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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. 

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Patient Selection : Excessive Eyelid Skin with following 

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• 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  

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Benefits of Long blepharoplasty

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• 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.

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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

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Postoperative instruction

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• 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.

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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.