Eyelid Reduction

Overview

Eyelid reduction ("blepharoplasty") is a delicate operation to remove the excess damaged skin and unsightly bulging fat around the eyes so to create a more radiant and youthful appearance. It can improve the visual field. The operation can be performed for the upper and lower eyelids.

In cases of previous ocular and eyelid reduction referred to Mr Beigi, if there has been some unwanted result or complication, the surgery will be naturally more expensive. In this type of operation, the deep scar tissues will be released, some patient might require internal or external eyelid grafts. As a result, post-operatively, there is a higher chance of the need for resuscitation of the wound, hyperplasia (wound thickening) and adjusting the height of the eyelid. In patients who have lower lid surgery, there is a higher chance of having watery looking eyes. As suggested above, they will require further adjunctive surgery under local anaesthesia at week 1 or week 3.

Ptosis (droopy eyelid surgery)

If during upper eyelid reduction the height of the lid needs to be adjusted, this will require a second operation called upper eyelid lift by means of levator muscle surgery. In these patients there is a 10% chance of the need for adjustment of the height of the eyelid on week 1, week 3 or a few weeks later.

Standard Blepharoplasty

During the operation Mr Beigi will make cuts around the natural lines of your eyelid and remove the excess damaged skin and sculpt the fat pad of the eyelid. Upper eyelid surgery is usually performed under local anaesthesia. However, lower eyelid blepharoplasties and combined upper and lower lid blepharoplasty are performed under general anaesthesia.

Extended Blepharoplasty

During standard eyelid operations, other necessary adjustments might be made such as: internal lifting of the eyebrow, upper part of the cheek and lifting of the corners of the eyelid with or without tightening them. Naturally this operation is more extensive and time consuming.

Examples

Lower eyelid reduction with cheek lift

Upper eyelid reduction

Upper and lower eyelid reduction

Preparation

Following a detailed consultation and a decision on the exact type of the operation, you will be offered a date. You should stop Aspirin and non-steroidal anti inflammatory agents 2 weeks before the operation. If the operation is under local anaesthesia it will be performed as a day case. Otherwise there will be a one night stay. You will be admitted to a dedicated room in Spire Norwich Hospital. You will have your operation on the same day. Upper eyelid blepharoplasty will take about 1Ĺ hours; the same length of time is required for lower lid blepharoplasty. As a result if both upper and lower lids are done it will take 2 Ĺ -3 hours. Please note that Mr Beigiís standard blepharoplasty involves multi layer readjustment of the eyelid and is more extensive than the standard blepharoplasties offered by other cosmetic surgeons.

Following the operation you will return to your room with dressing covering both eyes. If you are a day case patient one of the dressings will be removed in the afternoon. You will then be discharged to go home. The other dressing will be removed the next day. In the case of an overnight stay, the dressing will remain on both eyes until the next morning when the dressing will be removed and you will be discharged to go home.

Post-op. instructions

  • After your operation your eyelids will be swollen particularly for the first few days. If you can take oral Arnica then this is recommended, if you were on Aspirin before your operation you can restart it two days after the operation.
  • We recommend that you sleep with two or three pillows for the first 2-3 nights.
  • No bending or lifting for 2 days. No strenuous exercise for 2 weeks.
  • No eye make-up or other products for two weeks.
  • Ice packing (frozen peas wrapped in a tea towel) for three minutes three times a day for 1 week.
  • If you wear glasses, please check the position of it on the nose with Mr Beigi as this may affect the final outcome.
  • We recommend that you do not travel abroad during the first 2-3 weeks after your operation.

Consent form

Important Comments Before Signing the Consent Form

Following blepharoplasty eyelid swelling and bruising is varied from person to person. Bruising will disappear after 2 weeks. Sub-clinical swelling might persevere up to 3-4 weeks. For lower lid blepharoplasty it takes up to 3 months to see the actual cosmetic outcome. However, in most cases the outcome is very clear within the first 3 weeks.

You will have a post operative check 1 week and 3 weeks after your surgery to assess the scars and eyelid position. The eyelid sutures will be removed on week 1. In some cases some sutures will be left on the outside aspect of the eyelid and will be removed 10-14 days after the operation.

There is a 3-5% chance of a wound hyperplasia which means that the scars might look a bit thickened which will be dealt with by massaging or by injection of steroids on week 3 revision. There is a small chance that some asymmetry of the eyelid needs to be rectified by a small procedure under local anaesthesia at this stage as well.

With extended lower lid blepharoplasty involving cheek fat lift, there will be an ongoing upper cheek swelling and numbness which can last for several weeks in 3-5% of patients. Lower lid tightness and rarely retraction with a watery looking eye can be experienced in small number of cases.

First and second post operative consultations have already been included in your surgical fee. However, in 5% of patients who will need a Depo-Medrone injection an extra consultation fee of £100 might incur. There is also a 5% chance that you will require a small revision this will incur a fee of approximately £350.00-£550.00 to cover hospital costs.


© Bijan Beigi 2020 - www.ophthalmol.com - Tel: 0870 850 1093