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Aside from making you look older, sagging skin around the eyes might impair side vision or peripheral vision. This is most noticeable in the higher and outer regions of the visual field. Blepharoplasty can minimize or remove these visual impairments, making your eyes appear younger and more attentive. According to the most current American Society of Plastic Surgeons figures, the average cost of cosmetic eyelid surgery is 4,120$.

What is Blepharoplasty?

Eyelid surgery, often known as blepharoplasty, is a form of surgery that modifies the look of the upper, lower, or both eyelids. As people age, their eyelids expand and the muscles that keep them in place weaken. Excess fat may build above and below the eyelids as a result, leading in sagging brows, drooping upper lids, and bags under the eyes. The goal is to enhance the look of the area around the eyes as well as eyesight that has been impeded by sagging eyelids.

Types of Cosmetic Eyelid Surgery

Depending on what you need, there are three different types of cosmetic eye surgery:

  1. Upper Eyelid: If you have sagging skin, excess fat or puffiness on your upper lids.
  2. Lower Eyelid: If you have excess skin or “bags” under your eyes
  3. Double EyelidMany people opt for this procedure to look younger, they do both at the same time for the best results.

Upper Blepharoplasty

Upper blepharoplasty can be performed using stainless steel instruments, radiosurgery incisional procedures, or laser incisional methods. Tissue adhesives, in addition to traditional stitching processes, have been used for skin closure.

The eyes and periorbital region are typically the center point during human engagement and conversation. Changes in the look of the eyelids as we age might give the wrong message of exhaustion, melancholy, and lack of enthusiasm, detracting from the aesthetic aspect of the face.

Upper Blepharoplasty Indications

Upper eyelid blepharoplasty is performed for a number of reasons, both practical and aesthetic. The top lids protect the globe while also distributing tears throughout the eye’s surface and allowing tear drainage through the lacrimal system. If any of these functions are compromised, or if significant ptosis of the upper eyelid obstructs vision, the physician must decide whether surgery is required.

Upper eyelid blepharoplasty advantages include a larger visual field and enhanced quality of life, as well as improved eyesight and fewer headaches. There were conflicting results about the surgery’s influence on eye dryness and brow height. Upper lid blepharoplasty is a cosmetic procedure that enhances the appearance of the eyes.

One of the most important subjects that all facial cosmetic surgeons should examine is the psychological condition of the aesthetic patient. Before the surgeon decides to perform cosmetic blepharoplasty surgery, the two most important factors to consider are the patient’s motivation and expectation of the outcome. The best way to ensure a satisfied patient is to have well-stated and well-understood surgical goals.

Lower Blepharoplasty

Lower blepharoplasty is a collection of surgical treatments used to improve the appearance of the lower eyelids. Lower blepharoplasty was previously used to alleviate lower eyelid wrinkles, skin redundancy, and fat bulges by removing skin and/or fat.

While fat and skin excision are still employed in modern lower blepharoplasty, new advancements follow a tissue-preserving philosophy, which may include orbital and sub-orbicularis fat relocation and fat transfer procedures to correct apparent volume loss associated with face aging. Dermal fillers based on hyaluronic acid originally surfaced as an off-label treatment of lower eyelid and infra-orbital volumization. Using laser energy and light-based treatments, non-surgical lower blepharoplasty solutions or non-surgical adjuncts to incisional blepharoplasty have also been created.

Excess eyelid skin, slackness of the eye muscles and the orbital septum (palpebral ligament), excess orbital fat, lower eyelid malposition, and prominence of the nasojugal groove, where the orbit (eye socket) meets the slope of the nose, can all be successfully addressed with lower eyelid blepharoplasty. The following are some common reasons for lower eyelid blepharoplasty:

  • Rhytidosis and lower eyelid dermatochalasis.
  • Relative steatoblepharon.
  • Pronounced nasojugal groove.
  • Infraorbital/malar deflation.
  • Malar mounds or festoons.
  • Lower eyelid asymmetry.
  • Lower lid retraction.

Revisional Blepharoplasty

Revisional blepharoplasty, also known as eyelid revision surgery, is a second surgical operation done to correct difficulties that have arisen or to improve the outcomes of a previous eyelid procedure. A revision treatment may be recommended if a patient is dissatisfied with the outcomes of a previous blepharoplasty, sometimes due to a disturbing defect or deformity that emerged from the procedure.

