In the patients that present excess of fatty bags «rings» and skin excess with wrinkles, is carried out a blepharoplasty.
Anesthesia:
It is carried out under local anesthesia, unless it is combined with other procedures.
Procedure:
In the cases with great deterioration of the lid is carried out the conventional surgery carrying out a cut under the eyelashes, drying up the fatty bags, tuning the skin and moving away spare skin; the stitches are left 3 to 5 days. Duration approximately 1 hour, ambulatory handling.
If only fatty bags are present and the skin is in good condition, we carry out a transconjuntival blepharoplasty, impacting the internal part of the lid neither leaving external scar nor the necessity of removin stitches, very useful in young patients.
Antibiotics, analgesic and ophthalmic ointments are formulated.
Procedure or surgery:
fatty bags and skin reduction.
Methods:
– Classic surgery through anterior way.
– transconjuntival surgery (behind the lid without scar)
Objective:
– To reduce inferior fatty bags (rings).
– To reduce skin excess and orbicular muscle (low enlargement of the eyelashes)
preoperative Preparation:
– Fast 8 hours in advance.
– To communicate possible medicine allergies.
– To go the day of the intervention with comfortable and wide, buttoning or zipper clothing.
– Do not wear any make up.
Type of Anesthesia:
– Local anesthesia in most of the cases.
– General anesthesia in the event of combined surgeries.
Incisions:
– It is carried out an incision under the lashes of the inferior lid.
The transconjuntival technic doesn’t leave external scars.
Effects and/or convalescence:
– Light swelling during one week that is solved in two to three weeks.
– Ecchyimosis (bruises) during 15 days.
– Located changes of sensibility (they disappear in weeks)
Complications:
– post operative hemorrhages , not very frequent. It requires strict surveillance.
– Infection. not very frequent.
– Bad scaring, is the patient’s individual factor.
post operative Instructions:
– Do not to carry out any effort during the first two days.
– To take the recommended medication.
– Do not to take the sun at least in two months.
– To attend the periodical controls.
– The patient can travel within 8 days, according to the evolution.
– Stitches removal within 3 to 4 days.
– post operative ice during 48 hours.
– Massage in the lid during two weeks.
Hospitalization:
– Ambulatory generally.
Results:
– Rejuvenation of the superior lid.
– Reduction of the rings.
Final time:
– One to two months.
