Eyes are the most expressive part of the face and are often the first to show aging signs: wrinkles, bags, drooping and "tired look". For that reason, blepharoplasty is often the first rejuvenating step to be undertaken. Blepharoplasty has evolved from simple fat and skin excision to a far more sophisticated operation where many more anatomic structures are addressed. It has become a much safer and predictable operation. Lateral canthal ligament, i.e. eyelids attachment to the bone, is tightened to give back support to the lower eyelids and prevent the "round eye" look. The eyelid muscle (orbicular) is tightened to give back a youthful appearance to the lower eyelid. Incisions are concealed and scars rapidly become inconspicuous. Some candidates harbour bags without excess skin.This can be corrected by a conjonctival incision and no visible scars.
Laser resurfacing or peeling can address fine wrinkles or minimum loose skin. Contrary to popular belief, laser resurfacing is not without risks and its healing process is not any lighter than surgery. Redness from laser surgery can last from 3 to 6 months, while blepharoplasty might be acceptable at 2 weeks, and at its best at 8 weeks. Candidates for blepharoplasty are 35 years of age or older, although some patients may show early signs of aging even in the twenties.
Local anesthesia is by far the most comfortable way for a blepharoplasty. Light to heavier sedation may be used, as required. There is no pain involved with this operation. Swelling and bruising disappears within two weeks. Most people go back to work by then, some at 5 to 7 days with appropriate makeup and sun glasses.