Revisional blepharoplasty is more difficult to do than initial therapy, depending on the intricacy of the problem. Lower eyelid retraction, scarring, rounding of the eye corners, hollowing of the upper or lower eyelids, and persistent bags and bulges are the most common concerns treated by revision blepharoplasty. 

Revisional Blepharoplasty Indications

There are various reasons why a patient could need blepharoplasty revision surgery, however the majority of the time, patients are unhappy with the results of their original eyelid treatment. Blepharoplasty involves the treatment of a very delicate part of the face; thus, difficulties might occur if the procedure is not performed by a highly experienced oculoplastic surgeon.

The severity of the issue can vary greatly from person to person, ranging from mild scarring to severe eyelid malposition that compromises the integrity of the eye and its ability to function properly. The most common reasons for blepharoplasty revision are as follows:

  • Scarring. Although the skin on the eyelids usually heals quickly, this is not always the case. As a result, visible scars and lumps near the incision sites may occur, which some patients may not have anticipated prior to undergoing eyelid surgery.
  • Under-corrected eye surgery. When the original eyelid surgery fails to address the fundamental issues or concerns, another problem may arise. An original blepharoplasty or ptosis surgery did not remove enough skin in this case, and/or the muscle that elevates the eyelid was not tightened sufficiently.
  • Excessive removal of fat or skin. A first eyelid treatment that removes too much skin may be uncomfortable for the patient. The most serious consequences are changes in the contour of the lower eyelid, which cause retraction and increased eye exposure.
  • Lower lid retraction changes are complex. They can have a negative impact on an individual’s look and cause excruciating discomfort and dryness. Lower eyelids sag, revealing more of the white of your eye (sclera) than typical. Even though this type of problem is likely to be the most difficult to resolve, a lower blepharoplasty revision can restore the eye contour and give it a more natural shape.
  • Another typical problem that occurs when too much skin or fat is removed is incorrect eyelid alignment. As a result, the look may be unnatural, unbalanced, and asymmetrical. Blepharoplasty revision may be necessary to correct everything and restore symmetry.

How to Prepare for Blepharoplasty?

Before scheduling blepharoplasty surgery, you will consult with your plastic surgeon as well as an ophthalmologist (eye specialist) or a plastic surgeon who specializes in eye operations (oculoplastic surgeon). You and the doctor will next go through the following points in depth:

Your medical background

The doctor will ask about previous procedures as well as previous or present medical issues. Glaucoma, dry eyes, allergies, thyroid problems, cardiovascular problems, and diabetes are examples of such conditions. He or she will also ask about your prescriptions, herbal supplements, vitamins, tobacco, alcohol, and narcotics.

Your treatment expectations

An open discussion about your surgical objectives and motivations can help to set the stage for a successful outcome. If the surgery is likely to be successful for you, your doctor will discuss it with you. 

In addition, you will have to go through the following procedures before undergoing eyelid surgery;

  1. A comprehensive physical exam: You will be examined physically by the plastic surgeon. This could entail measuring sections of your lids and monitoring your tear production.
  2. A vision test: If necessary, the surgeon will also examine your vision as well as your peripheral vision. Typically, this is required in order to file an insurance claim.
  3. Lid photography: The surgeon will photograph your eyes from various angles. The photographs are required for surgical planning, assessing both short- and long-term consequences, and filing an insurance claim.

You’ll be asked to:

  • Stop using warfarin (Coumadin,), aspirin, ibuprofen, naproxen sodium, naproxen, and any other drug or herbal supplement that has been linked to increased bleeding.
  • Consult your doctor about how long you should wait before stopping these drugs. Take just the medications advised by your surgeon.
  • Stop smoking at least a few weeks before your operation. Smoking may impede your ability to recover after surgery.
  • Make plans for someone to drive you to and from your outpatient operation. Make arrangements for someone to stay with you the first night after surgery.

