How is the operation performed?

Through incisions or cuts in the upper and lower eyelids, excess skin of the eyelids is removed as well as adjustment made to the underlying tissue of the upper and lower eyelids. Some excess fat tissue may be removed from the eyelids and the fat of the lower eyelids may be re-draped down onto the cheek. This will smooth the eyelid contours, correcting bulging of the lower lid which often causes a noticeable groove between eyelid and cheek.

How long does the operation take?

The operation takes 1 to 2 hours, depending on the extent of each case.

Do I have to stay in hospital?

For eyelid surgery alone, the operation is performed under general anaesthetic on a day surgery basis. If brow-lifting is also done, overnight hospital stay is usually recommended.

When can I return to activities?

Considerable bruising and swelling over the first few days may be encountered. This can be expected to settle rapidly over the first week and will usually have completely resolved by the end of the second week. Generally speaking you will be confident and happy to engage in social contact by about the second week following surgery although this varies with each patient.

Are there any risks?

As with any surgical procedure, there is a small risk of complications. Surgery and anaesthesia are very safe and it is most unlikely you will experience any difficulty. However, there is a small chance that a minor complication such as bleeding or infection may occur.

Scars: Incisions used for blepharoplasty are cleverly placed where they blend into the natural lines of the upper and lower lids. For the first few weeks the scars may be pink and slightly thickened. Scarring following surgery may take up to two years to fully mature and can be expected to be minimal and unnoticeable.

Swelling: Swelling of the eyelids can affect contour for some weeks and during this period of settling, improvement in eyelid contour can be expected. It is likely that close scrutiny of your eyelids following the procedure may reveal some small irregularity in contour or symmetry.

Vision: Some blurring of vision is not uncommon in the early post-operative phase due to swelling.

Anaesthetic: You will be receiving a general anaesthetic and your anaesthetist will be discussing with you possible discomforts following anaesthesia. Anaesthesia today is very safe and the chance of any problem is very low. Any questions you have regarding your anaesthetic would be best answered by your anaesthetist at the time of surgery.

What about costs

Costs of surgery will always differ from surgeon to surgeon.  There is a range from “cheap and nasty” to ridiculously overpriced in the market place.  Do your homework and be happy with the quality of service and experience you are being offered.   Beware of the pitfalls of shopping around for the cheapest costs for this operation as this is the wrong way to choose your surgeon and may leads to disappointment with results.  Remember surgery is not like purchasing a TV or a computer.  The product is not a commodity and what you get will differ depending on who you choose to perform your surgery.  Dr Drielsma offers a good value price structure for breast lifting but his patients choose him on reputation and results, not the cheapest price.

General Information

You should avoid smoking for three weeks before and after surgery to assist the healing process. You should also not take aspirin or aspirin containing medications for two weeks prior to surgery.

Should there be any questions regarding blepharoplasty, be sure they are answered in advance by Dr Drielsma. Well meaning friends are not a good source of information. Find out everything before proceeding with the operation – a well informed patient is a happy one.

Remember, the realistic aim of this operation is improvement, not perfection.

Please note: The above information mentions only some of the benefits and complications of a blepharoplasty. This information should not be regarded as a substitute for information and advice provided by Dr Drielsma during consultation.


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