What is Blepharoplasty ?

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Why do you need Blepharoplasty?

Blepharoplasty is indicated for:

  • Cosmetic concerns:
    • Droopy upper eyelids: Excess skin causing a tired or aged appearance.
    • Puffy eyelids: Fat bulges creating “bags” in upper or lower lids.
    • Lower eyelid sagging: Wrinkles, excess skin, or dark circles.
  • Functional issues:
    • Dermatochalasis: Excess upper eyelid skin impairing vision (e.g., blocking peripheral vision).
    • Ectropion: Lower eyelid turning outward, causing irritation or tearing.
    • Entropion: Lower eyelid turning inward, causing lashes to rub against the cornea.
  • Other conditions:
    • Ptosis (if combined with ptosis repair): Drooping eyelid due to muscle weakness.
    • Post-trauma or tumor: Reconstruction after injury or lesion removal.

The procedure aims to enhance eyelid appearance, improve vision (if functional), and correct eyelid malpositions, boosting confidence and comfort.

Why Do Blepharoplasty Costs Vary in Philippines?

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Blepharoplasty Procedure

  • Before Surgery Evaluation:
    • Assessment:
      • Ophthalmic exam: Checks vision, tear production (Schirmer’s test), and eyelid function.
      • Visual field test: Confirms vision obstruction (functional cases).
      • Photographs: Document eyelid appearance for planning and insurance (if functional).
      • Blood testsBlood sugar, clotting profile (to assess bleeding risk).
    • Medications: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe; antibiotic eye drops (e.g., moxifloxacin) 1 day pre-surgery.
    • Consent: Risks, including scarring, are explained.
  • Surgical Techniques:
    • Upper Blepharoplasty:
      • Performed under local anesthesia with sedation, lasting 45–60 minutes.
      • An incision is made in the natural crease of the upper eyelid (hides scar).
      • Excess skin, muscle, and/or fat are removed or repositioned.
      • The incision is closed with fine sutures (removed after 5–7 days).
    • Lower Blepharoplasty:
      • Performed under local anesthesia with sedation, lasting 1–1.5 hours.
      • Transconjunctival approach (preferred, no visible scar): Incision inside the lower eyelid to remove or reposition fat.
      • Subciliary approach (if skin removal needed): Incision just below the lash line; excess skin and fat are removed.
      • Sutures (if used) are removed after 5–7 days.
    • Combined Procedures:
      • Often paired with ptosis repair (for droopy lids) or canthopexy (tightens lower lid).
    • Intraoperative Tools:
      • Operating microscope: Enhances precision.
      • Cautery: Controls bleeding.
      • Fine sutures: Minimize scarring.
  • After Surgery:
    • Observation: Same-day discharge.
    • Eye care: Antibiotic/steroid ointment (e.g., tobramycin-dexamethasone) for 1–2 weeks; cold compresses to reduce swelling.
    • Pain management: Mild discomfort managed with acetaminophen.
    • Instructions: Avoid rubbing eyes, makeup, or strenuous activity for 2 weeks; sleep with head elevated.

Recovery After Blepharoplasty

  1. Immediate Recovery: Same-day discharge; swelling/bruising peaks at 2–3 days.
  2. Post-Surgery Care:
    • Swelling/Bruising: Around eyes for 1–2 weeks; cold compresses for 48 hours, then warm compresses help.
    • Pain: Mild discomfort for 3–5 days, managed with acetaminophen.
    • Eye care: Apply antibiotic/steroid ointment 2–3 times daily for 1–2 weeks; avoid water or makeup for 2 weeks.
    • Activity: Avoid strenuous activity, heavy lifting, or bending for 2 weeks; normal activities (e.g., reading) in 3–5 days.
    • Vision: Temporary blurriness (due to swelling or ointment) for 1–2 days.
    • Sutures: Removed after 5–7 days (if not dissolvable).
  3. Follow-Up:
    • Visits at 1 week (suture removal), 1 month, and 3 months to monitor healing.
    • Final results: Visible at 3–6 months once swelling fully resolves.

Most resume normal activities in 1–2 weeks; full recovery takes 4–6 weeks. Cosmetic outcome: 90–95% achieve a refreshed appearance; functional cases report 85–90% vision improvement (if vision was impaired).

Risks and Complications

  • Surgical Risks:
    • Bleeding (1–3%): Hematoma or bruising; may need drainage if severe.
    • Infection (1–2%): Redness, swelling, or discharge; treated with antibiotics.
    • Scarring (1–3%): Usually minimal and hidden in natural creases; hypertrophic scars rare.
  • Post-Surgery:
    • Dry eyes (5–10%): Temporary, due to altered tear production; managed with artificial tears.
    • Asymmetry (2–5%): Uneven eyelid appearance; may need revision surgery.
    • Lagophthalmos (1–3%): Incomplete eyelid closure; usually temporary, resolves in weeks; severe cases may need correction.
    • Ectropion/Entropion (<1%): Lower lid malposition; may require revision surgery.
  • Long-Term:
    • Over/Undercorrection (2–5%): Too much or too little tissue removed; may need revision.
    • Vision changes (<1%): Rare; due to corneal irritation or pressure changes.
    • Emotional impact: 5–10% may need time to adjust to new appearance; counseling helps.

Report severe pain, vision loss, excessive swelling, or discharge promptly.

Frequently Asked Questions (FAQs)

What causes the need for blepharoplasty?

Aging (sagging skin, fat prolapse), genetics, trauma, or functional issues like vision obstruction or eyelid malposition.

Can I avoid blepharoplasty?

Yes, for mild cosmetic concerns: Non-surgical options like Botox, fillers, or laser resurfacing; functional cases often require surgery.

Is blepharoplasty painful?

No, performed under anesthesia; mild discomfort post-surgery for 3–5 days, managed with medication.

How soon can I resume activities?

Light activities in 3–5 days; normal routines in 1–2 weeks; full recovery in 4–6 weeks.

Is blepharoplasty covered by insurance in India?

Yes, for functional cases (e.g., vision impairment); cosmetic cases typically not covered; confirm with your provider.

Signs of complications?

Severe pain, vision loss, excessive swelling, or discharge.

Will I have visible scars?

Minimal; scars are hidden in natural eyelid creases (upper) or inside the lid (transconjunctival lower); fade over 6–12 months.

Lifestyle changes post-surgery?

Avoid rubbing eyes or makeup for 2 weeks, use prescribed ointments, wear sunglasses for UV protection, and attend follow-ups.

Conclusion

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Looking for Best Hospitals for Blepharoplasty

Note: we are not promoting any hospitals

We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)

  • click on your city and schedule your surgery now done in good hands.
City Minimum Price (₱) Maximum Price (₱)
Angeles City
Antipolo
Bacolod
Bacoor
Baguio
Butuan
Cagayan de Oro
Caloocan
Cebu City
Dasmariñas
Davao City
General Santos
General Trias
Iligan
Iloilo City
Las Piñas
Makati
Malolos
Manila
Muntinlupa
Parañaque
Pasay
Pasig
Puerto Princesa
Quezon City
San Fernando
San Jose del Monte
Taguig
Valenzuela
Zamboanga City

Disclaimer

This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.

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