An upper eyelid blepharoplasty is presently one of the most commonly performed plastic surgeries and is considered a major part of what we call 'global facial rejuvenation'. It is said that almost everyone is in need of one for one reason or another.  

Most frequently an upper eyelid correction is designed to target heavy feeling eyelids, puffiness of the upper eyelids, sagging eyelids or droopiness of the eyelids (with or without an impairment of peripheral vision).  The surgeon removes mostly excess skin from the upper eyelids, but also, in some cases, small amounts of muscle and bulging fatty tissue. 

The objective usually is to look younger, refreshed and more alert. Discuss your expectations with your surgeon to see if they are realistic.


Study shows that patients with eyelid surgeries are perceived up to 8,5 years younger (best result of all facial rejuvenation procedures

Keep in mind blepharoplasty is a surgical procedure whose results cannot simply be erased

All eyes are different. The Caucasian eye is different from the Asian or the African eye and all need a specific approach. There are over 100 different possible procedures for eyelid surgery. It is very important to go to an experienced and skilled doctor to avoid disappointing results and minimize the risk of complications and retouch surgeries. Even the best surgeon can not give a 100% guarantee. Invest in research about the doctor, procedure, patient satisfaction - results, risks, costs, possibilities for reimbursement and if you are a good candidate for this type of surgery upfront.

CONTRA INDICATIONS

Not every patient is a candidate for blepharoplasty. The ideal candidate for an upper blepharoplasty is at least 18 years old and is physically healthy, emotionally stabile and well-informed about the procedure, risks and expectations of an upper eyelid blepharoplasty or surgery in general. 

Contraindications to blepharoplasty include severe comorbid conditions (eg, heart disease, high blood pressure, diabetes, wound healing disorder, excessive scarring, excessive cigarette smoking; pregnancy; a history of thromboembolic disease (relative). Other conditions such as myasthenia gravis, active thyroid disease, glaucoma or unilateral blindness may also be contraindications. Patients with severe dry eye syndrome should not undergo blepharoplasty as it can cause drying of the cornea. Patients with bulging eyes often have problems following lower lid surgery and may have a hollowed-out postoperative appearance or functional problems following their blepharoplasty.

RISKS

Every surgical procedure involves a certain amount of risk, and it is important that you understand the risks involved.  An individual’s choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit.  Although the majority of patients do not experience these complications, you should discuss each of them with your plastic surgeon to make sure you understand the risks, potential complications, and consequences of blepharoplasty surgery.
10% of all ocular (eye) surgeries lead to ptosis (drooping hanging upper eyelid)
Bleeding – It is possible, though unusual, that you can have a bleeding episode during or after surgery.  Bleeding may occur under the skin or internally around the eyeball.  Should post-operative bleeding occur, it may require emergency treatment or surgery.  Do not take any aspirin or anti-inflammatory medication for ten days before surgery, as this may contribute to a greater risk of bleeding.  Non-prescription “herbs” and dietary supplements can increase the risk of surgical bleeding.  Hypertension (high blood pressure) that is not under good medical control may cause bleeding during or after surgery.  Accumulated blood under the eyelids may delay healing and cause scarring.
Blindness – Blindness is extremely rare after blepharoplasty.  However, it can be caused by internal bleeding around the eye during or after surgery.  The occurrence of this is not predictable.
Infection – Infection is unusual after surgery.  Should an infection occur, additional treatment including antibiotics or additional surgery may be necessary.
Scarring – All surgery leaves scars, some more visible that others.  Although good wound healing after a surgical procedure is expected, abnormal scars may occur both within the eyelid and the deeper tissues.  Scars may be unattractive and of different color than the surrounding skin.  There is the possibility of visible marks in the eyelid or small cysts from sutures.  Additional treatments may be needed to treat scarring.
Damage to deeper structures – Deeper structures such as nerves, blood vessels and eye muscles may be damaged during the course of surgery.  The potential for this to occur varies according to the type of blepharoplasty surgery is being performed.  Injury to deeper structures may be temporary or permanent.
Dry eye problems – Permanent disorders involving decreased tear production can occur after blepharoplasty.  The occurrence of this is rare and not entirely predictable.  Individuals who normally have dry eyes may be advised to use special caution in considering blepharoplasty surgery.
Asymmetry – The human face and eyelid region is normally asymmetrical.  There can be a variation from one side to the other following a blepharoplasty.
Chronic pain – Chronic pain may occur very infrequently after blepharoplasty.
Skin disorders/skin cancer – A blepharoplasty is a surgical procedure to tighten loose skin and deeper structures of the eyelid.  Skin disorders and skin cancer may occur independently of eyelid surgery.
Ectopion – Displacement of the lower eyelid away from the eyeball is a rare complication.  Further surgery may be required to correct this condition.
Corneal exposure problems – Some patients experience difficulties closing their eyelids after surgery and problems may occur in the cornea due to dryness.  Should this rare complication occur, additional treatments or surgery may be necessary.
Unsatisfactory results – There is a possibility of a poor result from eyelid surgery.  Surgery may result in unacceptable visible deformities, loss of function, wound disruption and loss of sensation.  You may be disappointed with the results of surgery.  Infrequently, it is necessary to perform additional surgery to improve results.  Additional surgical procedures such as a brow lift may be needed to correct eyebrow sagging which contributes to upper eyelid problems.
Allergic reactions – In rare cases, local allergies to tape, suture material or topical preparations have been reported.  Systemic reactions which are more serious may occur to drugs used during surgery and prescription medicines.  Allergic reactions may require additional treatment.
Eyelash hair loss – Hair loss may occur in the lower eyelash area where the skin was elevated during surgery.  The occurrence of this is not predictable.  Hair loss may be temporary or permanent. 
Delayed healing – Wound disruption or delayed wound healing is possible. 

