Blepharoplasty is performed as a day case procedure, with discharge on the same day.The recovery is fairly quick and patients are able to get back to their day to day activities within a few days. This makes the procedure easy to undergo. Having said that, no surgery should be taken lightly and due care and precautions must be followed as advised.
Prior to the procedure, Dr. Sneha will make some markings on your face. Type of anesthesia will depend on your treatment plan, made by Dr. Sneha and you , after discussing all the options and their pros and cons. The procedure itself may take anything between 30min-3 hours, depending on your personalised plan. After the procedure, you can go home on the same day, usually within a few hours. Dr. Sneha finds most patients tolerate the procedure well.
No, blepharoplasty is not painful at all. Dr. Sneha will use medicine around your eye to numb it. The type of anesthesia given to you will be a part of the treatment plan made by Dr. Sneha and you, after discussing all the options and their pros and cons.
Blepharoplasty may be performed
- Under local anesthesia- wherein you will be awake and aware of your surroundings, but will not feel any pain.
- Local anesthesia with sedation- you will be given medicine which will make you drowsy, along with the numbing agent.
- General anesthesia
In any case, adequate numbing medicine/ anesthesia is given prior to starting the procedure and Dr. Sneha will ensure that you are comfortable during surgery.
Stitches, if applied to the skin, are usually removed in a week. Having said that, many a times Dr. Sneha uses glue instead of stitches which obviates any need for suture removal in the post operative period.
Patients recover fairly quickly after Blepharoplasty. Since eyelids are extremely sensitive and delicate, some amount of swelling and bruising IS expected after surgery, which generally increases in the first 24 hours, before starting to reduce. The first 3-4 days may feel a bit uncomfortable, with watering and heavyness. Most people are able to return to their day to day activities within a week and to work and social life within 2-3 weeks, with a little make up. However, it must be kept in mind, that different people heal differently. Although 80% of swelling is usually gone by 1-2 weeks, you should wait till 6 weeks to evaluate the final result.
There are many things that you can do, to help aid in faster recovery.
- Try to sit upright as much as possible to help reduce the swelling. At night, use an extra pillow to ensure that your head is above the level of the heart and avoid any form of straning, such as coughing, lifting weights or straining on stools.
- It is advised that you keep a freezable eye mask, prior to your operation and alternate applying this to the eyes with something cold from the freezer (such as a bag of frozen peas) or another eye mask.
- Apply cold compresses to the eyelid area intermittently for 48 hours. It is recommended to apply for at least 5min every waking hour. Never apply ice packs directly on the skin.
- Lymphatic massage may help reduce the swelling and hasten recovery. This will be demonstrated to you before discharge and can be performed 3-4 times in a day. Often patients like to do this while watching television and find it relaxing as well.
Absolutely. The Upper eyelid is one of the first parts of your face to change with age and mindfully addressing this during surgery is sure to make you look younger.
Dr. Sneha commonly performs Scarless Blepharoplasty, where no scar is made externally on the skin. A skin wound, if made, closes within a week. but for complete healing it takes nearly 6 weeks to 3 months. Healing, anywhere in the body, follows an exponential graph, with maximum healing occurring within the first few days to weeks, but takes much longer for the last bit. Having said that, Blepharoplasty scars heal beautifully. In most cases, it is barely noticeable, and even if so, easily camouflaged.
It is usually possible to wear make-up after 10-14 days, even earlier, if there are no stitches.
The eye are kept open with help of 2 muscles present in the upper eyelids. Anything which affects their normal functioning will lead to droopy eyes/ ptosis. Most common is Age related ptosis and Congenital / present since birth. For more information
In majority of the cases, Ptosis doesn’t go away and needs to be surgically corrected. In a few cases, correcting the primary cause may correct ptosis, like for example, in patients with Ptosis due to Myasthenia, treating the myasthenia may completely correct the ptosis.
Not necessarily, but heredity can play a role.
The way to fix, depends on the amount the eyelid can move. Usually, in congenital ptosis, the lid can barely move, and in this case, the eyelid action is transferred to the forehead muscle which then aids in opening the eye. Sometimes, when the eyelid can move sufficiently, a tightening/ reattaching of the eyelid muscle may suffice.
Usually Thyroid related eye disease is associated with eyelid retraction (which is the opposite of ptosis). It is sometimes seen that patients with thyroid disease also have Myasthenia which can lead to ptosis in these patients.
