Kevin Dieffenbach, M.D.

Plastic Surgery in Honolulu, Hawaii

98-1247 Kaahumanu St #109 Aiea, HI 96701 | Phone: (808) 678-1955

Eyelid Surgery Honolulu Hawaii

Eyelid Surgery cover

Eyelid surgery (also known as eyelid lift or blepharoplasty) is a surgical procedure commonly performed for cosmetic reasons to correct the upper and lower eyelids sagging or other issues.

Excess skin or fat on eyelids can give them a heavy and aged look. The puffiness around the eyes caused by saggy and fat filled eyelids can even block vision. So the eyelid surgery is needed for correcting dropping of eyelids other than cosmetic reasons.

The results of upper eyelid surgery last for at least 5 to 7 years and the surgery might need to be repeated after that. Lower lid surgery however, lasts longer and rarely needs to be repeated.

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Who is a Good Candidate for Eyelid Surgery?

Candidates for eyelid surgery can either be those who’re looking for cosmetic improvement or the ones looking for functional improvement of the vision.

Ideal candidates are the one who’re otherwise in good health and have realistic expectations. Most patients are above 35 years of age.

Old age patients with age related sagging of eyelids get good results with the surgery. The ones with familial dropping of eyelids can get the surgery performed at earlier age too.

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Preparation for Eyelid Surgery

Although eyelid surgery is a minor operation, but you’ll need someone to accompany you to the office and also drive you back home once discharged.

You’ll be needing few days off from the work and restrict activities in order to recover so plan accordingly.

After the surgery you’ll be needing ice cubes / ice packs and small gauze ready at your home. Medicines and pain killers will be prescribed by your surgeon upon discharge.

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Eyelid Surgery Procedure

Eyelid surgery is a minor operation and is usually performed under local anesthesia, however IV sedation is also used for the blepharoplasty procedure.

The procedure takes < 1 hour per eyelid. So if you’re having all four eye lids lifted (2 upper and 2 lower) it might take around 2-3 hours.

The natural lines of eyelid are incised followed by separation of underlying soft tissue. Excess tissue like fat and skin are removed. The incision is then closed through stitching that stays there for less than a week and then removed.

There are two techniques usually used for the lower eyelid surgery:

  • Making an incision in the inner lining of the eyelid to remove fat followed by excision of excess skin.
  • Making an incision on the eyelashes margin and removing excess tissues through that incision. The incision fades away after some time.

It’s common to have mild swelling or occasionally bruising on your eye lids after surgery and shouldn’t be worried about. However if they’re painful and huge, consult your surgeon immediately.

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Complications of Eyelid Surgery

Eyelid surgery is a relatively safe procedure and complications are rare, however they do occur and should be looked for. Possible complications of eyelid surgery include:

  • Bleeding
  • Hematoma formation
  • Infection
  • Dry eyes
  • Discoloration of eyelids
  • Abnormal folding of eyelid skin
  • Unable to completely close eyes
  • Pulled up eyelash line (in upper eyelid) and pulled down eyelash line (In lower eyelid)
  • Loss of vision

Contact the surgeon immediately if any of these complications develop:

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Kevin Dieffenbach, M.D. 98-1247 Kaahumanu St Aiea, HI 96701 Telephone: (808) 678-1955

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