AESTHETIC PLASTIC SURGERY

What is Blepharoplasty - Eyelid Surgery?
Blepharoplasty is a facial surgery that improves the appearance of the upper and lower eyelids, as well as the region around the eyes, by managing fatty deposits, pockets of tissue, repositioning lax, elongated, or weakened structures, and rearrangement or resection of excess skin.
WHAT CAN BE ACHIEVED WITH A BLEPHAROPLASTY?
There are several objectives of blepharoplasty; the most important are:
- Remove fat deposits located on the eyelids.
- Remove or reposition excess or hanging skin at the level of the eyelids.
- Improve the tired and aged appearance of the face.
AM I A CANDIDATE FOR A BLEPHAROPLASTY?

Candidates for this surgery are men or women concerned about their face’s appearance, especially the eyelids and around the eyes.
Many patients show their first aging changes with the appearance of bags and excess skin on the eyelids, who benefit from this surgery early.
Suppose you are concerned about the tired appearance of your eyelids due to excess fat accumulated in the area or the presence of hanging or excess skin. In that case, blepharoplasty is a helpful alternative for you.
The patients must be healthy, and if they have diseases such as high blood pressure, diabetes, or hypothyroidism, they must be compensated and controlled before surgery. Patients with chronic, autoimmune, heart disease and anticoagulated patients require thorough evaluations before surgery and be fully controlled and compensated before performing this procedure to reduce complications during or after surgery.

Age alone is not a criterion to be a candidate for this surgery; more important than the years is the general condition of the patient and the compensated or controlled state of health.
How do I prepare for blepharoplasty?
To be prepared for this surgery, patients must be in optimal health conditions.
They require a complete evaluation that includes a medical history and identification of personal history, including allergies, previous surgeries and medications currently consumed. Initial evaluation by telehealth is appropriate, but a complete in-person physical examination is required before surgery.
During the medical evaluation, medications susceptible to suspension are identified to reduce bleeding and the formation of bruises, such as medications that alter platelet aggregation, such as Aspirin or Acetyl Salicylic, anticoagulants, multivitamins, and herbal products. Any of these medications should be suspended or consumed only under medical supervision.
On the other hand, before surgery, basic laboratory or pre-surgical examinations are required, including evaluation of the coagulation status, the level of red and white blood cells and platelets, sugar levels, thyroid, kidney function and the liver. Like the heart rate through an electrocardiogram. The tests are ordered during the medical evaluation and vary from patient to patient based on their health condition and personal history.
How is surgery performed? Where are the scars?
Blepharoplasty incisions are made in the upper eyelids in the palpebral fold, which is hidden when the eyes are open. The lower eyelids, the incision, and the scar are located two millimetres below the eyelashes, which is hardly noticeable when the scar matures.
Excess fat and skin are removed and repositioned through these incisions, in addition to improving tension in weakened structures.
TYPE OF ANESTHESIA AND HOSPITALIZATION
There are several anesthesia alternatives for blepharoplasty:
- General anesthesia. When this anesthetic technique is decided, the patients are completely asleep and need to be previously evaluated by the anesthesiologist, who is certified, with all the required licenses and standards, and especially with significant experience in handling aesthetic plastic surgery patients, providing a service of high quality and safety.
- Sedation and local anesthesia. The patients remain awake during surgery, for which the patient’s collaboration is required and is accompanied by sedation through medications supplied and controlled by the support of an anesthesiologist.
- Local anesthesia. Patients remain fully awake during surgery, which requires high collaboration and tolerance on the part of the patient. Medications are applied to the area to be operated employing needles, and after a few minutes, the treated area is entirely numb without generating any pain.
Blepharoplasty is an outpatient surgery. Most patients go home or to the selected recovery place after this surgery. Initially, they are monitored in the recovery room after surgery and are discharged when the effects of light-headedness or sedation generated by the medications administered during surgery have disappeared.
RECOVERY
You will be discharged on the same day of the procedure. Most patients return to work five days after surgery; however, the edema and the bruises persist for several weeks, which gradually disappear.
POST-OPERATIVE RECOMMENDATIONS
- Sleep with your head elevated for the first few days to minimize swelling.
- Apply ice wrapped in a plastic bag and protected by a thin cloth for the first two days, every hour for 20 minutes.
- Avoid smoking for three months after surgery.
- Frequently lubricate the eyes with natural tears.
FREQUENT QUESTIONS Q&A.
- Pain: Post-procedure pain is easily managed with prescription medications.
- Inflammation: Post-surgery inflammation decreases progressively after five days until the third or fourth month.
- Stitch removal: Between 5 and 12 days at the surgeon’s discretion.
- Return to activities: After seven days, the patient can gradually return to daily activities.
- Exercise: Wait three to four weeks to perform physical activity.

RESULTS
The surgery aims to make the eyelids and the region around the eyes look rejuvenated and without a tired appearance, improving expression. When the inflammation subsides, you will notice progressive improvement, reaching definitive results after the sixth month of the intervention.

