How to Prepare for Blepharoplasty?

You may choose to undergo blepharoplasty i.e. eyelid surgery if you are facing problem due to your droopy eyelids. This surgery is done by removing excess fat, skin or muscle from your eyelids and thereby improving your appearance and vision. Here are things you should know about this procedure.

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Preparation for Eyelid Surgery

Anaesthesia

While preparing for an eyelid surgery, the first thing you should do is to consult your doctor and get it clarified whether you will be given local or general anaesthesia.

In case of local anaesthesia, you will be awake during the procedure, but the area around your eyes will become numb due to a drug given through a needle. An enhancement in local anaesthsia is to give systemic sedatives either intravenously or orally.

General anaesthesia may be needed if the blepharoplasty is more complicated or you have planned to get other cosmetic procedures done at the same time at a clinic famous for the best plastic surgery in Bondi Junction for example.

If general anaesthesia is used in your case, it will be given to you in the form of an intravenous (IV) injection so that you will sleep for the duration of the surgery, which may be from 20 minutes to 2 hours, based on the complexity of the procedure and whether both lower and upper eyelids are involved.

Before the day of the surgery and especially if you will be given general anaesthesia, your doctor may ask you to take measures, like:

Eyelid Surgery

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  • Stop taking medications that can thin blood and stops its clotting. These include pain relievers like ibuprofen and aspirin. You will have to stop these medications at least a week or two before the procedure to lessen the risk of excess bleeding during the surgery.
  • Take a light meal like soup the night before the procedure
  • After midnight, don’t eat or drink anything
  • Take essential medications, such as blood pressure medicines, on the morning of the surgery with small sips of water
  • Don’t wear any kind of makeup on the day of the procedure

Arrange someone to take you to and from hospital after the surgery and look after you for several hours after you return home

In general, the surgery is done at the doctor’s office or in a day clinic. Normally, you won’t require to stay in the hospital overnight unless you have planned to perform many cosmetic surgeries at the same time or day.

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What Happens During Eyelid Surgery?

Droopy eyelid surgery by Dr Naveen Somia can be done on lower eyelids, upper eyelids or both at the same time.

  • During the surgery, your surgeon will make incisions in the natural folds of the eyelid. In case of upper eyelid, the incision is made in its crease, while in case of lower eyelid, it’s made behind the eyelid or just beneath the lashes. Because of this, incisions remain unnoticed whey they are healed after the surgery.
  • Precise markings will be made by your surgeon to signify spots from where excess fat pads and skin are to be removed. Sometimes underlying muscles are removed too.
  • For removing all these tissues, instruments like surgical scissors, scalpels, cutting lasers and radio-frequency cutting tools are used. Then tissue glue (adhesives) or sutures will be applied carefully to reconfigure and smooth areas around eyelids and eyebrows.
  • Based on a preoperative assessment of your facial muscles, bones and symmetry of eyebrows, your surgeon will decide the amount of fat, skin and/or muscles to remove.
  • It’s needed to remove less amount of tissue in case of dry eye patients to avoid exposing the eye more to the air, because more exposure can make symptoms worse.
  • A carbon dioxide laser may also be used by your surgeon to enhance the surgery by smoothing out any wrinkles and resurfacing skin in the area around eyelids and eyebrows.