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The effects of aging are inevitable, and the eye and brow area often show the first signs. The skin begins to lose its elasticity. Sun, wind, and the pull of gravity all affect the face, resulting in frown lines, wrinkling across the forehead, and an increasing heaviness to the skin of the eyebrows and upper eyelids. Even people in their thirties may have eyes that look older than their years. You're tired, angry, or sad expression may not reflect how you actually feel. As a result, many people have opted for procedures that help open up the eyes and elevate the brow to provide a more alert and refreshed look.

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Upper blepharoplasty: Over time the skin of the upper lids start hanging and the clean line of the eyelid crease is often lost. To correct a droopy lid, the incision is hidden along the natural folds of the upper lid. Through this incision the excess fat, muscle and loose skin is removed. Fine sutures are used to close the incisions, thereby minimizing the visibility of any scar.

Lower blepharoplasty: There are many different approaches to lower lid surgery, and often include a combination of approaches. Through a concealed incision on the inside of the eyelid, eyelid puffiness caused primarily by excess fat may be corrected. Sometimes a more comprehensive approach may be necessary and fat may be removed, redistributed or even injected to create a smooth contour. If removing excess skin is necessary, another incision is hidden along the lash line and the smile creases of the lower lid.

Often times the brow will contribute to the heaviness and aged appearance around the eyes. Eyebrows frame the face, and a combination of a browlift and a blepharoplasty may be necessary for a comprehensive upper facial rejuvenation. A browlift can address the deep creases in the forehead, soften a harsh or angry look and elevate the sag that overhangs ones eyes. Even small asymmetries in brow height can also be corrected. The correct incision will be made for you, depending on your hairline and the amount of lift that you need. By elevating the brow into position, one can achieve a more alert and youthful look. Recovery time is about 10 days. Results last up to ten years.

When an eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your surgeons about the pros and cons involved.

1. The minor complications after the surgery include double or blurred vision for a few days.
2. Temporary swelling at the corner of the eyelids.
3. A slight asymmetry in healing or scarring.
4. Tiny whiteheads may appear after your stitches are taken out, which can be removed easily with a very fine needle.
5. Following surgery, some patients may have difficulty closing their eyes when they sleep.
6. In rare cases this condition may be permanent.
7. Another complication is ectropion, a pulling down of the lower which require further surgery.

The surgery:

The surgery is usually done on an out patient basis and so does not require an in patient stay.

• Eyelid surgery is usually performed under local anesthesia, which numbs the area around their eyes.
• You'll be awake during the surgery, but relaxed and insensitive to pain.
• In very few cases they prefer to give general anesthesia.

Blepharoplasty may take one to three hours. For this procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in your lower lids. The incisions can extent into the crow's feet or laughs line at the outer corners of your eyes.

If you have a pocket of fat beneath your lower eyelids but don't need to have any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelids, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.

Care after the surgery:

• Your surgeon will instruct you to keep your head elevated for several days.
• Cold compresses are used to reduce swelling and bruising.
• This lasts between like several weeks to a month.
• Doctors recommend eye drops since your eyelids may feel dry at first and your eyes may burn or itch.
• For the first few weeks you may also experience excessive tearing , sensitivity to light.
• Temporary changes in your eyesight, such as blurring or double vision.
• Once the stitches are removed the swelling and discoloration around your eyes will gradually subside.

Getting back to normal:

Television is one thing which you will be permitted to watch, and as you may be sensitive to sunlight, wind, and other irritants for several weeks, you should wear sunglasses and a special sun block made for eyelids when you go out. Take it easy for five days at least and avoid activities that tire you easily for three weeks. Scars will take time to disappear, but results should be pleasing.

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