Eyelid surgery removes excess fat and skin from the upper and lower eyelids, correcting the saggy appearance of the upper eyelid and reducing the “bags” under the eyes. At this point, eyelid surgery is one of the most popular procedures performed by our physicians. However, it is important to know that it will not correct wrinkles known as “crows-feet”, will not completely fade dark circles, will not raise eyebrows and will not eliminate ethnic or racial characteristics. Our team also successfully treats ectropion or entropion and has extensive experience in the diagnosis and treatment of skin cancers.

What are the indications for blepharoplasty?

The ideal candidate for a palpebral lift is in good health and has realistic expectations about the procedure. Blepharoplasty can correct the following conditions: “full” lower eyelids, under-eye “bags”, excess skin on the upper eyelids/ “fallen” ptosed eyelids, excess skin on the lower eyelids. Most patients have at least 35 years of age, but if the eyelid look is genetically inherited, you may decide to have surgery even if you are younger.

First consultation

During the first consultation, before planning your surgery, Dr. Sinescu will carefully evaluate your facial structure to establish the best therapeutic strategy. It is possible, for example, that the results you seek could require combining blepharoplasty with other interventions. You will have your vision and lacrimal secretion tested. We will discuss what you can expect from this surgery and we’ll review all the existing options. You will be given a detailed explanation of the procedure, steps to be followed before and after surgery, potential risks and complications, costs and payment methods. We will answer all your questions. We’ll ask for medical history, information on cigarette and alcohol consumption and a list of all the medicines you use, including the over the counter ones.

Surgical procedure

The surgery will be performed in one of the clinics where our surgeons work. The procedure usually lasts 1 to 3 hours, depending on how extensive it is, and is often performed under local anesthesia with sedation. General anesthesia can be used if you wish to be completely asleep. All this information will be discussed with you during the preoperative consultation. In most cases you can go home shortly after the surgery is completed. If blepharoplasty is extensive or combined with other procedures, 1-2 nights of hospitalization may be required.

The doctor makes small incisions in the natural folds of the eyelid, on the ciliary or trans-conjunctival edge for the lower eyelid and in the superior eyelid crease for the upper eyelid. Through these incisions, the surgeon will separate the skin from the underlying tissues and muscles, remove excess fat and close up using extremely fine sutures. If all four eyelids are operated, your doctor will work first on the upper, then on the lower ones.

Recovery after blepharoplasty

Reading, TV, laptop – 2-3 days postoperatively
Makeup – 7-10 days postoperatively
Extraction of suture threads – one postoperative week
Return to school / work – 7-10 days postoperatively
Driving – as soon as you feel comfortable
Contact lenses – 2-3 weeks postoperatively
Intense physical activity – 3-4 weeks postoperatively
Fading of the scars – a few months to a year

What are the possible side effects or risks?

All surgical interventions have a certain degree of risk; however, major blepharoplasty complications are rare. During the first consultation, the individual risks will be evaluated and discussed. You can help reduce risks by carefully following the pre- and post-operative instructions provided. Our staff will be at your side at every step of the way to ensure a safe and aesthetic result.

The most likely side effects include the following:

– infection
– dry eyes
– incapacity to close eyes
– pathological scarring
– ectropion
– hematoma
– asymmetry

How long do the results last?

Blepharoplasty can enhance the youthful appearance of the eyes. These results generally last between 5 and 10 years, even more. It is important to note that the effects of aging, gravity and environmental factors will eventually cause the eyelids to sag again.

Frequently asked questions

Does my health insurance cover the costs of the intervention?
In most cases, eyelid lift is considered cosmetic surgery and is therefore not covered by insurance. You are responsible for the full payment of the procedure. Cost and payment information will be fully discussed with you during your initial consultation. Sometimes, insurance will cover the cost of the intervention if it is considered medically necessary, to improve vision affected by the upper eyelid skin excess.

What other procedure could be associated with blepharoplasty to improve the result?
Blepharoplasty is often associated with a frontal or central face-lift to provide a better and rejuvenated look.

Are there alternatives to blepharoplasty?
Botulinum toxin type A injections may be a temporary, non-surgical alternative to an eyelid lift. These injections can reduce or eliminate peri-ocular wrinkles by blocking nerve impulses and temporarily paralyzing the involved muscles. Minimally invasive treatments such as chemical peels, laser or non-ablative fractional radiofrequency can also improve skin tone, reduce dyschromias and erase wrinkles.

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