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How to become alert and refreshed when you get droopy eyelid surgery

We all get droopy eyelids as we age, or at least most of us do. Droopy eyelids make us look less alert, un-refreshed and tired, even though we have likely had enough sleep.

Droopy eyelids are the single most ageing feature of a person as they get older and by reversing the droopy eyelids we can refresh the eyelid area and help you to regain your more youthful look and be more wide-eyed open and alert and refreshed for that you need to get droopy eyelid surgery.

If you get droopy eyelid surgery, it means you get Oculoplastic Surgery. Droopy eyelid surgery is done here at Clinica London, in our day case theatre. I am a fully trained oculoplastic surgeon. I was the founding secretary of the British Oculoplastic Surgery Society, and I trained in oculoplastic surgery at Moorfields Eye Hospital. I have lectured both nationally and internationally on eyelid surgery for droopy eyelids.

I run a busy oculoplastic service, regularly assessing patients with droopy eyelids, carrying out their operation under local anaesthetic here at Clinica London and looking after them in the postoperative phase and as such I am fully qualified and experienced to look after you and your eyelids when you got droopy eyelid surgery because I know the anatomy really well. I have probably done over 5000 upper eyelid blepharoplasties and ptosis surgeries, and I am aware of not only the patient’s concerns but also the genuine risks of surgery and how to avoid them or manage them if they occur. Yes, surgery is not without risk.

The risks of upper eyelid surgery for drooping eyelids includes most commonly bruising and swelling for the first one to three weeks after surgery. There can be some dry eye associated because the eyelids do not move so well initially because they feel bruised, slightly sluggish and there can be some apparent asymmetries to begin with, which usually settle out as the postoperative swelling disappears.

There are more important potential side effects when you get droopy eyelid surgery, which includes impact to your vision and we do everything possible to avoid this rare side effect.

If you look on the internet and want to make yourself feel scared, you look up the words “blepharoplasty and blindness”. Don´t. If you do, you will find that there are just a few tiny numbers of cases worldwide where patients had their vision affected and usually this is associated with quite extensive surgery predominantly of the lower lids where there is tugging on the orbital fat, which causes a deep bleed within the orbit. This creates a sudden rise of pressure in the orbit, which can compress the nerve and threaten the vision.

In upper eyelid surgery you are awake, and although the local anaesthetic numbs your eyelid we can continuously monitor you, we can see the pupil for any adverse reaction and you are under constant meticulous observation during the surgery for any signs could indicate that you may be having a small bleed within the orbit.

Mainly, we limit the amount of soft tissue reduction in the upper eyelid to usually either none at all or a slight decrease of the medial fat pad or reduction of the lateral sub-brow descended fat. In this way, we minimise the risks of your surgery having any severe adverse effect.

If you are, however, on warfarin or have been taking ibuprofen regularly it is essential you tell your doctor this before to get droopy eyelid surgery so that you can stop these drugs and go on to an alternative such as heparin instead of warfarin and paracetamol instead of ibuprofen because the warfarin and the non-steroidal anti-inflammatories increase your risk of bruising.

If you get deep bruising within the orbit, this can put pressure on the nerve and affect the vision. Therefore, asking you to stop non-steroidal anti-inflammatories a week or two before surgery is not only to stop or reduce your chance of having visible bruising around the eyelid but also concealed bruising deep inside.

I started off this blog by telling you how to become alert and refreshed when you get droopy eyelid surgery. It is very important that you understand that although we do surgery under local anaesthetic as a day case you have to be fully informed of the potential complications and when choosing your oculoplastic surgeon you should choose a surgeon who regularly performs blepharoplasty and ptosis surgery and who has a good knowledge of the anatomy and experience of surgery and management after the surgery.

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