Is Eyelid Surgery Safe? What to Expect and How Long Results Last

Eyelid surgery, medically known as blepharoplasty, is a transformative cosmetic and functional procedure that has gained immense popularity worldwide. Many patients of Senior Consultant Plastic, Aesthetic, and Reconstructive Surgeon Mr. Allen Rezai, in his London Harley Street and Dubai practices, choose to undergo this procedure to address common concerns like drooping eyelids, under-eye bags, and excess skin. With blepharoplasty, the aim is to rejuvenate the periocular region, providing a more youthful and refreshed appearance. Beyond aesthetics, eyelid surgery can also correct functional issues, such as obstructed vision caused by excess upper eyelid skin. In this detailed guide, we explore the surgical techniques for upper and lower eyelid surgery, its safety profile, recovery process, and the longevity of results.

Eyelid surgery is categorised into two main types:

1. Upper Eyelid Surgery:

Primarily focuses on correcting sagging skin, fat deposits, and muscle laxity that contribute to a tired or aged look. It can also improve vision in cases where drooping skin obstructs the upper visual field. Upper eyelid surgery focuses on the removal of excess skin and fat to rejuvenate the eye area. The procedure begins with marking the natural crease of the upper eyelid to ensure symmetry. An incision is made along this crease to remove excess skin and fat, preserving the orbicularis oculi muscle which is essential for eyelid function. The incision is then closed with fine sutures, minimising scarring, which gradually blends into the natural crease. The result is a smoother, more defined upper eyelid contour that restores a youthful and a more alert appearance.

| Before and After Upper Eyelid Surgery with Dr. Allen Rezai

2. Lower Eyelid Surgery:

Targets issues like puffiness, dark circles, and loose skin under the eyes. These concerns are often caused by ageing, hereditary factors, or lifestyle habits, such as inadequate sleep or excessive sun exposure. Two primary approaches are employed based on the patient’s specific needs:

• Transconjunctival Approach: This method is ideal for patients with prominent under-eye bags but minimal skin laxity. The incision is made inside the lower eyelid, allowing the surgeon to remove or reposition excess fat without leaving external scars. This technique is particularly favoured for younger patients.
• Subciliary Approach: For patients with significant skin laxity or lower eyelid sagging, an incision is made just below the lash line. This allows for the removal of excess skin, tightening of the eyelid, and repositioning of fat pads. Surgeons take great care to maintain the structural integrity of the eyelid to prevent complications such as ectropion (outward turning of the eyelid).

Both approaches aim to smooth the under-eye area, diminish puffiness, and reduce the appearance of dark circles, resulting in a refreshed and youthful look.

| Before and After Lower Eyelid Surgery with Dr. Allen Rezai

For those seeking a more comprehensive facial rejuvenation, eyelid surgery can be combined with other procedures such as facelifts to address sagging skin and wrinkles in the mid-to-lower face, brow lifts to correct drooping eyebrows and enhance upper facial aesthetics, and laser resurfacing to improve skin texture and tone around the eyes. These complementary treatments can enhance the overall results, creating a more harmonious and refreshed facial appearance.

Common Side Effects

• Swelling and Bruising: These are temporary and typically subside within 1-2 weeks post-surgery. Cold compresses and proper rest can help alleviate these symptoms.
• Dryness and Irritation: Some patients experience dry or irritated eyes after surgery, which can be managed with lubricating eye drops and ointments.
• Scarring: While scars are inevitable, they are usually minimal and well-concealed within natural eyelid creases or lash lines.

Potential Complications

• Ectropion: This rare complication involves the outward turning of the lower eyelid. It may require corrective surgery if severe.
• Asymmetry: Minor asymmetry can occur, but experienced surgeons minimise this risk through meticulous planning and execution.
• Infection or Bleeding: These risks are rare and can be managed with proper surgical techniques and post-operative care.

By following pre- and post-operative instructions and choosing a fully qualified and experienced plastic surgeon, patients can significantly reduce the likelihood of complications.

Recovery from eyelid surgery is relatively straightforward, with most patients resuming normal activities within 10-14 days. Key aspects of the recovery process include:

• First Week: Swelling and bruising are most pronounced during this period. Patients should rest with their heads elevated and apply cold compresses to reduce discomfort.
• Stitch Removal: Sutures are typically removed within 5-7 days post-surgery.
• Resuming Activities: Light activities can be resumed after the first week, but strenuous activities and heavy lifting should be avoided for at least 3-4 weeks.
• Follow-Up Appointments: Regular follow-ups with the Mr. Allen Rezai ensure proper healing and address any concerns.

Eyelid surgery provides long-lasting results, but it is important to note that the natural ageing process will continue to affect the skin and tissues around the eyes. Here’s what patients can expect:

• Upper Eyelid Surgery: For the majority of patients, the result is long lasting, however, it will not stop the ageing process. The younger the patient undergoes the surgery, the more likely it is that a further eye surgery may be needed in the future. Some patients may never require a repeat procedure, depending on their heredity, skin quality and lifestyle choices.
• Lower Eyelid Surgery: Results are often permanent, especially when fat repositioning is performed. However, ongoing skin laxity or volume loss may necessitate additional treatments, such as dermal fillers or skin resurfacing.

Patients can prolong their results by maintaining a healthy lifestyle, avoiding excessive sun exposure, and adhering to a good skincare regimen.

Ideal candidates for blepharoplasty (eyelid surgery) are individuals who are in good overall health with no serious eye conditions, have realistic expectations about the outcomes of the surgery, and are bothered by drooping upper eyelids, under-eye bags, or loose skin around the eyes. A thorough consultation with Mr. Allen Rezai is essential to determine whether blepharoplasty is suitable for the patient’s needs and goals.

Eyelid surgery is a versatile procedure that enhances the eyes—the focal point of facial expression—and rejuvenates the overall face. Advances in surgical techniques and technology have made blepharoplasty safer and more effective, with results that can last for years. However, the success of the procedure depends on the expertise of the surgeon, correct surgical technique, and careful surgical planning.

For those considering blepharoplasty, consulting with Mr. Allen Rezai, a multiple board-certified, highly experienced, and an expert in the eyelid anatomy is the necessary first step. With proper surgical planning & technique, and post-op care, eyelid surgery can be a life-changing procedure, restoring confidence and vitality to one’s appearance.

For general information about Eyelid Surgery or Blepharoplasty visit Eyelid Surgery.

For details about procedures and treatments or for a consultation, advice and prices from our London clinic please call 020 7580 8001 or use our ONLINE FORM.

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