Correction of Droopy Eyelid

Correction Of Droopy Eyelid (Upper Blepharoplasty)

 

In droopy eyes, the upper eyelid appears thick, heavy, and saggy, making the eyes look tired and sad. In severe cases, the upper eyelid can even cover part of the eye and affect vision. Droopy eyelid is due to excess and laxity of the upper eyelid skin and fat. Medically this condition is called dermatochalasis of the upper eyelid. In some cases, the upper eyelid may appear sunken. Upper blepharoplasty is a minor surgery performed to correct this condition and rejuvenate the upper eyelid.

 

The commonest cause of droopy eyelids is aging. Another cause is a condition called ptosis (short for blepharoptosis), which is due to the weakness of the levator muscle. The primary function of the levator muscle is to lift the upper eyelid in order to open the eye. An abnormal levator muscle cannot lift the upper eyelid properly, making the eye looks droopy and half-opened. Ptosis can occur in young children (congenital ptosis), the elderly (involution ptosis), or after injury to the eyelid. Ptosis repair generally is accomplished by strengthening the levator muscle, or in more severe cases, replacing the levator function with other muscles. (see Correction of Ptosis).

 

 

 

Preparation

      1. Inform the doctor of any pre-existing medical conditions and drug allergy. All medical conditions must be treated and stabilised before surgery.
      2. Stop smoking at least one week before surgery. Smoking is harmful to wound healing and increases the risks of other post-operation complications.
      3. Stop the following medications and supplements from one week before surgery until one week after surgery.
        1. All supplements containing vitamin E, ginseng, ginkgo, garlic, fish oil, and other ingredients that increase bleeding during the procedure. Other supplements, traditional medicine, and herbs, in which ingredients are unknown, have to stop as well.
        2. Medicine that increases bleeding during the procedure such as aspirin, NSAIDs, and warfarin. However, you may need to consult your physician who prescribed the medication before you stop them.
      4. On the day of surgery, wear simple and comfortable clothing and do not wear any makeup. Do not wear any jewelry and metal objects on the face and body.
      5. Bring a pair of sunglasses on the day of surgery for use after surgery.
      6. Don’t wear contact lenses on the day of the surgery.

 

 

 

Surgery

Duration: 1-2 hours

Anaesthesia: Local anaesthesia

Hospitalization: Not required.

Recovery*: Back to work in 3-7 days, light exercise after 7 days, heavy exercise after 2-3 weeks.

*The actual speed of recovery may vary from person to person

Surgery Technique: An incision is made on the upper eyelid skin. Excess skin and fat are removed if required. The levator muscle is repaired and tightened. The incision is located in the double eyelid crease itself and is not visible when the eye is open. Most of the scars on the upper eyelid heal very well and would not be noticeable.

 

 

 

Post-operative Care**

      1. What to expect: Swelling usually peaks on the second to third day after surgery and will gradually subside after that. Post-operative pain is usually minimal.
      2. General care:
        1. Apply the cold pack in the first 3 days and then the warm pack after that. Elevate the head during sleep to reduce swelling.
        2. Avoid smoking for at least one month. Smoking increases the risk of wound complications.
        3. Use sunglasses for protection when going outdoors.
        4. Good rest and adequate sleep are helpful for a speedy recovery.
        5. Be relaxed and calm. Contact the clinic if there are any queries.
        6. Don’t use contact lenses for at least 2 weeks.
      3. Medicine: Finish the oral antibiotics as prescribed. Take the painkiller when necessary.
      4. Wound care: Clean the wound with a clean cotton tip soaked with sterile water/saline. Apply antibiotic ointment. No dressings are required.
      5. Physical activity: Avoid heavy physical activities and exercises for at least one month.
      6. Follow-up: Come back one week after surgery for suture removal and review.
      7. Emergency: If there is heavy bleeding, a rapid increase in swelling or severe pain, contact the clinic/doctor for advice immediately.

 

** The instructions in this list are only general guidance. If you have any specific queries or concerns during the post-operative recovery, please contact the clinic for further advice. 

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