Why is revision surgery more difficult?
After the first operation, the anatomy of the eyelid is changed: scar tissue is present, the layers are less well separated, and the supply of skin is limited. The surgeon works in conditions where the error is no longer compensated for by excess tissue. A separate difficulty is correcting the consequences of excessive excision: if too much skin is removed and the eyelid does not close completely, plastic surgery with tissue relocation or transplantation is required. Repeated intervention is planned no earlier than 6–12 months after the first, when the scars are fully mature.
What does blepharoplasty solve?
With age, the skin of the eyelids loses its elasticity, the orbicularis muscle becomes stretched, and the orbital fat packs shift forward. The upper eyelid droops, the look becomes heavy, and “bags” appear under the lower eyelids. Cosmetics do not affect these changes - they are anatomical.
Blepharoplasty removes excess tissue and returns a clear contour to the eyelids. This is one of the most common plastic surgeries: it noticeably changes the facial expression, while the scar is hidden in a natural fold and after a few months becomes almost invisible.
The volume of intervention is selected individually
- only skin - with slight excess and good muscle tone
- skin and a strip of orbicularis muscle - with severe flabbiness
- skin, muscle and fatty hernias - with formed “bags”
- additional fixation of the fold - with pronounced age-related sagging
Not just aesthetics
If there is significant overhang of the upper eyelid, the skin may block the upper part of the field of view - then the operation also solves a functional problem. Before the intervention, consultation with an ophthalmologist is required: dry eyes, weakness of the eyelid ligaments and other conditions affect the choice of technique and volume.