تعريف

Blepharoplasty is a procedure to remove excess skin and fat tissue from the eye area.

أسباب هذا الإجراء

Blepharoplasty can correct:

  • Drooping upper eyelids
  • Excess skin of the lower eyelids
  • Puffiness of the upper or lower eyelids

This procedure can also create upper eyelid folds.

المضاعفات المحتملة

Complications are rare. But no procedure is completely free of risk. If you are planning to have blepharoplasty, your سيقوم الطبيب بمراجعة القائمة من المضاعفات المحتملة، والتي قد تشمل:

  • Temporary blurred vision
  • Temporary swelling and bruising of the eyelids
  • Asymmetry in healing
  • تندب
  • Difficulty closing eyes
  • جفاف العين
  • Red eye
  • Decrease or loss of vision
  • رد فعل للتخدير
  • العدوى
  • نزيف
  • Distortion of upper or lower eyelid position

تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:

  • التدخين
  • مشاكل الغدة الدرقية
  • ضغط دم مرتفع
  • ضعف الدورة الدموية
  • مرض السكري
  • Glaucoma
  • Dry eyes or red eyes
  • Anatomy of the eye and the surrounding bone

ما يمكن توقعه

قبل الإجراء

طبيبك سوف المرجح أن تفعل ما يلي:

  • اختبار بدني
  • Vision tests
  • Exam of the eyelid and supporting structures

Leading up to your procedure, your doctor may recommend that you:

  • اتبع حمية غذائية خاصة.
  • Take certain medicines.
  • Arrange to have someone drive you home.
  • Arrange for someone to help you at home.

التحدث مع طبيبك عن الأدوية الخاصة بك. قد يطلب منك التوقف عن تناول بعض الأدوية تصل إلى أسبوع واحد قبل العملية مثل:

  • الأدوية المضادة للالتهابات
  • مميعات الدم

التخدير

You will be given a local anesthetic to numb the area around your eyes. Sedatives will be given to help you relax. In some cases, general anesthesia will be used. In this case, you will be asleep.

وصف الإجراء

Your doctor will make incisions in your eyelids. In the upper eyelid, the incision is usually made in the crease. In the lower eyelid, the incision is usually made just below the lashes or on the inside of the eyelid. The excess fat will be removed. The excess skin and muscle will be trimmed. The incision will be closed with sutures.

رأب الجفن

كم من الوقت سيستغرق ؟

60 minutes or more depending on the amount of skin and fat to be removed

هل ستسبب الالم؟

Anesthesia will minimize pain during the procedure. You may feel some tightness and soreness after the procedure.

رعاية ما بعد العملية

في مركز الرعاية

Your doctor will apply ointment. A bandage may be applied over your eyes.

في البيت

عند العودة إلى المنزل ، قم بما يلي للمساعدة في ضمان التعافي السلس:

  • You will receive instructions about limiting your activity. You may also be advised to avoid alcohol and certain medicines.
  • Your doctor will likely suggest that you keep your head elevated for several days.
  • You can use cold compresses to reduce swelling and bruising.
  • Your doctor will show you how to clean your eyes and may suggest using ointment.
  • Ask your doctor about when it is safe to shower or bathe.
  • You will be able to read and watch television after the procedure.
  • You will not be able to wear contact lenses or participate in difficult activity. Ask your doctor when you can resume your normal activities.
  • Your stitches will likely be removed in 5-7 days.
  • Since you may be sensitive to sunlight, wind, and other irritants, your doctor may recommend sunglasses and a special sunblock for your eyelids.

After about six months, your scars will likely fade to a nearly invisible white line. The results of a blepharoplasty are permanent. Your doctor may still be able to do extra surgery as needed or desired. Sometimes, blepharoplasty is combined with another procedure called canthopexy. This is used to improve the shape and positioning of the lower eyelid. Blepharoplasty may also be done with ptosis repair. This is the repair of the upper eyelid muscle to correct drooping of the upper eyelid.

استدعاء الطبيب

بعد وصوله الى المنزل ، اتصل بطبيبك إذا كان أي من الحالات التالية:

  • علامات الإصابة, بما في ذلك حمى وقشعريرة
  • Redness, swelling, increasing pain, bleeding, or discharge from the incision site
  • Opening of any part of the incision
  • Excessive pain or redness of the eye
  • Any decrease or change in your vision
  • Any other problem or concern

في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.

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