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Blepharoplasty is a surgery used to correct defects, deformities, or asymmetries of the eyelids, whether for functional reasons (excess skin affects the upper visual field), cosmetic reasons, or both.
The most common reason is cosmetic surgery, in which excess skin and fat are removed or repositioned to give a more pleasing and youthful appearance.
As we age, our eyelids stretch and the muscles that support them weaken. As a result, fat called "bags" may prolapse above and below the eyelids, giving us a tired and older appearance.
Blepharoplasty can reduce or eliminate vision problems and make your eyes look younger and more alert.
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This surgery is performed under local anesthesia and sedation, allowing the patient to remain awake during the surgery, without the procedure being tedious.
Along with this surgery, other surgeries can be performed, such as correction of ptosis (drooping eyelids), eyebrow lift, or other facial rejuvenation procedures.
In addition, it is an outpatient procedure, without major discomfort, which allows you to quickly integrate into your daily routine.
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Before scheduling surgery, you will be evaluated by a plastic surgeon specializing in eye surgery (oculoplastic surgeon). This doctor will conduct a complete medical history, assess your eyelids, and ultimately perform the surgery with successful results.
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The current alternative treatment of choice for abnormal eyelid and facial movements is botulinum toxin injections, which aim to improve patients' quality of life by reducing spasms after temporarily relaxing the muscles responsible for facial movements.
This is a non-surgical procedure that must be performed by a specialist with extensive knowledge of the anatomy and function of the periocular and facial muscles to prevent complications such as drooping eyelids, inability to close the eyelids with exposure of the corneal surface and its associated complications, and difficulty chewing, among others.
This treatment is effective in up to 95% of patients, but the effect is temporary and must be repeated regularly. The toxin's effect lasts 4 to 6 months.
There are other treatments that can be added to botulinum toxin, such as intensive lubrication of the ocular surface using lubricating drops that provide greater stability to the tear film and protect the ocular surface. Sunglasses with UV protection can be very useful for patients with blepharospasm, as they protect the ocular surface, reduce light sensitivity, and thus minimize spasms.
Surgical treatments are generally reserved for patients who do not respond adequately to botulinum toxin or have contraindications or restrictions for the use of the drug.
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