Eyelid Surgery Jackson MS
Our double board certified facial plastic surgeons, Dr. J. Randall Jordan and Dr. J. George Smith, perform Blepharoplasty procedures for the residents of Jackson and surrounding communities in Mississippi.
Sagging skin of the upper eyelids and bags beneath the lower eyelids probably contribute more to the "tired" appearance than any other factor. This very commonly performed operation can bring back a refreshed, livelier look to the central part of the face. The bags under the eye are actually fat herniations. This is usually an inherited condition, and can occur relatively early in life. Some people experience periodic swelling of the lids due to allergy or medical conditions. Surgery will generally not help this.
Two factors account for the excess skin of the upper lids. The eyebrows are generally the first part of the face to sag, and their downward drift contributes to the excess skin of the upper lids. Actual excess skin does accumulate due to the effects of gravity and reduced skin elasticity. This can become significant enough to droop over the eyelashes and cause obstruction of the visual field. In instances such as this, health insurance plans may help with the costs of surgery.
In most instances, upper and lower eyelid problems are corrected at the same time, but either can be performed alone. Patients undergoing the facelift procedure will often times be good candidates for eyelid surgery as well. Persons contemplating facelift surgery should consider the eyelid surgery as well.
"Twilight anesthesia" is usually sufficient for the procedure, and the patient is discharged home after recovering. The surgery is performed by making an incision along the skin crease of the upper eyelid, and then excising excess skin. Any prominent fat bulges are also removed at this time, but this is a lesser problem than in the lower eyelid. The skin is then sutured with dissolving sutures.
The lower lids can be handled in two ways. In most individuals, the incision is made in a skin crease below the lower eyelashes. The fat bulges are then removed and any excess skin is excised. Suturing is again with dissolving sutures. In some, mainly younger, individuals, the main problem is fat bulges and not excess skin. These patients may be candidates for "incisionless" eyelid surgery. This is where the fat is approached from the inside surface of the eyelid, and no incision is made on the outside skin.
Mention here should be made about the wrinkles and "crow's feet" around the eyelids. Both of these will be helped somewhat by the surgery, but neither will be completely removed. In addition, it is impossible to eradicate wrinkles that appear with smiling and laughter. The treatment for crow's feet and fine wrinkling is a chemical peel, and this will be discussed at the consultation.
The first evening should be spent in bed with the head elevated. Ice cold compresses will be used to reduce swelling for the first three days. The patient can be up and about the next day, but with only a light activity level. Discomfort is minimal with this procedure. The vision will be slightly blurred for several days, and therefore, driving a car or other activity requiring good vision is prohibited for ten days. The incisions must be cleaned with Hydrogen Peroxide and Q-tips on a regular basis.
The eyelids will be swollen and bruised for seven to ten days, but will usually be easily covered with make-up at eight days. Oversized sunglasses will disguise the area quite well. In general, the incisions heal very rapidly, and are nearly invisible in three to four weeks. Most patients can go back to work at ten days. Contact lenses cannot be worn for ten days, and the eyebrows and lashes must not be tweezed for the same period.
possible Blepharoplasty complications?
The procedure is usually very well tolerated and safe. Patients with pre-existing eye problems should inform the physician at the time of the initial consult. An examination by an eye specialist is recommended for all patients prior to surgery. Those patients with existing dry eyes will often find that this condition is worsened after eyelid surgery. This is usually temporary and readily treated with medications. Bleeding around the eyeball itself is very rare but potentially damaging to the vision, and for this reason, Aspirin containing medicines must not be taken for two weeks prior to surgery. Any medications that you are taking must be reported to the physician at the time of the consultation. As long as instructions are followed, the healing period is usually very short and problem free.