Upper or lower eyelid surgery in Kenya

Upper blepharoplasty is an eyelid surgery procedure used to remove excess skin and puffiness from the upper eyelid – the area that makes you look tired and worn out. Lower blepharoplasty involves reducing the depth of your tear trough area, reducing puffiness (“baggy eyes”) and also reducing excess skin and wrinkling from below your eyes. After a blepharoplasty, your eyes will look fresher and more youthful.

Summary

  • Local anaesthesia with sedation or general anaesthetic
  • Operating time about 1.5 hours
  • Day case surgery or 1 night stay
  • Back to work within 1-2 weeks

Am I a good candidate for upper or lower eyelid surgery?

Any one or combination of the following conditions may indicate that you may be considered a good candidate for eyelid surgery:

  • Excess skin obscuring the natural fold of the upper eyelids
  • Loose skin hanging down from the upper eyelids, perhaps impairing vision
  • A puffy appearance to the upper eyelids, making the eyes look tired
  • Excess skin and fine wrinkles of the lower eyelids
  • Bags and dark circles under the eyes (“teartroughs”)
  • Lower eyelid baggyness or droopiness

Cosmetic eyelid surgery can usually correct these problems, though other treatments may also need to be considered. If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow’s feet may be accomplished with botulinum toxin, radiofrequency or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with cosmeceutical skin products (like Jan Marini) or irregularities corrected with lipofilling (fat grafting).

During the consultation, you will be asked about the results you would like to achieve from your blepharoplasty surgery. This will help us to understand your expectations and determine whether they realistically can be achieved.

Eyelid surgery – the operation

The particular technique that we use will depend on many factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of muscles around your eyelids. Because of individual factors, not everyone will achieve the same results from eyelid surgery. We will select the surgical technique that we feel will obtain the best outcome for you.

Upper Eyelids (upper blepharoplasty):

upper-eyeFor upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin, a strip of muscle and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it usually is inconspicuous.

Lower Eyelids (lower blepharoplasty):

Through this incision, excess skin, muscle and sometimes a little fat are removed. Commonly, fat may be redistributed to eliminate puffiness or bulges, or fill in tear troughs. Other adjustments to correct special problems such as muscle laxity may be performed, where the lower eyelid is tightened to avoid it from being pulled downwards. As in upper eyelid surgery, placement of the incision in natural crease lines allows for the scar to usually heal in an inconspicuous fashion.

lower-eye For lower eyelid surgery, often an incision is hidden just below the lower lashes.If both the upper and lower eyelids are involved then surgery will be carried out under a general anaesthetic. This will also include an overnight stay in hospital. If the upper eyelids only are operated on then this procedure can be performed as a day case. This surgery takes around 1 to 2 hours to complete.

After the blepharoplasty operation – Your recovery

What complications can occur?

We will keep a close eye on you after your surgery. The wounds will be covered with Steristrip-tapes, your eyes will be lubricated with an ointment, which might initially cause blurry vision when you open your eyes, and you will receive a cooling-mask to cover your eyes.

During the post-operative period, cooling the area around your eyes is most important in order to reduce swelling and bruising.

Oral medications will help with pain and discomfort during your recovery. I will normally see you within 48 hours after the surgery, and then for your follow-up appointments at regular dressing clinics every 2-3 days.

Stitches are removed about a week after surgery, at which point your post-operative photographs will be taken. Bruising and swelling will continue to decrease after stitches are removed. Sunglasses and protective sun block are recommended.

Results after blepharoplasty

The recovery from surgery will be marked by swelling and bruising initially, which will slowly decrease over the course of 2 weeks, at which time most of the bruising will have disappeared. We recommend the use of Arnica or Heparin-cream to speed up the recovery. Swelling will slowly subside, and can last for up to 3 months. After this time, the final result will be apparent.

What complications can occur?

Whilst these operations are generally safe in the hands of a qualified and experienced plastic surgeon and regarded to be highly successful, there are, as with any operation, risks involved and the possibility of complications that patients need to consider.

As with any surgical procedure, complications such as infection, bleeding, wound separation, or asymmetry can occur. More specific for this operation are suture cysts (milia), insufficient or excess skin removal, hollowing of eyes, scarring, damage to the eyeball surface, or double vision. We will discuss these issues in detail during the consultation.

For further information about what is involved in this type of procedure, please contact Valentis Clinic on 0725 045 705 or contact Dr Tilman Stasch at info@valentisclinic.com if you have any questions regarding your forthcoming surgery.