Blepharoplasty


Some people have eyelid surgery to correct problems that are a result of aging, while others have inherited
traits such as under eye bags that cause them to seek treatment in their 20s or 30s.

If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be
recommended. Smoothing of crow's feet may require chemical peeling or laser resurfacing procedures.
Alternately, sinking around the bony orbit below the eye can be addressed with fat grafting.

High blood pressure, thyroid problems or diabetes are some of the conditions that can increase the risks
of eyelid surgery. Dr. Guichon will ask if you have allergies and if so, how they affect your eyes. We will
also need to know if you have been told that you have "dry eye" or any other eye problems.

Dr. Guichon will discuss two different approaches to lower lid surgery: one uses an external incision and
the other is performed from inside the lower lid. Your age and the extent of the fatty deposits you have will
determine which approach is used.

An incision is hidden within the natural fold of the upper eyelid for upper eyelid surgery and it is through
this incision that excess skin and fat are removed. Because the incision follows the natural contour of the
upper eyelid, it will be well camouflaged when it is healed.

For lower lid surgery the incision is usually hidden below the lower lashes. Through this incision, excess
skin, muscle and fat are removed. Fat may also be redistributed to eliminate puffiness or bulges. Other
Adjustments such as canthopexy may be made to correct special problems such as muscle laxity.

You and Dr. Guichon may decide that the best approach for removing excess fat is a technique that needs
no external incision. This procedure is called transconjunctival lower blepharoplasty. While it is a good
approach for younger patients, it cannot be used to remove excess skin so a laser may be used in
conjunction with this method to tighten the skin under the eyes.

After your surgery, you may have a feeling of dryness or irritation in the eye. This may require treatment.
There is also a chance of a temporary reduction in eyelid sensation or impaired eyelid function. Impaired
lid function can be treated with additional surgery.

Mild swelling persists for several weeks in some cases while others see swelling resolve in just seven
days. Bruising normally disappears in 2-3 weeks and you may use makeup within the first week to hide
discoloration.

You may find your eyes are temporarily sensitive to light. You may also experience some excess tearing
or dryness. Dr. Guichon may recommend eye drops to relieve burning or itching. You may want to wear
dark sunglasses for a couple of weeks to protect your eyes from the wind and sun.

The incision lines will fade over several months until they become barely visible.