It is commonly conceived, that ptosis is a sign of aging. This is driven by the fact that aging is the most common cause of ptosis. But having said that, if you have ptosis, you MUST consult an Oculoplastic Surgeon so that the exact reason in your case can be ascertained, as occasionally, it could be a sign of a life threatening problem such as brain aneurysm or cancer.
Stye is due to the infection of an eye lash follicle.
The earlier you start treatment, the quicker it goes away. If the Stye is already causing a large swelling of the lid, it should start settling in 1-3 days of starting treatment. If a swelling remains despite oral antibiotics, it may need to be drained.
- warm compressions
- Antibiotic and anti inflammatory eye ointment
- Oral antibiotics- you must consult an eye doctor to prescribe the antibiotic appropriate to you.
Read the next question to know how to prevent a Stye in the first place.
- Avoid touching your eyes- hands are the most common source of infection. You may be touching your eyes because they are watery/ your vision is blurred. If any such problem is there, get this treated first.
- Identify the source of infection- asymptomatic nasal carriage/ lash mites/ contact lens
- Maintain a lid hygiene routine- wash eyelid margins with a non-irritant soap (baby shampoo), or with a pinch of soda in lukewarm water. Do this twice a day
- Rule out Diabetes/ control blood sugar levels- undiagnosed or uncontrolled diabetes is one of the most common causes of recurrent styes.
There are no short-cuts in medicine. Follow the steps detailed above.
Yes, many a times stress causes styles.
You should never attempt doing this yourself. It needs to be done in an aseptic environment, in a manner which does not injure the surrounding eyelid glands and other structures.
The cost of surgery can range from Rs 32,000 to Rs 3 lakhs, depending on the exact procedure planned for you.
When performed by trained and experienced Oculoplastic surgeons, Eyelid surgeries are very safe. Since eyelids are very delicate and sensitive, swelling and bruising is always expected. The most common problem in eyelid surgeries is achieving PERFECT symmetry and position. The vision is almost never affected.
Yes. Blepharoplasty is a very effective way of dealing with Hooded eyelids.
No. This can only be a temporary measure, if at all.
Yes, it is likely to get worse with age.
Yes, definitely. Botox can be very useful in some select cases. Ask Dr.Sneha if you are a good candidate for this.
It is sometimes possible to cure Dry eyes, but in most cases it can be successfully managed, with significant relief from symptoms.
Dry eyes can be caused by a multitude of reasons, and in order to successfully manage it, it is imperative to establish the diagnosis first. Some of the causes include
- eyelid problems - like ectropion/ Lagophthalmos/ reduced blink rate/ incomplete blink - which lead to greater evapouration of tears
- Reduced tear production
- due to old age
- excessive contact lens usage
- After LASIK surgery
- Autoimmune diseases like Sjögren’s syndrome
Yes. Tears help to keep the eyes moist and plays an important role in forming the image as well as providing nutrition to the cornea. Dry eyes can thus not only lead to discomfort, but also cause distortion and diminission of vision. Severe dry eyes can damage the cornea and permanently reduce vision.
Yes, dehydration can contribute to dry eyes, and drinking water can help in this situation. But in the absence of dehydration, drinking water may not have any effect on the dry eyes.
There are many tear substitutes which are available, which can supplement the natural tears to maintain hydration of the eyes. Apart from this, you can make simple adjustments in the environment, to support hydration of eyes, such as
- reduce direct exposure to wind/ draft from the AC
- Room humidifiers - to keep the relative humidity of the room ambient
- Use occlusive goggles
- Avoid smoke- including cigarette smoke and pollution
The best eye drop for you depends on your specific requirement and eye condition. Only after a detailed history and examination, Dr.Sneha will be able to access which drop will be most suitable to you. There is no one drop, that is best for all.
Stepwise and systematic approach is paramount in treating dry eyes.
- first, a full consultation with an Oculoplastic/ dry eye specialist in crucial, with a detailed history and examination.
- Incorporate conservative measures to enhance the hydration of eyes
- With your doctor, formulate a bespoke treatment plan for you, based on your specific needs.
Omega-3 and omega-6 fatty acids are very important for producing and maintaining the quality of tears. Apart from this, Zinc, Vitamins B6, B12, E and C in particular, can improve symptoms of dry eyes.