, some individuals may choose this procedure solely for aesthetic reasons.
Although surgery is most preferred by individuals aged 35 and over, it may also be performed at younger ages. It is especially considered for individuals who experience eyelid problems due to genetic factors or following trauma.
Blepharoplasty may pose risks for individuals with severe dry eyes, Graves’ disease, or glaucoma. Additional examinations and detailed evaluations may be required for these patients.
Recovery Process After Blepharoplasty
Patients often feel concerned about the recovery period after surgery. However, eyelid surgery is generally a procedure with a relatively fast healing process. The first few days may be more sensitive compared to later stages.
In the first few days after surgery, thin adhesive strips may be applied over the eyes. These strips do not obstruct vision and are used solely to protect the surgical area. Swelling and bruising may be observed during the first few days, with swelling often reaching its peak on the second day. During this period, cold compresses and keeping the head elevated above heart level are recommended.
By the end of the first week, the sutures may be removed. Bruising typically begins to fade and may appear yellowish in color. A stinging or burning sensation in the eyes may still be present. Throughout the recovery process, it is important to use eye drops or medications prescribed by the doctor.
After the second week, most of the initial healing is usually completed. By the end of the first month, a significant portion of the swelling had subsided. However, complete healing may take approximately five to six months.
Will There Be Scarring After Eyelid Surgery?
After blepharoplasty, very fine scars may remain. However, these scars are carefully concealed within natural folds using professional surgical techniques. In upper eyelid surgery, the incision is made along the natural crease of the eyelid. For this reason, the scar is not visible when the eyes are open. A thin scar may only be noticeable when the eyes are closed.
In lower eyelid surgery, the incision is made either from the inside of the eyelid or along the lash line. In both techniques, the scar is hidden and generally not noticeable. Protecting the surgical area from sunlight after the procedure is very important to minimize the visibility of scars.
Are There Any Risks Associated with Eyelid Surgery?
As with any surgical procedure, blepharoplasty carries certain risks, although these risks are generally very low. Following the doctor’s postoperative instructions can help minimize the likelihood of complications.
Possible risks and side effects after eyelid surgery include:
- Temporary dryness of the eyes may occur after surgery. In rare cases, dryness may become permanent.
- There may be a slight asymmetry between the two eyes.
- Although the risk of infection and bleeding is very low, it cannot be completely eliminated.
In addition to these, other risks may arise depending on the patient’s overall health condition. The doctor will provide detailed information about all potential risks and side effects prior to the surgery.
