Blepharoplasty (Eyelids)

Make sure to inform your surgeon about your medical history well before sagging eyelids surgery. Depending on your overall health, the surgeon may ask you to do the following before eye bag removal surgery:

Refrain from taking medicines such as aspirin and ibuprofen that may cause thinning of the blood and cause unwanted bleeding during the procedure. These medicines should be stopped at least two weeks prior to the upper and/or lower blepharoplasty.

• Avoid drinking or eating anything after midnight on the day of the surgery.
• Stop taking any herbal supplements.
• Stop smoking.
• Eat something light in the evening prior to the surgery, for example, have a soup.
• Take medications as advised by the doctor before surgery.
• Do not wear any kind of makeup on the day of the surgery and do not travel alone for the surgery.

• Local anaesthesia is administered in the regions around the eyes with the help of a series of systemic sedatives.
• The patient will remain awake but the region around the eyes would feel numb for the total period of surgery. It can be administered orally or intravenously using a needle.
• In case of blepharoplasty bilateral, general anaesthesia is administered.
• The surgeon first makes incisions on the eyelids along the natural crease of the upper eyelid and beneath the eyelashes or behind the lower lid in case of the lower eyelids. These positions ensure that the cuts are not visible after the surgery.
• The surgeon makes specific and well-defined markings to understand from which regions of the eye loose skin and baggy fat must be removed. In many cases, he would also mark the underlying muscles.
• The amount of fat, skin, or underlying muscles that must be removed is decided during the preoperative visits where the facial structure, bone alignment in the face, muscle configuration, and eyebrow alignment and symmetry are studied.
• The instruments or devices employed to remove extra skin, fats or muscles are a scalpel, radio frequency cutting device, surgical scissors and cutting lasers.
• To reconfigure the areas of eyebrows and eyelids and make them smooth, tissue adhesive glue and sutures are used.
• To resurface the skin and remove any remaining wrinkles around the eyes and the eyelids, the surgeon may take the aid of carbon dioxide laser. This makes the surface smooth.
• Incisions in the scalp can also be made to lift the eyebrows simultaneously in case of drooping eyebrows.

• After the surgery, a topical antibiotic ointment must be applied.
• Cold packs must be applied to the eyes every hour for 10 to 15 minutes as you are awake.
• Next day, the frequency can be reduced to a few hours. This will keep the bruises and swelling to its minimum.
• For faster healing, warm compresses must be applied after 48 hours.
• Take medications to relieve pain or as advised by the doctor.
• The sutures in the eyes will dissolve in a week. If not, then visit the surgeon who would have it removed.
• As soon as the redness in the eyes subsides, one can resume a normal life. Till then rest is advised.

Single Eyelid Surgery Cost