Blepharoplasty is one of the most popular cosmetic surgical procedures to remove fat, usually along with excess skin and muscle from the upper and lower eyelids. This surgery can lift drooping upper lids and reduce puffy eye bags that form below your eyes. This procedure can be done alone or in conjunction with other plastic facial surgery procedures such as a facelift.
There are 2 types of surgery method:
- Fat excision in the membrane for eye bags due to fatty tissue protrusion
- Cutting off skin underneath the eyelashes and muscle suspension surgery for eye bags caused by sagging of eyelids and muscles
With lower eyebag surgery (lower blepharoplasties), the excess fat of the lower eyebag can be removed from an incision within the eyelid (tranconjunctival), or removed through an incision under the eyelash particularly when removal of excessive skin is desirable.
Cosmetic eye surgery on lower eye bags involves a cut just below and to the side of the lower eyelid. During lower eye bag removal, fat is removed and excess skin is trimmed to conform to the new contour. Any swelling or discolouration that appears due to cosmetic eye surgery should fade 2 to 3 weeks after your operation, and dryness or itchiness of the eyes should also clear in a few weeks.Any pull at the lid at the corner of the eye following a cosmetic eye surgery procedure will correct itself within 2 to 5 weeks.
Upper eye bag removal is a type of cosmetic eye surgery that removes unsightly fatty folds from the upper eye lid. This fold can sometimes fall across the eye and interfere with normal vision and the resulting scar in the upper eye lid crease is extremely fine.
The biggest risk with both upper and lower blepharoplasty operations is that of blindness. It is a relatively rare risk, but very important. If there is any bleeding behind the eye, it can cause more pain and, eventually, can compress the optic nerve in that eye, causing permanent blindness. Luckily this is rare, but still very important.
Other risks include poor positioning of the eyelid after surgery, where the eye is unable to close fully. This is usually a result of trying to remove too much tissue or pulling the eyelid too tight. It can be secondary to swelling after the operation, and if so gets better as this resolves.