Eyelid surgery in Iran
With age, the skin loses its elasticity and the muscles become looser, and eyelid surgery or blepharoplasty may be needed for the upper or lower eyelid or both.
In the eyelids, this process increases the amount of loose skin and creates wrinkles in the upper eyelid and deepens the lines under the eyes in the lower eyelid.
At the same time, the relaxation of the muscles under the skin causes the fat inside the eye to come out in the form of puffiness in the upper and lower eyelids.
This loosening of the muscles and the protruding of the eye fat can happen in some families in a hereditary way at a younger age.
Travel plan
For a medical trip to Iran and eyelid surgery, please read the following information
At least 4 days stay in Iran is required
It is better for the surgeon to use absorbable sutures so that you can have minimal time for this trip
If non-absorbable sutures are used, you must either plan for a week or take out the sutures in your country
What is eyelid surgery ?
With eyelid surgery in Iran or blepharoplasty, in addition to making the upper eyelid look younger, people’s vision can also be improved.
Lower eyelid surgery in Iran can reduce the amount of folds and puffy appearance and remove the protruding fat under the eye.
Why should I have eyelid surgery?
As mentioned, as we age, our muscles become looser and the skin loses its elasticity, which causes skin folds in the upper eyelid and deepening of the folds in the lower eyelid.
Weakening of the muscles under the skin causes the fat to protrude and create puffiness like a bag in the lower eyelid.
Skin folds and puffiness and fat protrusions usually seem worse in the early morning and after waking up.
Because the fluids inside the body, which naturally tend to accumulate in areas with loose skin, at night when a person is lying down, in these areas, such as the eyelids, which have looser and thinner skin. and cause more puff.
Procedures before blepharoplasty:
In the first meeting with the plastic surgery specialist, you will tell your purpose of deciding to undergo eyelid surgery in Iran .
The plastic surgeon will ask you about the history of any current or past diseases. In particular,
be sure to explain to the plastic surgeon about your diseases such as thyroid disease, blood pressure, diabetes and eye problems such as cataracts and retinal detachment.
Also, inform your plastic surgeon about all the drugs you are taking, even herbal drugs, painkillers, supplements, vitamins, fish oil, etc.
Many of these medications can cause increased bleeding, swelling, and bruising after surgery. After evaluating your eyes, face, and skin, your surgeon will likely ask you to take photos, as with other cosmetic surgeries.
Because many people who come for eyelid surgery in Iran may be involved with other diseases due to old age, height and weight assessment, obesity, heart problems, pregnancy, etc., especially if you want to perform surgery with local anesthesia. It is essential.
How is eyelid surgery in Iran performed?
If the upper blepharoplasty is limited to skin removal, it may be possible to do this alone with local anesthesia.
But if you have fat protrusion and you need a more extensive surgery for the upper eyelid, it is recommended not to do it with local anesthesia due to great pain or the possibility of bleeding.
Also, it is better to perform lower eyelid surgery in a surgery clinic or hospital.
Normally, surgery is performed on the upper eyelid with a cut on the natural lines of the eyelid skin (eyelid crease) and on the lower eyelid with a cut immediately below the eyelashes or, in some cases, from inside the lower eyelid.
These incisions continue for a very small amount on the outside of the eye along the lines of the crow’s feet (laughter lines next to the eyes).
Through these incisions, excess fat, excess skin, and laxity of the eyelid muscles are removed.
In many cases, it is possible to fill the deep lines around the eyes, such as the tear line, by moving the protruding fat in the eyelid. At the end, all cuts are sutured.
Choosing the best eyelid surgery in Iran
The only doctors who have undergone a training course for blepharoplasty and are qualified for eyelid surgery are ophthalmologists and subspecialized plastic surgeons.
Since the very delicate structure of the eyelids is difficult to repair in case of damage, and in some cases it cannot be repaired at all, we sincerely recommend that you never go for eyelid surgery to anyone other than an ophthalmologist and plastic surgery subspecialist.
Always remember the beautiful appearance with the least complications of surgery in front of people who have not seen it before (ophthalmologist is a specialist in plastic surgery).
