If you suffer from excess skin, or loose hanging skin of the upper eyelids that may even impair your vision,Puffy upper eyelids,Excess skin and fine wrinkles of the lower eyelids,Bags and dark circles under the eyes,then blepharoplasty (eyelid surgery) may be for you. In some additional measures may be necessary. These may include temporal lift or a forehead lift for sagging eyebrows, Botox for crow’s feet, and skin rejuvenation procedures. Fat grafting (lipo-filling) can help replace lost volume around the eyes, conversely some may need removal of herniated fat pads.

It is prudent that you point out to your surgeon what you would like to have improved. A disclosure of full medical history including previous surgeries, past and present medical conditions and current medications is important. High blood pressure, thyroid problems, diabetes, allergies etc, should be reviewed as these conditions may increase risks associated with blepharoplasty.It will be necessary for your surgeon to know if you were ever told by an ophthalmologist that you have a condition called "dry eye" or if you have any other problems with your eyes.

There are various techniques when it comes to performing blepharoplasty depending on factors such as the amount of excess skin and fat as well as the position of your eyebrows and laxity of your eyelids.

Upper Eyelids Usually the incision is hidden within the natural fold of the upper lid and may extend just beyond the outer corner of your eye. The incision allows the surgeon to remove the excess skin and fat. The resultant scar is usually inconspicuous.

Lower Eyelids For lower eyelids, the incision is hidden just below the lower lashes again allowing the surgeon to remove any excess tissue as deemed necessary. The surgeon may also choose to address problems such as muscle and lid laxity. In other instances the budging of the lower fat pads may be corrected by way of fat re-draping. That is tightening of tissues in front of lower fat pads. The scar again is usually well hidden.

Thankfully, significant complications from aesthetic eyelid surgery are not common. Potential problems include bleeding, infection, scarring, changes in sensation, lid retraction and damage to deeper structures. Some of the complications may necessitate corrective surgery. Dry irritable eyes usually settle with time.

Please be advised that the rate of recovery is greatly variable amongst individuals. Even in the same individual one side may heal quicker than the other. This is normal. It is advisable to rest for the first couple of days following the operation. Application of cold compress to your eyelids is recommended during this period to limit the variable degree of swelling and bruising experienced. Mild discomfort and tightness is alleviated with oral medication. In a few individuals, residual swelling may actually persist for several weeks. Removal of sutures usually occurs after 5-7 days following which most surgeons would permit the use of makeup. Your vision may continue to be somewhat blurry for a few days or longer. Sensitivity to light, dry or watery eyes are also temporary problems experienced by some. Eye drops usually help in most individuals. Straining, bending and lifting should be avoided during the early postoperative period.