Plastic surgery

Eyelid Lift

Eyelid skin is very thin and does not contain subcutaneous tissue. Very elastic at young age, it grows flabby with age. Excess skin on upper eyelids may limit the visual field. Changes in the eyelids connected with ageing make the face look tired and sad.

Blepharoplasty or eyelid correction is performed under local anaesthesia or under IV sedation. The procedure involves removal of excess skin and orbicularis oculi muscle. The surgery also enables removal of excess fatty tissue in the upper eyelid area or its relocation in the lower eyelid area. Because incisions are made in the natural fold of the upper eyelid or under the eyelash line of the lower eyelid, with time they become practically invisible.

Swelling and bruising of the treatment area is possible and may last up to a few weeks. Stitches are removed on the 5th postoperative day and return to normal activity is possible within 10 approximately days.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies
  • urinalysis
  • electrocardiogram
  • chest X-ray

 

Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.