Cosmetic surgery for the eyelids

Blepharoplasty consists of removing excess fatty deposits and excess skin in the upper and / or lower eyelids. Our skin loses some of its elasticity as we age and our eyelids will often reflect this by becoming flaccid or droopy. In some cases, vision may be compromised.

Is blepharoplasty for you?
Most candidates for this procedure are over the age of 35, but in some cases congenital conditions that require correction are present in younger patients.

What happens before the surgery?
Dr. Jean-Raymond Spénard is a specialist in blepharoplasty procedures. A preoperative consultation is essential. Your surgeon will carefully examine your eyelids, he will provide you with a briefing on your "eyelid anatomy" and he'll explain your options for surgery. Once your surgeon is assured that there are no impediments, he will explain what you must do in order to prepare for the procedure. This will include ceasing all medication with aspirin for at least 10 days before the operation.

The surgery
A laser is usually used to perform incisions. This method produces little or no blood loss, very little swelling and it makes for a more rapid recovery. On the upper eyelids, the incisions are performed in the natural folds of the skin in order to make them as least conspicuous as possible. On the lower eyelids, the incisions are performed just below the lashes. In cases where a modest correction is required for the lower lid, an incision may be performed inside the lid. Very fine sutures are used and they are removed within a few days. The surgical procedure usually takes from 1 to 2 hours.

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Types of anesthesia
Surgery on the eyelids is usually performed with a local anesthetic (with or without sedation). You may opt for a general anesthetic if you wish.

Risks
Complications are rare and are usually temporary. They may include blurred vision that may last for a few days, or tiny lesions where the sutures are applied. Proper execution of the surgical procedure will avoid a rare complication whereby the lower lids do not cling to the eye correctly. Certain thyroid problems and dry eye syndrome can increase the risk of complications. Your surgeon may decide not to procede if hypertension is present and is not being controlled by medication or other therapies.

What happens after the surgery?
The application of cold compresses for 24 to 48 hours after surgery will keep swelling to a minimum (applying ice directly is not recommended). The following guidelines are recommended for a speedier recovery: Certains points sont importants pour favoriser la récupération :

  • keep the head elevated (with a couple of pillows) at bedtime
  • do not use cosmetics until the sutures are removed
  • do not wear contact lenses for at least 2 weeks
  • avoid exposure to direct sunlight and windy conditions for 4 to 6 weeks
  • avoid intense physical activity for 10 to 14 days

If these guidelines are followed, initial recovery will take 7 to 10 days.