Blepharoplasty Surgery

Cause of an ageing eyelids

As a result of ageing, the skin of the eyelids sags downwards. The fat bags also tend to come out from their original position. Fat bags are those structures that are present over the eyeballs. The eyebrows also sag down in certain persons.


Local anesthesia is mostly administered for this procedure. The procedure begins by injecting local anesthesia over the eyelids. Incisions are made under the eyelashes. The lines of the eyelids cover these scars, as a result of which no evidence of surgery is seen. In trans-conjuctival blepharoplasty, the anesthesia is administered through the conjunctiva. The structures like the protruding fat bags and eyelids are removed. This results in a much younger looking eyelid. In order to cover the tear trough, fat bags can be used. This is to reduce the hollowness that is present under the eyes. The procedure has been popularized by Dr. Ruth Graf (Brazil). Dr. Amit Gupta has obtained intensive training in this procedure from Dr. Graf.

A general treatment protocol that is followed in our centre is:

1. The Youthful ( less than 35 years) – Fillers ( Juvederm Ultra XC) for tear trough with 8 point lift ( Juvederm Voluma) or fat injection. With only fat bags, Trans conjunctival blepharoplasty is best option.

2. Hep and Happening ( 35 -50 years) – Fillers with cheek enhancement . For more lasting treatment, conventional blepharoplasty with fat injection is preferred.

3. Peach years ( 50-60 years) – Fillers + Blepharoplasty.

4. The Experienced Gems ( 60 and beyond) – Blepharoplasty, with consideration of face lift.

Possible Complications

Swelling can easily occur over the eyelids as the skin over the eyelids is very thin. It can take almost 3 to 6 weeks for the swelling to disappear. During this period, the patient is advised to wear spectacles while going outside. If the trans-conjunctival procedure is used, chances are conjunctival inflammation may happen. If it is diagnosed that the patient is hypertensive, then blood pressure must be brought under control prior to the surgery. Anticoagulants like aspirin also have to be stopped 1 week prior to the surgery. This is to ensure minimal bleeding during the surgery.

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