Eyelid repair (Blethroplasty)

Eyelid surgery (blepharoplasty) is used to correct "puffy bags" below the eyes and drooping upper lids that make the patient look older and tired or that interferes with vision. Eyelid repair is sometimes with other facial surgery such as a browlift or face-lift. Eyelid surgery will not remove wrinkles around the eyes, lift sagging eyebrows, or eliminate dark circles under the eyes. Medical conditions that make blepharoplasty more risky are: * thyroid problems such as hypothyroidism and Graves' disease * dry eyes or lack of sufficient tears * high blood pressure or other circulatory disorders * heart disease or disorders of the blood vessels * diabetes * retinal detachment * glaucoma

The incisions are made in the natural creases or folds of the eyelids.

Loose skin and extra fat tissue is removed. The eyelid muscles are tightened and the incision is stitched (sutured) closed.

The patient can usually leave the hospital the day of surgery. The eyes and eyelids may be covered with ointment and a bandage. They may feel tight and sore as the anesthesia wears off, though the discomfort is easily controlled with pain medication. The patient should keep the head elevated for several days and use cold packs to reduce swelling and bruising. Eyedrops may be recommended to reduce burning or itching of the eyes. The patient should be able to see well after two to three days. Contact lenses should NOT be worn for at least two weeks and may feel uncomfortable for longer. Keep activities to a minimum for three to five days, and avoid strenuous activities that raise blood pressure. Avoid excessive lifting, bending, and rigorous sports for about three weeks. The stitches will be removed in two to seven days after surgery. The amount of bruising depends on the extent of the surgery done and the person's general health but usually reaches its peak during the first week and lasts from two to four weeks. The patient may notice increased tears, increased sensitivity to light and wind, and temporary vision changes (such as blurring or double vision) for the first few weeks.