Questions about Blepharoplasty

Questions about Blepharoplasty

Questions about Blepharoplasty. All the answers to the doubts that patients have expressed over the years.

1. Will there be hematomas or swellings after blepharoplasty surgery?

Blepharoplasty (upper, lower or complete) is a delicate surgery that works on a very thin, almost transparent layer of skin; that’s why it is normal to have swollen eyes after surgery. The use of minimally invasive and constantly updated techniques together with the tight intra and post operative pressure control, allows to reduce the amount of hematomas to a minimum.

2. What type of facial beauty treatments are recommended post blepharoplasty:

Usually, Botulinum injections are recommended in the eye area, which allow to improve the quality of the scars as well as relieve the so-called “crow’s feet”. Another treatment is that of the eye filler, as it has a highly hydrating action.

3. I can combine other operations with blepharoplast?

Absolutely yes: this possibility is assessed together with the oculoplasty during the pre-intervention visit. Blepharoplasty can be combined with the correction of ptosis, remodeling of the outer corner of the eye (canthoplasty) or with the lifting of the eyebrow or with the malar lifting (NEW SERVICE). The combined surgery serve to obtain a more open and expressive look while maintaining the naturalness of one’s physiognomy.

4. Will I have functional eye problems after surgery?

Blepharoplasty is a precision operation that must be performed by expert hands such as those of an oculoplastic surgeon. All surgical operations have risks and complications but being operated by a hyper-specialized surgeon allows you to reduce them to the minimum terms.

5. If I have bags under my eyes, can I undergo a blepharoplasty?

Transconjunctival blepharoplasty is one of the most indicated and most requested interventions to solve the problem of the bags under the eyes, also because it does not leave visible external scars. The operations allows to obtain not only excellent aesthetic and long-lasting results, but also to respect the functionality of the eyes.

6. Can be useful facial gymnastics pre and post blepharoplasty lower?

Facial gymnastics has beneficial effects on the tone of the skin, if performed constantly every day. Post blepharoplasty, for example, oculoplasty recommends the best exercises to perform to resume normal eyelid functionality.

7. Can I solve the problem of bags under the eyes without surgery?

There are ablative and non-surgical techniques, but surely the best solution is surgery through trans-conjunctival lower blepharoplasty (and therefore without visible scars). It is a safe, effective, painless and long-lasting intervention.

8. Can I also undergo surgery in summer?

Blepharoplasty (upper and lower) surgery can be performed in any month of the year even in summer; this is because the scars are located in areas already protected by the eyelid itself. The only precaution is to protect the face and areas treated with a total protection cream in addition to the use of glasses with protective lenses. However, you should avoid exposing yourself directly to sunlight or exposing yourself to ultraviolet lamps that could significantly interfere with the healing process. The tan will have to be postponed for a few months.

9. When are the stitches removed after blepharoplasty?

For upper blepharoplasty the stitches are normally removed within 7 days of surgery as well as for the lower blepharoplasty sutures. The Oculoplasty will evaluate the timing on a case-by-case basis based on the individual response, in the post-operative phase, of each individual patient.

10. Will visible scars remain after blepharoplasty surgery?

It is normal to worry about the presence of scars. For upper blepharoplasty, being the incision line made for a large part at the level of the eyelid crease, they are to be considered aesthetically minimal and negligible. For the lower eyelid, the scars are almost invisible being practiced just below the eyelash line or even absent in the case of transconjunctival blepharoplasty.

11. At what age can I undergo blepharoplasty surgery?

There is no right age; each patient will be directed and advised by the oculoplasty, towards the most appropriate and cutting-edge surgical intervention, to respect the needs expressed during the preoperative interview.

12. When can I start wearing contact lenses again after blepharoplasty?

Normally about a week after surgery, but the oculoplastic surgeon at the suture removal site will confirm the correct timing for each individual case.

13. Is smoking contraindicated before blepharoplasty?

Smoking is one of the major factors of premature aging of the skin and delay in normal scarring. However, there are no particular contraindications if not the advice to reduce the number of cigarettes before and after surgery for at least a couple of weeks.

14. Can I put make-up on immediately after blepharoplasty?

Following what are the indications of the oculoplastic surgeon, from the moment in which the stitches will be removed (approximately 5/6 days after the operation) it will be possible to wear make-up starting from 10 days.

15. Dry eye: can I undergo blepharoplasty?

Those suffering from dry eye can also undergo blepharoplasty. The oculoplastic surgeon will be more conservative during the removal of the tissues so as not to alter the functional component of the eyelids during blinking.

In addition, an appropriate therapy with more or less dense eye lubricants will be instituted in the post-operative period in order to contribute to the correct hydration of the eye. Dry eye is a multifactorial pathology characterized by insufficient protection of the ocular surface by the tear film. Tears are a fundamental barrier for the defense of the eye from external agents. They constantly keep the surface of the eye moist and lubricated thanks to complex mechanisms that regulate its production and evaporation. The defense function of the tear film may be impaired due to:

  • Quantitative alterations of tears: insufficient watery eyes (hypolacrimia).
  • Qualitative alterations of tears: unstable balance between the different components that make up the tear film (dislacrimia).
  • Altered recirculation of tears due to anomalies in the position or dynamics of the eyelids. Before any cosmetic surgery or cosmetic medicine, the oculoplastic surgeon carefully evaluates the ocular surface and the potential risks of developing or aggravating a dry eye syndrome
  • Redness and burning related to the inflammatory reaction and bad lubrication of the eye.
  • Blurred vision due to deficiency and uneven distribution of the tear film.
  • Reactive hyper-lacrimation, made of ‘toxic’ tears, with high saline content, loaded with pro-inflammatory agents, which do not lubricate but irritate the eye and eyelid tissues.

16. Can I undergo a blepharoplasty without resorting to surgery?

Yes, through the plexr. However, this technique can cause major swelling and eyelid burns that last up to 2 – 3 weeks after treatment. In addition, the duration of the post-treatment effect can be less than 6 months. Therefore the oculoplastic surgeon prefers to perform a minimally invasive surgery, whose post-operative period is a maximum of one week and the duration of which is several years.


More informations about Dr. Carlo Graziani

Continuous international surgical training, completed between the universities of Turin and Padua, Moorfields Eye Hospital – University College of London and Medizinische Universität of Vienna.

His field of activity includes pediatric and adult eyelid surgery, tear, orbital surgery and aesthetic surgery of the gaze and face practiced with minimally invasive and innovative techniques.

Dr. Graziani is also an International Member of: General Medical Council, Londra; European Society of Ophthalmic Plastic and Reconstructive Surgery (ESOPRS); also National member of: Società Italiana Chirurgia Oftalmo Plastica (SICOP), Società Italiana Medicina Estetica (SIME)

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