Keeping the eyes open due to excessive removal of the skin of the upper eyelid, which unfortunately will lead to corneal ulcers and blindness.
Dimpling and pathological appearance due to excess discharge of fat in the upper eyelid, incisions can be seen, the lower eyelid turns outward, damage to the muscles that lift the eyelid, damage to the lacrimal glands and dry eyes, damage to the lacrimal duct, bleeding in the eye and Pressure on the optic nerve and blindness are only a small part of the irreparable side effects of blepharoplasty in hairdressers, other doctors other than ophthalmologists and plastic surgeons, unfortunately some of them can never be fixed.
Make sure that your choice is correct with a simple search on the site of the plastic surgeons association and the site of eye specialists.
Don’t forget that no one needs emergency eyelid surgery and take enough time to choose your doctor.
Before blepharoplasty, it is better to stop smoking at least six weeks before, blood pressure should be controlled and your doctor should be aware of your medications.
Be sure to shower and wash your hair before surgery.
Sagging forehead or eyelid problem?
Sometimes forehead drooping causes the eyebrows to come down and close to the eyes and cause puffiness in the outer part of the eyes and above the eyelids.
If your problem is drooping forehead, with upper eyelid surgery in Iran , not only will your problem not be solved, but it will get worse after the surgery and with the passage of time.
Also, in most cases, due to the removal of the skin from the distance between the eyebrows and the eyelid, this distance is reduced, and after that you will not be able to undergo surgery to correct the above problem, because by raising the forehead and eyebrows, your eyes remain open.
Before upper eyelid surgery in Iran, you must be examined by a plastic surgery specialist or an ophthalmologist to find out whether your problem is from the eyelids or the forehead.
If your problem is from the forehead, you must do a forehead lift, and performing blepharoplasty or eyelid surgery in Iran will only add to your problem.
It may be necessary to perform blepharoplasty at the same time as forehead lift surgery.
In most cases, if a person under the age of 50 has a problem with his upper eyelid, the cause is the forehead, not the eyelid.
Be sure to remember that eyelid surgery is not a good thing until the forehead problem is solved.
Remember about lower eyelid folds, only folds that are removed in the skin area can be improved with surgery, and folds that extend to the outer parts of the eyes (crow’s paw lines) or on the cheek, with lower blepharoplasty.
They usually do not improve with lower eyelid surgery in Iran alone.
In some cases, it is possible to remove the deep line under the eye (tear line) in the lower eyelid surgery in Iran by moving the eye fat.
What can I do to prevent and eliminate crow’s feet lines outside the eyes?
- Botox injection regularly
- In case of sensitivity to light or weak eyes, use prescription glasses and sunglasses
- Finally, forehead lift surgery can open the corners of the eyes and reduce wrinkles.
Alternative therapies
Even though blepharoplasty is the best and most complete way to remove excess eyelid skin, sometimes laser can also be used.
By creating a controlled burn on the surface of the skin (laser resurfacing), the laser can reduce some of the laxity of the eyelid skin.
Also, laser can be used simultaneously after blepharoplasty surgery to improve the effect of the surgery. After laser treatment, the skin will be smoother and less wrinkled.
Important points of eyelid laser:
The effects are not permanent and the laxity of the eyelid skin will return.
It can be done for mild cases and has no effect on moderate and severe cases.
It does not work well on dark skin.
Laser has no effect on dark circles under the eyes.
Does eyelid surgery (blepharoplasty) have complications?
Like all surgical operations, blepharoplasty can have complications and risks that may be difficult to compensate for due to the sensitive and delicate structure of the eyelids and eyes.
Be sure to discuss these complications with your plastic surgery specialist or eye specialist before surgery.
Complications that can accompany eyelid surgery:
scar (scar);
There are always scars after surgery anywhere on the body, usually they are red in the first week and then turn purple, after that they gradually fade and become colorless around 12 to 18 months after surgery.
Sometimes the scars become wide, thick, red, or painful, in which cases a decision is made to heal them depending on the circumstances.
bleeding;
Internal wound bleeding and bleeding into the pupil (eye position) is a surgical emergency and can cause permanent blindness due to pressure on the optic nerve.
