What is it?

Blepharoplasty is the plastic surgery of the eyelids that removes the excess of skin and fat and the flaccidity. In some cases, it also improves the functional aspect of the region.
The periorbital rejuvenating is a concept of orbital or periorbital rejuvenating (in the region of the eyes) that has evolved a lot with the new endoscopic and laser techniques. They provide a younger aspect, without scars and a great improvement in terms of wrinkles. The “expression wrinkles”, caused by the movement of the orbital muscle, are indicated for the application of Botulinic toxin (Botox or Dysport), which keeps this region in repose.

What you need to know:

1) Scar
It is placed in the fold of upper eyelid. Since the skin of the eyelids is very thin, the scar tends to be almost invisible.

2) Anesthesia
The majority of the cases are operated on with local anesthesia, with or without sedation.

3) Surgery time
Around an hour.

4) Age
There is no ideal age. The right time is determined by the presence of the problem to be corrected and this may occur at any age.

Before the surgery:

1) Complementary exams to be specified.

2) A picture of the region is important for the evaluation, surgical planning and documentation.

3) Go to the clinic on the day and time scheduled, preferably with someone, mainly if the surgery is an office procedure.

4) Don’t take jewelry and other valuables to the clinic.

5) Don’t polish your nails.

6) Any occurrence such as diseases (the flu, fever, infection) or other motives that cause the suspension of the surgery, advise in advance.

7) The use of Arnica may be done to avoid bruising. This use must start one week to ten days before the surgery. Have an evaluation with the doctor for orientation on the use of medicines before the surgery important for the healing and balance of the organism, aiming a better recovery.

Care:

1) Fasting of at least 6 hours before the surgery.

2) Medication for hypertension and other diseases must be informed for later orientation.

3) Don’t take medicine that contains acetyl salicylic acid (ex. AAS, Rhonal, Bufferin, Aspirin), one week before and one week after the surgery because it increases the bleeding.

4) Appetite suppressing drugs must be stopped 15 days before the surgery.

5) Don’t smoke15 days before and 15 days after the surgery. Why not decide to stop smoking?

After the surgery:

1) Pain: Generally it is not important. Even if there is a higher sensibility or small periods of pain, they may be eliminated with the use of common painkillers.

2) Hospital time: Normally, it’s an office procedure.

3) First dressings: Gauze with cold serum or chamomile tea on the eyelids, constantly during 48 hours.

4) Bathing: Normal.

5) Food: Free after the surgery.

6) Bruises: The eyelids may be more or less purple, depending on the personal characteristics. Continue with the cold dressings and the use of ointments may be prescribed.

7) Swelling: It varies from patient to patient. Normally, there is a little swelling in the first 48 hours. Some patients present a very normal aspect in the fourth or fifth day after the surgery, others get this result after the seventh day.

8) Secretion: It’s normal the accumulation of secretion in the morning. Clean the eyes with serum several times during the day. Don’t rub nor scratch the eyes. lhos.

9) Stitch removal: The removal of the stitches is done around five to seven days after the surgery. It’s possible also to use surgical glue, what would eliminate the need to remove the stitches.

10) Physical efforts: avoid them in the first week.

11) Sun: No sun exposure during two months. We recommend the use of a sun block every three hours (SPF above 20).

12) Make-up: Allowed after the 7th day.

13) Hydration and draining: É importante a hidratação da pele e a realização de massagens palpebrais para acelerar a recuperação.

14) Sensibility: There may be a small area with no sensibility close to the eyelashes, but the sensibility will return after 1 month.

Will this disappear?

Every surgery involves a certain recovery period. Be patient because your organism will take care of some little problems that invariably will call attention of some people who will ask: "Will this disappear?” Always share with us any type of concern. We will give the necessary explanations for your tranquility.

Final Result:

Initially, during the first four months after the surgery, the region is in the process of recovery, but, with time, there is a gradual accommodation of the organic tissues. During this period, the scar is red and hard, but it becomes thinner and lighter with time.
After the fourth month a new picture is taken for the comparison of the appearance before and after the surgery. This reevaluation may indicate the need for a retouch, procedure considered common in plastic surgery, which must be done after the 6th month and before the 10th month after the surgery.