Before surgery, you will come to the hospital to meet your surgeon. You will have lots of time to talk about what you hope to achieve. Your surgeon will give your face, and particularly your eyes, a thorough examination and discuss what can be achieved. They will also take a medical history, and it is particularly important to notify them of conditions such as thyroid disease, high blood pressure, diabetes, and glaucoma, as these can affect how treatment is carried out. There is no obligation to go ahead with surgery if you or your doctor decide that it isn’t in your best interests.
Your eyelid surgery will be carried out under local anaesthetic. You will come into the hospital and be greeted by one of the Vision Scotland nurses. They will run through your medical details to check there have been no changes since your consultation. You will walk through to the treatment room where your surgeon will make small incisions that follow the natural curvature of the eyelid - in the creases of the upper and lower lids. Small strips of skin are removed and the area re-stitched to reduce to amount of excess skin.
An upper eyelid blepharoplasty concentrates on the region between the eyebrow and the eyelashes. Lower eyelid blepharoplasty focuses on the area between the eyelashes and the cheek. In lower blepharoplasty, tiny internal incisions are made inside the eyelid. These incisions are used to remove portions of fat in the lower eye to reduce bagging. Residual fat is repositioned and sculpted to the surgical plan you have agreed on. Due to the incisions within the eyelid, this procedure can usually be carried out without any scarring and need for stitches. This surgery reduces or repositions the underlying fat to a more youthful configuration.
Chloramphenicol ointment should be used to keep the treated area well moisturised. This can be used several times a day until the tube runs out or until advised to stop by your clinician. Once this is finished, you can use your own chosen moisturiser several times a day for the next 3 months. Do not use a barrier cream. The aim of regular moisturising is to ensure the skin doesn’t become tight and to minimise any scarring.
For swelling and bruising, cool packs can be used. You may also want to take Ibuprofen, if you can, to minimise swelling and bruising. You can also use Arnica cream and/or Arnica tablets for this purpose.
Try to sleep in a more upright position for the first two nights post surgery, this will also help to reduce any swelling. Regular pain killers can also be taken after surgery to keep you comfortable and reduce post operative pain.