The risk of bleeding into the bony socket of the eye is very high if a person who is not involved in eyelid surgery removes or manipulates the deep fat of the eye, and it usually happens immediately after the surgery or in the first 24 hours after the surgery.
Apart from the risk of blindness and pressure on the optic nerve, the presence of a clot under the wound can eventually lead to infection and delay in the healing of the scar, etc., and it is necessary to drain the clots from under the wound.
Before surgery, blood coagulation prolonging drugs must be stopped and blood pressure must be controlled.
infection;
In case of wound infection, antibiotic prescription or in some cases re-surgery is inevitable. Infection can affect the final result of surgery.
swelling, bruising, pain;
You may have severe bruising and swelling for some time after surgery.
It takes months for the swelling to go down after the surgery to see the final result. Increased sensitivity at the operation site or long-term pain, although the onset is very small, but it is not uncommon.
wound healing problems;
Sometimes the healing of wounds will take a long time. This problem is more common in smokers and hookah users.
Sometimes small white cysts appear during the blepharoplasty operation. The presence of cysts is not a concern. If they remain, they can be removed with a needle.
Surgical problems in the eyelids:
In the case of lower eyelid surgery performed by a non-ophthalmologist or plastic surgery specialist, the edge of the lower eyelid may turn outward and the eyelid may be pulled down.
Also, in the upper eyelid, if too much skin is removed, it can cause the inability to close the eyelids and keep the eyes open.
Keeping the eyelid open can cause eye sores and blindness. In this case, you will definitely need reconstructive surgery to close your eyes.
Damage to deep tissues:
If surgery is performed by non-specialists, damage to deeper tissues such as eyeballs, nerves, blood vessels and muscles is not uncommon.
This damage can be temporary or permanent. Blindness and permanent loss of vision are some of the sad results that are sometimes seen as a result of surgery performed by non-specialists.
Feeling dry in the eye for some time after surgery can be normal and can be treated with artificial tear drops.
Almost all temporary changes after surgery are resolved within 6 months.
If you scratch the surface of the eye (corneal scratch) during surgery, you may have to close your eyes and use antibiotic ointment for a few days.
Damage to the eye muscles in lower eyelid surgery in Iran is very common and can cause double vision, in this case it is necessary to perform surgery as soon as possible to correct double vision.
Changes over time:
Usually, the result of blepharoplasty surgery lasts for at least 5 to 10 years (in many cases, the result is permanent).
Changes due to age, sunlight, gravity, etc. are important causes of eyelid changes after surgery and are not related to the surgical process.
Allergic reaction:
Allergic reactions to glue, sutures, disinfectant solutions are rarely seen, and if such reactions occur, appropriate treatment is performed depending on the substance and severity of the reaction.
Procedures after surgery
Lower eyelid blepharoplasty surgery is usually performed under general anesthesia. If the upper eyelid surgery is limited to the skin, it can be performed under local anesthesia.
Surgery can usually take between one and two hours. You may be prescribed oral or injectable antibiotics (multiple doses) to prevent infection after surgery.
Depending on the conditions, the patient can be discharged the same day or stay overnight in the hospital or clinic.
If you are discharged from the surgery center on the same day, it is better to have a companion with you during the evening and night.
After surgery, you are not allowed to drive or operate machinery for at least 24 hours.
Your eyes may become watery or watery after surgery.
Due to conjunctivitis (a thin layer that covers the eyeball and the inside of the eyelids) and the partial blockage of the tear ducts, the tears do not drain like before.
This condition will be resolved within a short period of time after the surgery.
If you feel dry eyes after surgery, your surgeon will help you by prescribing artificial tear drops.
Most likely, you will not be able to close your eyes completely in the first few days due to the removal of the skin and severe swelling.
In these cases, it is necessary to use artificial tear drops together with antibiotic eye cream at night before going to sleep. This problem will be solved in a short time after the surgery.
bandage
Some plastic surgeons and ophthalmologists use thin adhesives (sterile strips) on the wound after surgery, which can be removed after 24 to 48 hours.
Washing the eyes with washing serum or water helps to reduce the swelling and clean the wounds.
It is recommended to use antibiotic eye creams or artificial tear drops in the first few days after surgery to prevent dry eyes.