What to Expect During Blepharoplasty

Upper Blepharoplasty Procedure

Skin Marking

The most noticeable aspect of blepharoplasty marking is the maximal limit of skin removal and the skin crease. Any stain that will not be completely removed when the patient is prepared can be utilized as a marker. One of the marking procedures is the skin pinch or skin flap method. With the patient seated and his or her eyes closed, the skin pinch operation is conducted. The natural palpebral fold determines the lower incision line. Small forceps are used to catch the excess skin between the forceps’ jaws. Upper eyelid fold markings form when the eyelid skin is smooth and there is no gap between the lids.

In the skin flap surgery, the skin across the whole upper eyelid area is detached from the underlying orbicularis muscle. The skin of the elevated eyelid is then redraped over the orbicularis, resulting in skin overlap. Excess skin is found and removed.

Upper Blepharoplasty Incision

After the skin incisions are made, one side of the wound is elevated and the skin is removed with a radiofrequency cautery with a fine-angled empire tip. When a strip of pre-septal orbicularis is excised, small incisions above the septum enable rapid access to preaponeurotic fat pads. The hue separates the medial (whitish) and central (yellow) fat pads, which are gently dragged out via the orbital septum’s small perforations (embryonic origins, medial fat pad is neural crest-derived). When eliminating fat pads with a radiofrequency cautery, they should be removed using electrocautery or held with a hemostatic clamp. The remnant stump in the hemostatic clamp is cauterized before facilitating its retraction back into the orbit.

Two nonabsorbable sutures are utilized to relocate the retro-orbicularis oculi fat in order to restore eyebrow volume and internal fixation at the desired location, which is 2-3 mm above the supraorbital boundary. Interrupted horizontal mattress sutures are strung through the orbicularis oculi muscle, superior border of the tarsal plate, and levator fibers to create a noticeable and desirable eyelid crease. Nonabsorbable sutures are then used to approximate the skin, which can be continuous or interrupted.

Lower Blepharoplasty Procedure

A successful lower eyelid rejuvenation surgery cures the patient’s symptoms that correspond to anatomic anomalies revealed during the assessment. Appropriate methods and specifics may vary amongst surgeons. A single approach or a combination of techniques may be used to achieve the desired result.

Markings are typically done when the patient is seated. The steatoblepharon and hollowing borders are drawn with a surgical pen. At the surgical site, a local anesthetic liquid comprising lidocaine and/or bupivacaine with epinephrine is administered. A corneal shield might be worn. It is essential to use a sterile preparation.

  • Trans-conjunctival approach:

The transconjunctival technique is one of the most often used lower eyelid blepharoplasty treatments. This is a great option for folks who have a lot of lower eyelid fat prolapse rather than additional lower eyelid skin. There are several approaches available, but one of the most popular is covered here.

To get access, a desmarres retractor is employed, and an infratarsal incision is created with conjunctiva and lower eyelid retractors. The globe’s ballotement assists in visualizing the fat pads and determining the optimal location for the incision. Traction sutures placed at the proximal conjunctival edge help in exposure. Insufficient exposure may need lateral canthotomy and inferior cantholysis. Because the orbital septum is not broken, direct access to the three lower eyelid fat pads is possible.

  • Skin approach (infraciliary):

In order to reach the lateral eyelid crease, surgical incision is made 1-2 mm below the eyelash line or within an existing infraciliary crease. A skin “pinch” can be used to assess the degree of redundancy by squeezing the skin with a hemostat without causing traction on the eyelid edge. A skin flap, extending as far as necessary to provide adequate movement while keeping the shape of the eyelid opening, may also be produced.

Revisional Blepharoplasty Procedure

The surgical team will provide direct preparation advice to patients scheduled for revisional blepharoplasty. In the weeks leading up to this surgery, patients may be advised to stop smoking, switch to another drug or supplement, and avoid others that may increase the risk of bleeding. 

Revision Lower Blepharoplasty

After the patient has passed unconscious, the surgeon will make tiny incisions to ensure that any scarring that develops afterwards is disguised.

Small, undetectable incisions can be created behind the lower eyelids in the skin’s natural creases. The surgeon will remove excess fat and skin through these incisions, and he or she may also tighten loose underlying muscles. If the area under the lower eyelids appears depressed, the surgeon may use soft tissue fillers or fat transfer. After the surgery, the surgeon will gently heal the incisions with stitches. 

Revision Upper Blepharoplasty

The incisions will be made in the natural creases of the top eyelids after the patient has been given general anesthetic. This reduces the visibility of the procedure’s scars.

