BLEPHAROPLASTY
UPPER | LOWER | BROW LIFT

Eyelid Structure

​Double eyelid surgery is performed based on the key anatomical layers of the eyelid to create a well-defined, natural-looking crease:

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1. Eyelid skin: The outermost, thin layer prone to aging. Excess skin is removed to improve sagging.

2. Orbicularis oculi muscle: Responsible for blinking and eye closure. A small portion may be adjusted if overly thick.

3. Orbital fat: Fat pads that can cause puffy eyelids. These may be partially removed or repositioned for a more refined look.

4. Orbital septum: A membrane that holds the fat in place; it is opened to access and treat excess fat.

5. Levator muscle: Controls eyelid elevation. In cases of Ptosis, it can be corrected to improve both vision and aesthetics.

6. Tarsal plate: The firm structural support of the eyelid, helping maintain and stabilize the new crease.

7. During the procedure, the surgeon removes excess skin, adjusts fat, and creates a connection between the skin, levator muscle, and tarsal plate to form a defined, balanced, and long-lasting eyelid crease.

Eyelid & Brow Surgery Techniques

 

1. Upper Eyelid Surgery (Upper Blepharoplasty):
   Involves the eyelid skin, orbicularis oculi muscle, eyelid fat, orbital septum, levator muscle, and tarsal plate. The surgeon makes an incision along the pre-designed eyelid crease, removes excess skin, adjusts the muscle if necessary, and opens the septum to remove or reposition fat. In cases of Ptosis, the levator muscle is corrected. Finally, the skin–muscle–tarsal connections are secured to create a well-defined and long-lasting eyelid crease.

2. Lower Eyelid Surgery (Lower Blepharoplasty):
   Involves the lower eyelid skin, orbicularis oculi muscle, orbital fat, and septum. The procedure can be done through an external incision (if there is excess skin) or a transconjunctival approach (leaving no visible external scar). The septum is opened to treat fat pads (removal or redistribution), and the skin and muscle may be slightly tightened to smooth the under-eye area.

3. Brow Lift (Eyebrow Lift):
   Involves the skin, subcutaneous tissue, and forehead–brow muscles. It can be performed using endoscopic techniques (small incisions within the hairline) or direct approaches. The surgeon releases, lifts, and secures the brow in a higher position, helping to open up the eye area and rejuvenate the face.

Postoperative Care & Recovery

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·  Immediate Care (First 24–48 hours):

Apply cold compresses to reduce swelling and bruising

Keep the head elevated while sleeping

Avoid rubbing or touching the eyes

·  Incision Care:

Wash hands before touching the eye area

Gently clean around the incision with a clean cloth or cotton

Apply prescribed antibiotic or healing ointments

Avoid makeup or skincare products near the incision until fully healed

·  Medications & Monitoring:

Take pain relief and anti-inflammatory medications as prescribed

Use eye drops if instructed by the surgeon

Monitor for abnormal signs: excessive swelling, bleeding, severe pain, or discharge → contact your doctor immediately

·  Activities & Lifestyle:

Avoid strenuous exercise or heavy lifting for 1–2 weeks

Do not wear contact lenses until cleared by the surgeon

Limit direct sun exposure to the eye area

·  Recovery Timeline:

Swelling and bruising usually decrease within 7–10 days

Stitches (if non-dissolvable) are typically removed after 5–7 days

Crease formation stabilizes and natural results are visible after 4–6 weeks, with final results after 2–3 months