plastic and reconstructive surgery for drooping of eye

1. BLEPHAROPLASTY
Mrs. REVATHY.A

2. INTRODUCTION
• Droopy eyelids are a major reason why some
people consider eyelid surgery to remove and
tighten excess eyelid skin for a more alert,
youthful appearance.
• Sometimes blepharoplasty also can improve
vision by providing a less obstructed field of
view, once droopy eyelids are improved.

3. DEFINITION
• Blepharoplasty (BLEF-uh-roe-plas-tee) is a type
of surgery that repairs droopy eyelids and may
involve removing excess skin, muscle and fat.
• Surgery can be performed on the upper lids,
lower lids or both.

4. INDICATION
• Loose or sagging skin that creates folds or
disturbs the natural contour of the upper eyelid,
sometimes impairing vision
• Fatty deposits that appear as puffiness in the
eyelids
• Bags under the eyes
• Drooping lower eyelids that reveal white below
the iris
• Excess skin and fine wrinkles of the lower eyelid

5. CANDIDATES
Good candidates for eyelid surgery include:
¤ Healthy individuals with no medical conditions
that can impair healing
¤ Nonsmokers
¤ Individuals with a positive outlook and realistic
goals
¤ Individuals without serious eye conditions

6. PREPARATION
• A physical examination. physical examination
which may include testing tear production and
measuring parts of eyelids.
• A vision examination. examine eyes and test
vision, including the peripheral vision.
• Eyelid photography. eyes will be
photographed from different angles. These
photos help with planning the surgery, assessing
its immediate and long-term effects.

7. • Stop taking warfarin aspirin, ibuprofen naproxen
sodium and any other medication or herbal
supplement associated with increased bleeding.
• Quit smoking several weeks before surgery.
• NPO
• Consent

8. PROCEDURE
Step 1 – Anesthesia
• intravenous sedation or general anesthesia.
Step 2 – The incision
• The upper eyelid can be corrected through an
incision within the natural crease on the eyelid.
• This allows for removal or repositioning of fat
deposits, tightening of muscles and removal of
excess skin.

9. • Conditions of the lower eyelid may be corrected
with an incision just below the lower lash line.
• Through this incision, excess skin in the lower
eyelid is removed, and the excess fat can be
repositioned or removed.
• A transconjunctival incision, created on the
inside of the lower eyelid, is an alternate
technique to correct lower eyelid conditions and
redistribute or remove excess fat. With this
technique, no skin is removed.

12. Step 3 – Closing the incisions
• Eyelid incisions typically are closed with sutures
or skin glue. Sutures are removed within one
week.

14. POST OPERATIVE INSTRUCTIONS
• The ointment used during surgery may make
vision blurry. This is temporary and usually goes
away within 24 hours.
• Apply the cold compress to your eyelids every
10 to 15 minutes
• Wear dark sunglasses while going out. Patient
may be sensitive to light.
• Don’t wear contact lenses until at least 2 weeks
after surgery.

15. • For the first 3 to 4 days after surgery, eat soft
foods and take small bites (yogurt, soft cheeses,
well-cooked vegetables, soft fruits, soft bread,
pasta, or ground or tender meats).
• Avoid activities such as heavy lifting and
exercise.
• Head elevation during rest & sleep for 2weeks.

16. COMPLICATIONS
• Infection and bleeding
• Dry, irritated eyes
• Difficulty closing your eyes or other eyelid problems
• Noticeable scarring
• Injury to eye muscles
• Skin discoloration
• The need for a follow-up surgery
• Temporarily blurred vision or, rarely, loss of eyesight
• Risks associated with surgery in general, including
reaction to anesthesia and blood clots