Upper Eyelid (Blepharoplasty)

What is Upper eyelid surgery?
Upper eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids or both, and give a younger appearance to the surrounding area of your eyes.

Eyelid surgery can treat:

• Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision

• Excess fatty deposits that appear as puffiness in the upper eyelids

• Bags under the eyes

• Droopiness of the lower eyelids, showing white below the iris (color portion of the eye)

• Excess skin and fine wrinkles of the lower eyelid

Is it right for me?

Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.
Good candidates are:

• Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing

• Individuals with a positive outlook and specific goals in mind for blepharoplasty

• Individuals without serious eye conditions

You must tell your doctor if you have any of these medical conditions:

• Eye disease such as glaucoma, dry eye or a detached retina

• Thyroid disorders such as Graves’ disease and under or overactive thyroid

• Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

Surgery Steps

Step 1 – Anaesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anaesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision
The incision lines for eyelid surgery are designed for scars to be well concealed within the natural structures of the eyelid region.
Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin. Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed.
A transconjunctival incision, one hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.

Step 3 – Closing the incisions
Eyelid incisions typically are closed with:
Removable or absorbable sutures
Skin adhesives
Surgical tape
Your surgeon may use a laser chemical peel to erase dark discoloration of the lower eyelids.

Step 4
The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.

After Care

 The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. (Avoid any compress heavier than one ounce. A Ziploc bag with a few frozen peas works well.) Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.

Recovery

At first the incisions will probably be red and somewhat bumpy. Eventually, the resulting scar should become flat and inconspicuous. Your sutures (stitches) will be removed sometime within the first week. The swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel better each day. Swelling and bruising varies considerably from person to person. Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration. Your vision may continue to be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. You may receive eyedroppers to help relieve any burning or itching.

Hospital Admission

This depends on your preferences as well as your surgeon's. Lower eyelid blepharoplasty can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite under either general or local aesthesia.

Post Operative Care

For the first week, you'll need to avoid activities that dry the eyes, including reading, watching television, wearing contacts, and using a computer. Also avoid excessive blinking, which leads to increased swelling. You should also wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation. The eyes may tire easily for several weeks; frequent naps are helpful. For the first three or four weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports. Your surgeon will let you know when you are ready for exercise. Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.

What will happen at the initial consultation?

During the initial consultation, you and your surgeon will discuss the changes you want to make in your appearance. He/she will explain the different options available to you, the procedure itself, and its risks and limitations. He/she will also explain the kind of anaesthesia required, the surgical facility, and costs.

Your surgeon will begin with a complete medical history. He/she may also give you specific instructions preparing for surgery, including guidelines for eating and drinking, smoking, and taking or avoiding vitamins, supplements and medications. Routine laboratory tests may be required before surgery.

The Cost

Upper Eyelid Surgery 25,000 Thai Baht/ 830US$/*

Upper & Lower Eyelid Surgery 50,000 Thai baht/ 1,660US$

*Price based on the Thai Baht currency. Click the following link to see the latest exchange rate for other currencies. Please note price may vary after your photographs have been assessed also the surgeon, clinic, hospital or area/ country that you choose.

The Package Includes

• Accommodation for 1 nights in the surgical floor including : Room, Nursing Service Charges, Service Charges, Regular menu food charges

• Operating Room Charges ; OR Room Use, Recovery Room, Scrub & Circulate Nurse

• Medical Equipment and Medical Supplies necessary for the procedure

• Medications : Routine medication used

• Anaesthesia : Pre-Aesthetic Drugs, Anaesthesia, Medical Gas (Oxygen, Nitrous Oxide)

• Doctor Fees : Surgeon, Anaesthesiologist

The Package Excludes

• Take home medications and supplies

• Laboratory Testing necessary for the procedure if required by surgeon as CBC, PT & PTT, Urianalysis, Anti HIV

• Radiology Studies : Chest X-ray, if required

• Other charges not related to the procedures

• Charges for other procedure or other plastic surgery

• Charges for OPD incurred prior to the surgery

• Charges for inpatient stays in excess of 1 nights. Additional charges for these days including room and other charges will be added to the package price at a normal hospital rates

• Charges for intensive care, if necessary

• Items of a personal nature such as in-room drinks, telephone charges and guest meals will be charged at the normal rates in effect

Duration

Operation will take around thirty minutes to two hours.

Hospital stay

Outpatients

Notice

The package is applicable for elective, uncomplicated patients. Patients with the following conditions are considered to be complex or high risk cases and will not qualify for the package: Bleeding Disorders Patients with underlying severe medical problems such as HIV and uncontrolled diabetes

Effective date March 26, 2007 - December 31, 2008

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