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Long incision blepharoplasty

Surgical Time 40-60 min.
 Remove stitch 7-10  days
 Full recovery  3-6  mo.

What is long incision blepharoplasty ? 


Long incision blepharoplasty is a surgical procedure that rejuvenates the appearance of the eyelids. It involves making a long incision along the Create crease of the upper eyelid, allowing access to underlying tissues. Excess Skin  and muscle are removed or repositioned. 

Patient Selection : Excessive Eyelid Skin with following 

  • There is no first eyelid layer.

  • The eyes are not equal.

  • The eyelid is too small.

  • The eye layers are many layers.

  • Excessive fat eye  

Benefits of Long blepharoplasty

  • Long-lasting Results: Compared to non-surgical or minimally invasive alternatives, long incision blepharoplasty typically provides more long-lasting results. By addressing the underlying anatomical issues, the procedure can produce enduring improvements in eyelid appearance.

  • Comprehensive Eyelid Transformation: Long incision blepharoplasty allows easily for extensive correction various concerns, especially for  ptosis correction.


Preoperative instruction

  • It is advisable to refrain from taking medications that thin the blood, such as aspirin and Plavix, for at least 7-10 days or as prescribed by the doctor.

  • Take a shower, wash your face, and shampoo your hair on the morning of the scheduled surgery.

  • On the day of the double eyelid surgery, avoid wearing makeup or using cosmetics that are difficult to clean.

  • Prepare a caregiver for post-surgery assistance and avoid driving by yourself.

  • Wear comfortable clothing and choose a button-up shirt.

  • Eat easily digestible food before the surgery.

Step for Procedure

Step 1 :  Design and discuss  with doctor

Step 2 : Anesthetic injection into the upper eyelid 

Step 3 :  Cut skin along eyelid

Step 4 :  Fat removal will be performed as needed 

Step 5 : Create  permanent crease with small suture 

Step 6 : Can add many procedure such as ptosis correction or anything

Postoperative instruction

  • Sleep with your head elevated at a 45-degree angle for the first 2-3 days.

  • Apply cold compresses to the swollen area for the first 2-3 days or until the swelling subsides.

  • Avoid wearing contact lenses for 2 months (if there is muscle correction involved).

  • Avoid wearing makeup for 1 week.

  • Avoid touching or rubbing the surgical wound until it is fully healed.

  • Schedule a follow-up appointment within 7 days.

  • Take prescribed medications as instructed by the doctor.

  • Avoid scratching or picking at the wound.

  • You can eat regular meals, but avoid spicy foods.

  • The swelling will peak at around 2-4 days and then gradually improve until the stitches are removed.

These recommendations are based on my experience and standard care. And  are intended for patients undergoing surgery with me. They may differ from other surgeon in some details.

Case review for long  incision blepharoplasty

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