Eyelid Surgery/Eye Lift
The procedure for eyelid surgery involves removing the unnecessary fat of a baggy eyelid and excess skin to tighten the muscles around the eye area. The surgeon makes a natural lines incision surrounding the eyelids below the lashes of the lower lids and in the creases of the upper lids.
Eyelid surgery is an outpatient procedure. Hospital admission is not necessary. The operation will only take two to three hours and can be done normally in local anaesthetic injection. The procedure can also be done in general anesthesia.
Pre Operative Care
In order to make sure that you can undergo eyelift as safely as possible, the following preparatory activities are performed:
• Inform the surgeon of any allergies, all medical conditions, and any medication that currently taking (both prescription and non-prescription).
• Avoid aspirin and blood thinning medication such as brufen for two weeks to eliminate the chance of post operation bleeding.
• Avoid smoking for two weeks prior to surgery as this may affect your reaction to the anaesthetic and prolong the healing process.
• Inform the surgeon if suffering from any major medical problems such as diabetes, high blood pressure, heart disease.
6 hours prior to surgery
For precautionary measures, surgeons advise patients to avoid the following:
• Food and liquid intake if general anesthesia is scheduled.
• Eye make-up, mascara. Ensure the face is clean of any make-ups.
Post Operative Care
After the eyelift, the following are advised:
• Dressing: For three days, the patient will put a compressive adhesive tape over the lower eyelid. The sutured area should be dressed twice everyday with saline solution or the medication recommended by the surgeon.
• Medication: Oral antibiotics, anti-swelling and pain reliever tablets will be provided to the patients and will be taken as instructed by the surgeon. It is important to complete the full course of antibiotic therapy to make it effective.
• Cold compression: This can be applied for the first three days to avoid extra bleeding from the wound and to minimize inflammation.
• Warm compression: This should not be used for the first 3 days unless instructed by your surgeon. War compressions can only be applied after the three days to accelerate healing.
• Suture Removal: Removal of sutures should be done on the 5th or 7th day post-op.
• Follow-up appointments: A patient should schedule appointments on the 7th day following the surgery. Follow-up appointments may be scheduled by a surgeon as necessary.
• Showering: Suture site must be kept dry and away from any sweat and dirt until the stitches are removed. Chloramphenicol ointment can be applied over the suture line before taking a shower.
• Activity: Patients are advised to have bed rest in a cool and dry room and to limit your activities for a few days following surgery. All activities that are strenuous must be avoided for the first 3 days.
• Lying position: In the first few days and when sleeping, it is best to lay with your head elevated.
Pain may be intense and bruising and swelling will manifest for the first two days following the procedure. However, the pain will start to subside after 3 days and 80% recovery will likely be attained in 3 weeks. Scars will remain, but it will be concealed very close to the lower eyelash.
When to call
It is important that you know the signs of infection. This includes fever temperature over 37.8 ºC, pain not relieved by medication, increased redness along the incision, yellowish or greenish fluid collection on the wound edge, excessive swelling or excessive tenderness.
When signs and symptoms of infection is noted or there is bleeding from the incision that is difficult to control with light pressure, contact your surgeon.
Risks and Complications
Risks are inherent to any surgical procedure. But no worries, all precautions are taken by Plastic Surgery Phuket’s surgeons to avoid these risks.
Here are the most common risks of this surgery:
• Excess Fluid
Ectropion or the eversion of the lower eyelid rim may also happen to some patients that have very fragile eyelid.
Risks can be reduced by closely following the surgeon’s instructions both before and after surgery.