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Eyebag Reduction

Type of anaesthesia: Local Anaesthesia

Length of stay: None

Recuperation: 2 weeks

Country offered: Thailand

Eye bag reduction surgery, or Blepharoplasty, is a procedure used to remove fat, as well as excess skin and muscle from the upper and lower eyelids. As we age, the skin on our eyelid stretches, the muscles weaken and fat begins to accumulate. This causes bags around the eyes.

This excess around the eyes causes people to look tired and could possibly interfere with their vision. Eyelid surgery can result in a fresher, more alert looking appearance and a less obstructed vision.

Frequently asked questions

What are some of the most common benefits of this surgery?
Blepharoplasty can make a remarkable difference in the appearance of the face, alleviating the appearance of tiredness and old age by eliminating the excess, wrinkly skin beneath the eyes. The eyes appear fresher and more youthful, and the results may last for many years. The degree of improvement varies from patient to patient.

How is blepharoplasty performed?
For traditional blepharoplasty:
  • An incision is made along the lash line, smile creases
  • Excess fat, muscle and skin are removed
  • Fine sutures are used to close the incision
  • Permanent stitches will be removed 3-5 days after the procedure
Transconjunctival blepharoplasty
If you have a pocket of fat beneath your lower eyelids, but do not need to have any loose skin removed, your surgeon may recommend a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with fatty lower eyelids. Transconjunctival blepharoplasty does not tighten the skin, reduces the puffiness in the lower eyelid region.

What can I expect after surgery?
After surgery, the physician will lubricate your eyes with ointment to reduce dryness in this area. Your vision may be blurred temporarily from the ointment.

The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. Although you can be up almost immediately, you should limit your activities.

What is the recovery period like?
At first the incisions will probably be red and somewhat bumpy. Eventually, the resulting scar should become flat and inconspicuous. Your sutures (stitches) will be removed sometime within the first week.

The swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel better each day. Swelling and bruising varies considerably from person to person. Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Your vision may be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. You may receive eyedrops to help relieve any burning or itching.

For the first week, you will need to avoid activities that dry the eyes, including reading, watching television, wearing contacts, and using a computer. Also avoid excessive blinking, which leads to increased swelling. You should also wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation. The eyes may tire easily for several weeks; frequent naps are helpful.

For the first three or four weeks, you should any activity that increases blood flow to the eyes, including bending, lifting, crying and sports. Your surgeon will let you know when you are ready for exercise. Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.

What is the long-term outcome like for most people?
The more alert, youthful look that this surgery provides is usually long lasting. Thin scars may remain slightly pink for six months or so, but can easily be concealed with makeup. They eventually fade to a thin, nearly invisible white line. The removal of fat is permanent, but the looseness of the skin and fine wrinkling of the eyelid area may return in the future. Even though the aging process continues, patients are usually happy with their appearance for many years following eyelid surgery. Some patients find that they want to make additional improvements at a later time. If continued loss of skin tone in the forehead later causes sagging of the eyebrows, a forehead lift or second eyelid procedure may be performed.

What are the risks involved with this procedure?
Significant complications from aesthetic eyelid surgery are infrequent. As with any surgical procedure, however, there is always a possibility of infection, or reaction to the anesthesia. Other potential complications include:
  • Retrobulbar hematoma - (bleeding behind the eye) - rare, but can be serious. Symptoms include loss of vision
  • Temporary problems with excessive tearing
  • Decreased sensation in the eyelid
  • Dry eyes - dryness, burning, stinging, gritty sensation in your eye(s)
  • Prominence or firmness of the scars
  • Blurred vision
  • Asymmetry in healing or scarring
  • Milia or whiteheads where the sutures emanate from the skin.
  • Difficulty closing eyes completely; in rare cases, this condition may be permanent.
  • Ectropion, or a pulling down of the lower lids.

You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery. Pre-existing conditions can also put you at risk. They include thyroid problems such as hypothyroidism, insufficient tear production or dryness of the eye, elevated blood pressure or other circulatory disorders, cardiovascular disease, and diabetes. Caution should be exercised if you have ophthalmic problems, or other serious medical condition(s). In this case, your surgeon may require a clearance from your general practitioner or other physician.

Next step:

Many factors decide whether you are a suitable candidate for surgery. Here are a few ways you can proceed:

  1. Contact us here for a consultation with our medical consultants (Singapore only)
  2. Fill up our enquiry form here with your details and questions

  3. Send us an email to support@healthaesthetics.com with your details and digital photographs for a photo-quotation within 48 hours

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