Smokers have a greater risk of skin loss and wound healing complications.

Long term effects – Subsequent alterations to eyelid appearance may occur as the result of aging, weight loss or gain, sun exposure or other circumstances not related to eyelid surgery.  Blepharoplasty surgery does not arrest the aging process or produce permanent tightening of the eyelid region.  Future surgery or treatments may be necessary to maintain the results of the blepharoplasty.

Surgical anesthesia – Both local and general anesthesia involve risk.  There is the possibility of complications, injury and even death from all forms of surgical anesthesia or sedation.

RECOVERY

After surgery, your upper eyelids will be taped and sutured for 5-7 days.  In most cases you will feel your eyes to be swollen, red and bruised for up to a week.  For the first few days after the surgery, heavy reading and computer work may be uncomfortable due to swelling and therefore should be avoided.  Vision bluriness may also be present.  There are no other restrictions for light activities.  Most patients look their worst on the second or third day after surgery, with a marked improvement over the next couple of days.  Contact lenses can be resumed after 1 week.

Normal recovery time with return to work and full activity is about 10 days.  Heavy strenuous activity, especially involving straining and bending over should be avoided for several weeks.  Bruising above the eyes may remain for up to 2 weeks and can be camouflaged with a make-up concealer.

COSTS

The costs of the upper eyelid surgery vary, and are approximately 1500 - 2000 USD depending on type of procedure (there are over a 100), anesthetic, facility, etcetera. You need to take in to consideration that there can be additional costs for retouch (approximately in 5% - 10% of all cases) or costs associated with the procedure you are not aware of. Have an upfront discussion with your plastic surgeon about possible additional costs.

ALTERNATIVE THERAPIES

Lily Leading Instant Eye Lift offers the best alternative treatment for upper eyelid surgery, when you:
  • can not afford upper eyelid surgery because it is not reimbursed by your health insurance
  • you are not a good candidate for surgery (see contra indications)
  • your upper eyelid droop is minimal and not severe enough to undergo surgical treatment
  • you don't want upper eyelid surgery, but would like to rejuvenate or correct the eyes
  • you need a temporary lift of the upper eyelid, for example after botulinum toxine injections or during migraines and headaches, or just look refreshed on pictures, during parties and special occasions

Of course Lily Leading Instant Eye Lift can be used in case you are considering upper eyelid surgery and would like to see how you would look like when your upper eyelids are lifted and what this cosmetic procedure can do for you!  Just try it! 

HOW IT WORKS

Lily Leading Instant Eye Lift is a thin invisible comfortable high quality medical grade, upper eyelid strip made of silicon, known and used after (plastic) surgery to improve wound healing and reduce the forming of scar tissue. The Lily strips provide the support necessary to lift and shape the sagging upper eyelid skin, resulting in a symmetrical, natural and youthful shape of the eyes, making them look rejuvenated, brightened and healthy, without side effects in just seconds. Lily comes with a protective and nourishing gel. The gel improves adhesion and makes repositioning of the strips and removal easy without damaging the delicate skin of the upper eyelid. The results are amazing.

Lily Leading Instant Eye Lift works for almost everybody: all ages, genders, eye shapes, skin tones and does not affect the cause of the hanging eyelid, or progress of an underlying 
disease.

The costs are 29,95 euro for a full month supply and every day use. Lily comes in a beautiful box, containing 64 lifting strips, nourishing gel 3gr / 0,11 oz, protective travel case, and easy application instructions we have available in several languages.

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Lily Leading Instant Eye Lift is a product from The Leading Injectable Centers of the World®  Quality in Beauty
Developed and recommended by leading medical doctors


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