The surgeon will gently remove any superfluous skin to correct the drooping effect of the upper eyelids and any partial vision obstruction. They will also strengthen the underlying weak muscles.

After the drooping skin is removed, the surgeon will raise and reattach the remaining skin to provide a more refreshed and youthful appearance. Sutures will be used to close the wounds after the operation is completed. 

Revision Transconjunctival Blepharoplasty

Even though there are excessive fatty pockets around the eyelids, the surgeon may recommend a revision transconjunctival blepharoplasty if the skin around the eyelids is not adequately loose. This treatment is less intrusive and more appropriate for those with less evident under-eye bags.

Following anesthetic administration, the physician performs revision eyelid surgery by making many tiny incisions inside the lower eyelid. The excess fat pockets will be removed through these incisions. This procedure does not include any skin removal or muscle tightening. Because the incisions are performed inside the eyelids, there will be no visible scars.

Blepharoplasty Results

The majority of patients are delighted with their blepharoplasty results, which include a more relaxed and youthful appearance as well as enhanced self-confidence. For some patients, the repercussions of surgery might last a lifetime. Others may notice a return of drooping eyelids.

Bruising and swelling normally subside in 10 to 14 days. You will be more at ease at this stage and will be able to go out in public again. However, you should avoid overexposing your delicate eyelid skin to the sun. Furthermore, surgical incisions may leave scars that take months to fade.

How Much Does Blepharoplasty Cost?

According to the most current American Society of Plastic Surgeons figures, the average cost of cosmetic eyelid surgery is $4,120. This average cost is only a portion of the entire cost; anesthesia, operating room facilities, and other related fees are not included. To calculate your total charge, please contact your cosmetic surgeon’s office.

The pricing for cosmetic eyelid surgery will be determined by the surgeon’s experience, the type of operation done, and the geographic location of the practice. Ask your plastic surgeon about patient financing options for cosmetic eyelid surgery.

Eyelid surgery costs may include:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication
  • Medical tests

When selecting an eyelid surgeon in your region, keep in mind that the surgeon’s experience and your comfort level with him or her are just as significant as the ultimate cost of the procedure.

What affects the Cost of Blepharoplasty?

If you think blepharoplasty could be suitable for you, it’s time to think about the financial elements of cosmetic operations. The cost is heavily influenced by the variables stated above. Remember that the information on this page is only a guideline, and that conversations with providers you are considering will always provide the most precise estimates of procedure costs.

When preparing for a consultation, the items below might help you gain a feel of the questions to ask and variables to consider. Throughout your cosmetic treatment, being empowered and educated will help you get the greatest outcomes.

  • Upper Eyelid vs. Lower Eyelid vs. Malposition: As previously stated, there is often no major cost difference, however certain functional operations may be reimbursed by insurance if performed for a verified medical condition.
  • Provider: A more experienced board certified or specialized clinician would usually charge a higher consultation fee and procedure cost, although bigger practices may have stronger financial or incentive possibilities.
  • Anesthesiologist: Cost is affected by expertise and training, just as it is with a plastic surgeon. General anesthesia is substantially more expensive than local anesthetics, which do not require the services of a qualified anesthesiologist.
  • Location: Typically, the coasts are more expensive than the centre of the country. According to the 2018 ASPS Report, 74 percent of all blepharoplasties performed in the United States are conducted on the coastlines. A higher number of operations usually indicates more skilled physicians and, as a result, higher procedure prices.
  • Recovery: The recovery period after a blepharoplasty will vary depending on the operation, but may involve medications, recovery clothes, follow-ups, and time off work.

Reasons Why People Have Eye Plastic Surgery in South Korea

No matter how controversial this practice is, there are subjective reasons why patients patronize these procedures at every facet in life.

  1. The larger the eyes, the more confident and attractive one’s personality. When done correctly, double eye surgery is claimed to improve image.
  2. Lower blepharoplasty, or eye plastic surgery, is also performed to address bags beneath the eyes. Many people find it unpleasant, which is why they seek to remove extra skin. You don’t want to stroll about with dull, damaged eyes caused by deposited fat.
  3. Eye surgery is also used to prevent saggy and droopy eyelids to make them look younger and aesthetic.

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