Blepharoplasty can be both a functional and cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.
This surgery can be performed on both the UPPER and on the LOWER eyelids - or both.
Blepharoplasty or eyelid surgery, commonly known as an ‘eyelift’ surgery is done to reduce bagginess of lower eyelids and to remove excess skin and fat from the upper eyelids. A combined upper and lower eyelid blepharoplasty is done to tackle both problems together at the same sitting.
This surgery is usually done for cosmetic reasons or to improve sight in older people with obstructed visual axis due to loss of elasticity and sagging of the eyelids.
Baggy or droopy eyelids
The ideal candidate for a combined upper and lower eyelid blepharoplasty is a patient with realistic expectations and one who is in pretty good physical and mental health. The candidate is usually 35 years or older, having baggy, tired-looking lower eyelids and droopy upper eyelids and one who is willing to go under the knife.
A combined blepharoplasty usually requires about 1 to 3 hours and might be done under local anaesthesia or under general anaesthesia.
A combined upper and lower eyelid blepharoplasty involves the following steps:
Orbital haemorrhage is the most dangerous complication when it comes to blepharoplasty and can cause loss of vision in rare cases. Other complications include lagophthalmos, dry eyes, pain, swelling and stiffness of the eyelids, scarring, ectropion, infection, excessive tearing, and excess removal of eyelid tissues.
Combined blepharoplasty surgery can be one of the best decisions for a person with tired, droopy upper eyelids and saggy or puffy lower eyelids caused by the ageing process. It can produce a smooth, firm, younger-looking surface around the eyes by correcting puffiness in the upper eyelids and bagginess of the lower eyelids as obvious in the pictures given below.
It can also correct any visual field defect cause by droopy eyelids, giving rise to the commonly used misnomer, ‘eyelift’ for the procedure. The procedure actually does not lift the eye skin in any way.
A perfectly sculpted blepharoplasty does not show any visible scars and the aesthetic improvement achieved is dramatic and transforming for both the surgeon and the patient alike. The following figure shows the contrasting looks of the patient before and after a combined blepharoplasty procedure.
Immediately during the postoperative period, there will be pain, irritation, swelling and discomfort which gradually resolves over time. The final results might take months to consolidate after which the beneficial effects lasts for 5 to 7 years on average. In fact, the effects of a perfectly healed blepharoplasty might last a lifetime for some patients who will continue singing praises for this procedure.
Overall, combined blepharoplasty can be a very fulfilling experience in both aesthetic and psychological terms. But, it is always wise to consider all possible outcomes before the surgery with your surgeon to achieve the best possible lead to.