Surgery of the eyelids

The surgery of the eyelids is done aiming the correction of excess of skin and bags of the eyelids, superiors and inferiors as well.
The action of the time, beyond the genetic aspect, made those structures become weak, causing to the excess of skin and protrusion of the fatness bags that stay under the eyelids.
Those alterations can be shown up throught the skin's folders and the region's increase, conferring a facial aspect of sorrow and tiredness.
The surgery of the eyelids corrects these alterations, because remove the excess of skin and reduce the fatness bags, making the eyelids more plan and smooth, re-establishing, a calm and more cheerful facial aspect.
The final scars habitually are faint and hidden in the eyelids furrows already existing.
There are cases in that the design of the surgery is the definition of a wrinkle in the upper eyelid, that is nonexistent or is very faint in the orientals. This surgery is known as ocidentalization of the eyes.

After anesthesia, are done incisions in the lower eyelids close to the eyelashes, and, in the superiors, next to the primary furrow palpebral.

 

Rarely, when there is not excess of skin palpebral lower, an intraconjunctiva incision is able to made
The region is separated, with the excess greasy bag's evidentiation.
According to the need, is possible to dries up the greasy bag's or reposition them.
Rarely, when necessary, the musculature overstretched is dried up.
A prudent suture is done, reconstructing the tissues.
A light bandage is done.

Habitually, 12 hours.

In general it is tranquil. There is little or no pain, occurring generally the sensation of ardor in the eyes. It is common occur swelling and wound, that generally regress from 15 to 30 days. A residual swelling persists here abouts 6 months, being noticed by the patient as a local scars hardening. For the minimization of the swelling and wounds, are used physiological compresses chilled of serum or boric acid in the two first post-operative days. Another important care is avoid the heat (very hot baths, cook, etc.), that favor the formation of the swelling and of the wounds. The sun should be avoided by 3 months (use of dark eyeglasses). The stitches removed very early, from 3 days to a week.

The complications include post-operative bleeding, wound, infection, opening of the scar, change of the lower eyelid, between other. The rates are very reduced, when observed all the prescribed post-operative cares.
As all the surgeries, the anaesthetic and sistemic risks still exist. They have to be well should researched in pre-operative phase. Those complications has been less and less frequent with the evolution of the techniques and of the medicine.

Around a month occurs the reabsorption from 80% of the swelling, giving good notion of how the eyelids will stay.
From the 30th day to the 6th month, they earn bigger harmony and better consistency by the accomodation of the tissues and the scar.
The scars are only considered as definitive after the 12th month.

1. Food:
The food after surgery should be gentle to avoid nauseas. The next day, the diet is normal.

2. Positions:
The rest is relative, being bigger in the first day; subsequently, are necessary small walks inside home
Upon sleeping: always of belly for top (for three weeks), with a high pillow or cushion under the head. It put a wedge kind 02 bricks or 02 phone books under the feet of the head to elevate it in the 4 first days and, then, diminish the swelling.
Do exercises with the calf (roll the feet -10 times of each side) three times a day.
Do not it carry weight in the first fifteen days.
Do not low the head for catch objects.

3. Cares with the nasal region:
Use the gel term mask (or gauze humid in serum chilled) for 24 hours hours after surgery.
Drop the Rinossoro ® or Salsep ® regularly, from 60 to 60 minutes.
Do not it lower the head.
Avoid sun, hot localities, wind or cold in the 30 first days.
Change the external gauze how much necessary times.
Special cares with the splint: do not traumatize the bandaged one, avoiding the humidity or the temptation of "remove to see how is the nose".
Do not it worry about the obstructedn ostrils. Wait for the removal of the plugs (case are being used)
Avoid straight solar exposition for 60 days. It is possible, however, expose the nose to the occasional sun of street, from the 7th day, with use of solar protector.
Do not it use eyeglasses, until being authorized,
Do not it worry about the intermediate forms in the diverse phases (the nose is swollen).
A temporary nasal obstruction during some weeks or months can occur, due to swelling or secretion. If that occur, the doctor should treat in an adequate way.
Do not smoke for at least 10 days in post-operative
Resolve with us any doubts. Avoid to sensitize yourself by friend's opinions on this initial phase.

4. Baths:
The bandage surgical can not wet in the first 7 days, so that the bath in this period should be taken avoiding wet the face.

5. Medication:
They will be prescribed anti-inflammatory and common painkillers, by a medium period of 5 days.

6. Returns:
The returns are scheduled in the 3th and 7th day of post-operative. Subsequently, are fortnightly for 2 months.
Those frequencies can be altered, according to the clinical need.