The history of eyelid correction dates back to the 10th century. New techniques have been developing rapidly since 1818 (von Graefe). Until 1940 the procedure involved only the removal of the excessive skin.
Blepharoplasty is one of the most common procedures in the facial aesthetic surgery.
The main aim of the operation is to remove the sagging and floppy skin – it is a change mostly related to aging, although it may occur at any age. Sagging upper eyelids mainly constitute a cosmetic problem, however, in some cases may limit the patient’s field of sight. The accompanying problem is often the gathering of fat tissue in the area of eyelids. In the lower eyelid area the problem is often related to the excessive fat, causing swelling and giving the face a tired expression.
Usually the eyelid corrective surgery is performed on patients at the age of 35 or older.

The procedure of the operation

During upper eyelid correction the excessive skin, but also a part of the ring muscle of the eye and fat tissue is removed through the incision, hidden in the eye fold so that the scar is visible in the outer corner of the eye. In case of the correction of the lower lid the incision is hidden near the lower eyelashes, through which the excessive fat tissue, skin and partly the muscle are removed.
The operation usually lasts for 1-3 hours and as a rule is performed under local anaesthesia.
The results are mostly permanent and last for about 10 years.

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Recover

The patient may go home 2-4 hours after the operation.
During the first 24 hours it is recommended to hold cold bags in the operated area to cool the area and reduce swelling. During the first days it is recommended to wear sunglasses to protect the eyes. The stitches are removed within 5-7 days after the operation. Swelling and haemorrhages disappear within 2 weeks, minimal to moderate swelling may last up to 6 weeks.
After 2-3 weeks the patient may resume the usual physical activity.
The final outcome of the operations will be evident in 6 months.

Possible risks

Serious complications occur seldom. They involve haemorrhage (gathering of excessive blood more than normal in the tissue under the skin), inflammation of the wound, and reactions to anaesthetics.
Temporarily blurred vision, dry eye and irritability (may require treatment) are possible. The temporary sensibility of the skin of the eyelid and the dysfunction of the eyelids are possible.

The procedure is performed by

Dr. Pille Kirjanen, plastic and reconstructive surgery

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