Blepharoplasty (eyelid cosmetic surgery) is one of the most popular facial cosmetic surgeries that helps to rejuvenate and improve the appearance of the eyes by correcting sagging skin, excess fat and wrinkles around the eyes. This surgery is not only cosmetic, but in some cases, it is also performed to solve vision problems caused by drooping eyelids.

در سال‌های اخیر، با پیشرفت تکنیک‌های جراحی و روش‌های غیرتهاجمی، بلفاروپلاستی به یکی از ایمن‌ترین و مؤثرترین روش‌های زیبایی تبدیل شده است. In this article, we will examine the types, advantages, disadvantages, post-operative care and alternative methods of this surgery.

What is blepharoplasty?

Blepharoplasty is a procedure that removes excess skin, muscle and fat from the eyelids to make the eyes look younger and fresher. This surgery can be done on upper eyelid, lower eyelid or both and problems like:

• Eye puffiness and fat bags under the eyes
• Eyelid drooping (ptosis)
• Additional skin and small and large wrinkles
• Fix the limitation of the field of vision (in severe cases of drooping eyelids).

Blepharoplasty types

1. Upper eyelid blepharoplasty

Upper eyelid blepharoplasty is a surgery that corrects sagging eyelids by removing excess skin and fat. This procedure not only makes the eyes look younger, but in severe cases, also improves the limitation of the field of vision caused by drooping eyelids.

• It is used to fix falling and lax upper eyelid skin.
• The surgeon makes an incision in the natural fold of the eyelid and removes excess skin and fat.
• In some cases, eyelid muscle strengthening is also done to prevent drooping again.

2. Lower eyelid blepharoplasty

Lower eyelid blepharoplasty eliminates puffiness and bags under the eyes by removing excess fat and loose skin. This method gives a younger and fresher look to the eyes and the scar is usually hidden in the eyelash line.

• Its purpose is to remove puffiness under the eyes and fat bags.
• The incision is usually made inside the eyelid or under the eyelashes so that the scar is not visible.
• Sometimes it is done together with a skin lift to prevent more laxity.

3. Combined blepharoplasty

Combined blepharoplasty is a simultaneous upper and lower eyelid surgery that is performed to completely correct the eye area. This method treats both puffiness under the eyes and drooping of the upper eyelid at the same time with a single anesthesia.

• If both eyelids need correction, this method is recommended.
• It has more natural and harmonious results.

Blepharoplasty procedures

Traditional method (blade surgery)

This classic method by making an incision in the natural line of the eyelid, removes excess skin and fat and creates permanent and natural results. Despite the relatively longer recovery period (7-10 days), it is still considered the gold standard for correcting severe eyelid puffiness and drooping.

Advantages and disadvantages

• The most common method with an incision in the natural crease of the eyelid
• Suitable for removing excess skin and fat
• Lasting and predictable results

Transconjunctival method (without external incision):

One of the advanced methods of blepharoplasty is Transchange Active L method. This advanced method is performed by making an incision from the inner surface of the lower eyelid and does not leave any stitches or scars on the skin. It is suitable for people who only need to correct the fat under the eyes and want to remove the puffiness of the eyes without any visible signs of surgery.

Advantages and disadvantages

1. Incision from the inside of the lower eyelid (no visible scar)
2. Suitable only for trimming excess fat
3. Shorter recovery period

Laser blepharoplasty

Contact us for consultation with the best blepharoplasty doctor in Tabriz.

This advanced method uses a CO2 laser to simultaneously remove excess skin and by stimulating collagen production, makes the eyelid skin firmer and younger. Its main advantage is its extraordinary accuracy, very little bleeding and a more natural result than the traditional method.

Advantages and disadvantages

• Using CO2 laser to cut and tighten the skin
• Less bleeding and higher accuracy
• Suitable for patients with thin skin
• Faster recovery with less swelling and bruising

Blepharoplasty with the help of plasma (Pledge)

This non-surgical method uses plasma energy to vaporize the extra eyelid skin without surgical incision and at the same time causes lifting and tightening of the skin. It is the best option to fix mild to moderate laxity of the eyelid skin without the need for stitches or a long recovery period.

• Non-surgical method with plasma device
• For mild to moderate skin laxity
• No need for stitches and short rest period

Combination with eyebrow lift

This advanced method performs eyelid surgery along with eyebrow lift to correct drooping eyelids and forehead-eyebrow skin laxity at the same time. It is the best choice for people who, in addition to eye puffiness, need complete rejuvenation of the upper eye area.

Advantages and disadvantages

1. When eyebrows are severely drooping
2. More natural and complete results
3. Complete facial correction with one surgery
4. • More natural results than doing these procedures separately
5. • Suitable for severe drooping cases Skin

Each method is chosen according to the patient's conditions and the surgeon's diagnosis.

Who are good candidates for blepharoplasty?

• People with excess skin or a lot of fat in the eyelid area.
• Those who have puffiness under the eyes and have not improved with non-surgical methods.
• Healthy people without serious eye diseases such as glaucoma or severe dry eye.
• People whose lid drooping has affected their vision.

⚠ Prohibitions:

• Patients with uncontrolled eye pressure.
• People with a history of eye thyroid diseases (such as Graves' disease).
• Heavy smoking (because of the negative effect on the healing process).

Benefits of blepharoplasty

• Eye rejuvenation and reduction of signs of aging.
• Improving the field of vision in cases of severe drooping eyelids.
• Increasing self-confidence by removing puffiness and dark circles under the eyes.
• Results Natural and permanent (usually 5 to 10 years).

Possible disadvantages and complications

• Swelling and bruising (normal in the first week).
• Dry eyes or difficulty closing the eyelids completely (temporary).
• Scar (if the incisions are not repaired properly).
• Asymmetry or excessive removal of skin (if the surgeon is inexperienced).
• Infection or bleeding (rare, if care is not followed).

Steps of blepharoplasty surgery

1. Initial consultation: review of patient expectations and eye examination.
2. Anesthesia: usually with local anesthesia + sedation (sometimes general anesthesia).
3. Incision and trimming: removal of excess fat and skin.
4. Suture closure: with fine sutures that are pulled after 5-7 days.
5. Discharge: same day (in most cases).

Post-operative care

First 24 hours: Cold compress to reduce swelling.First week:

• Avoid bending, lifting heavy objects and exercise.
• Using prescription ointments and sunglasses.2 weeks later:

• Avoid contact lenses until complete recovery.
• Avoid alcohol and smoking.1 month later:
• Return to normal activities (with doctor's approval).

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