Fig. Eyelids with excess skin and greasy bags (two upper and three lower). Marking of spindle in upper eyelid where excess skin will be removed and marking just below the eyelashes on the lower eyelid. Final result, associated with lateral Cantoplasty.

Technical Name: Blepharoplasty
Body part: upper and lower eyelids
Objectives: Remove excess skin on upper and lower eyelids. Remove or reposition the greasy bags. Raise the outer corner of the eyelid, in secondary and senile cases, it is necessary the Cantoplasty.
Recommended age: from the age of 40, or before, to remove excess greasy pockets.
Anesthesia: local with sedation.
Duration of surgery: on average 1.5 hours

Hospital stay: from 4 to 12 hours
Scar: imperceptible, hidden in the upper palpebral sulcus and in the eyelashes of the lower eyelid.

Laboratory exams (Complete blood count, Coagulogram, Blood glucose, optional anti-HIV, Urine examination, E.C.G. and chest X-ray PA for over 40 years) and Medical photography. Evaluation with the Olfalmologist in cases of any previous eye complaint. Avoid smoking 15 days before, at least. Do not use Acetyl Salicylic Acid (ASA, Aspirin) or anticoagulant medications, as well as Ginko biloba, for 15 days before and 7 days after surgery.

Day 1: Rest in bed with headrest raised to 30 degrees. Get up just to go to the bathroom, slowly. Healing with intermittent cold compresses. At night, eye drops (Lacrima Plus) or ophthalmic ointment (Epitezan) to protect the eye. Avoid lowering your head or making jerky movements to avoid bruising. Light diet at the end of the day. Medications taken at the hospital: Antibiotic (Keftaple 1g EV 12 / 12h), Antinflammatory (Profenid 01 amp EV 12 / 12h), Analgesic (Tramal 01 amp EV if pain). Other usual medications for vomiting, stomach, antihypertensive.
2nd day: the dressing is renewed. Medications taken at home (WITH MEDICAL RECIPE): Antibiotic (Cefadroxil 500mg VO of 12 / 12h box with 8 comp.), Anti-inflammatory (Biprofenid 01 comp. VO every 12 hours), Analgesic (Dipirone or Tylex 30mg VO If pain) and the usual. Protect the scar, do not scratch the eyes or scar during the first week.
4th day: the points are withdrawn.

Recovery time: 7 to 15 days.

Associated surgeries: Ritidoplasty (Cervico-facial Lifting), Sub-chin liposuction (double chin) to eliminate double chin.

Blepharoplasty Care

Cold packs for 3 days.
Cleaning the face and eye area with saline solution. Skin cream (Vit.K and Arnica) on ecchymosis.
Sleep from dorsal decubitus (belly up), and exercises only after 1 month.
Do not pick up sun for at least 2 months. Photoprotector 30 FPS daily after 15 days.
Edema: decreases 50% with 1 week and 100% with 1 month.
In case of a high scar, massage for one minute with Rosehip Cream at 15% + Tamoxifen Citrate 0,1%; Or 0.5% Triamcinolone + 0.5% Hydrocortisone. In case of reddish scar, use Kelo-cote gel 2 times a day.
The scar may turn red for up to 6 months. In this case, do not expose yourself to the sun and avoid crustacean.
Return for one month, two, four, and six month reviews. Final return for photography and possible retouching with one year.