Be sure to rest in a semi-sitting position for a few days after eyelid surgery in Iran , like other facial surgeries, so that the swelling and bruising will disappear sooner.
Using a cold compress on the eyelids for the first one to two days can help to relieve swelling and bruising, but avoid putting ice directly on the skin.
stitches
Sutures can be absorbable or non-absorbable. If non-absorbable sutures are used, these sutures will usually be removed in the first week.
Recovery (period after surgery)
On the same day of surgery, patients can easily get out of bed and do light physical activity. In the first day or two, you may have a little blood discharge from the eyelids.
Clean these blood vessels and secretions with gauze or paper towels.
Activities that increase the blood flow in the face, such as straining, lifting heavy loads, exercising, hot water and hot baths, hugging and lowering the head, etc. They can cause swelling and bruising, and avoid such activities during the first week.
Be sure to use an extra pillow to raise your head while sleeping.
To clean the eyelids, you can simply use water to pass over the eyelid (the water that passes over the eyelids while washing the head is enough).
After one to two weeks, you can resume your daily activities. After lower blepharoplasty, most patients prefer to stay at home and not go to work between 1 and 2 weeks (depending on the type of job).
It is better to avoid heavy activities for a few weeks after blepharoplasty. It is recommended not to have sexual activity for two weeks after eyelid surgery in Iran.
For anything, start slowly at the beginning. Don’t drive until you feel comfortable.
Result
At first, the eyes are very swollen and stretched. Bruising is normal after surgery. You can use sunglasses and makeup to cover bruises.
After a few weeks and the swelling decreases, the initial results can be seen better. Of course, you need to wait a few months to see the final result.
The scar and surgical site are pink at first. (for a few months maybe) but in the end most of them are so faded and faded that they are not visible.
Usually, in eyelid surgery, it takes between 4 and 6 months for the surgical site to fade to an acceptable level, and most patients will be satisfied with the operation site in the end.
What should I watch out for after surgery?
Bleeding after surgery can cause swelling. Swelling, discoloration, pain on one side can indicate bleeding on the same side.
If bleeding takes place inside the eye socket, it can cause headache and visual disturbances in that eye.
If you have these symptoms after surgery, go to your doctor (or a medical center that has an ophthalmologist, subspecialist in plastic surgery) without missing a single moment.
Symptoms of infection:
Pain, redness, swelling, pus discharge from the wound. It can be accompanied by fever.
Before surgery
- Inform your plastic surgeon about your medical history and medications. Especially dry eyes, cataracts, vascular problems, blood pressure, diabetes, smoking and hookah etc.
- Performing ophthalmological examinations such as determining visual acuity and number of eyes
- Taking photographs of the eyes and eyelids
- Perform tests requested by your plastic surgeon.
- Inform your plastic surgeon about taking medications such as aspirin, warfarin, naproxen, etc.
- Smoking should be stopped (the wound will not heal)
- If you are going to be discharged at night and rest at home, definitely coordinate with a companion who will be with you and by your side on the way from the hospital to home. It is also better to carry after surgery.
After surgery
You may temporarily experience the following problems:
- Blurred vision (probably due to the antibiotic cream that has been injected into the eye)
- Tearing
- sensitivity to light
- two noses
- Severe puffiness and swelling
- severe bruising
- Pain and discomfort in the eyes
To reduce the above cases, do the following unless your plastic surgeon has given other instructions:
- For the first night after surgery, use an ice pack on the eyelids every half hour for ten minutes.
- Use the prescribed drops or cream.
- The day after surgery, use an ice pack every three hours for 10 minutes.
- Use dark sunglasses to reduce sensitivity to light and airflow
- In case of pain, use acetaminophen every 4 hours.
What should I not do?
- Do not do any activity that causes straining.
- Do not smoke.
- Do not use intraocular lenses for at least two weeks.
- Do not use non-acetaminophen pain relievers such as aspirin, profen, naproxen and drugs that can increase bleeding (fish oil, omega 3, military oil, etc.)
Conclusion
For many people, in addition to improving vision, eyelid surgery in Iran brings increased self-confidence and feeling younger. In many cases, the results are permanent or very long-term.
