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MEDICAL PROCEDURES > BLEPHAROPLASTY

BLEPHAROPLASTY

Eyelids surgery, technically known as blepharoplasty, is a procedure to remove fat and skin and muscle excess from the upper and lower eyelids, generally caused by age or by congenital causes or is associated to kidney or heart diseases. This technique corrects drooping upper eyelids and the bags on the lower eyelid, characteristics that make us look older and more tired than we really are, and that, in some cases, may interfere with our vision. However, blepharoplasty does not eliminate crow’s feet, other wrinkles, or drooping eyebrows.

Advantages of blepharoplasty

It is the most common palpebral cosmetic surgery and one of the most appreciated facial cosmetic procedures (patient’s satisfaction is great and complications are very rare).

Indications

Indicated for those who seek an improvement of the cosmetic appearance of their eyelids in any of the following situations:

  • Adults who are not happy with the look of their eyes and wish to improve their physical appearance
  • People with excess skin on the upper eyelid to the point of losing the natural fold of the eyelids.
  • People with excess fat on the lower eyelid and especially if the fat is located in the area near the nose.
  • People with bags and wrinkles on the lower or upper eyelid which make them look as they are tired or have just woke up.
  • People who want to improve their physical appearance even if they have already had a blepharoplasty before.

 

Contraindications

Treatment is not recommended for the following patients:

  • with an active infection
  • pregnant or breastfeeding women
  • with poor healing / coagulation (diabetics, haemophiliacs…)

It is not recommended on psychologically unstable patients. In case of mental disease, it is recommended to wait for a stabilisation with treatment or for its resolution.

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Risks of blepharoplasty

Although it is a safe technique, there may always be associated complications (rare and minor) and risks (such as infection, nose bleeds, or reactions to anaesthesia), as in any surgical procedure. Minor complications that may occur after a blepharoplasty include double or blurred vision for a few days, temporary oedema on the eyelids, and slight asymmetry in healing. After the surgery, you might experience some difficulty to fully close your eyelids while sleeping. This complication is permanent in only rare cases.

There are some medical conditions that might increase the risks when going through a blepharoplasty, such as thyroid gland problems, lack of sufficient tears, high blood pressure, heart diseases, and diabetes. Glaucoma or detachment of the retina may also be a risk. In some cases, an ophthalmologic check-up before the blepharoplasty might be needed

Technique

The surgery is performed in an operating room at a clinic or hospital. Generally, it is not necessary to stay in the clinic more than a few hours after the surgery. It is usually carried out using local anaesthesia with sedation, although in some cases general anaesthesia may be necessary.

The procedure usually lasts between one and three hours, or more if combined with other procedures. The intervention usually starts by the upper eyelids when all four eyelids are going to be treated. The micro-incisions are not visible as of the first day of the surgery (when the eye is open) since they are made on the natural fold of the upper eyelid and just below the eyelashes line on the lower. Through these incisions, the skin is separated from the underlying fat and muscle, removing the excess fat and, sometimes, skin and muscle excess.

• Dr. Gabriel Serrano Sanmiguel

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