The Eyelids (Blepharoplasty)
A very great change happened in the way we approach to eyelids. The surgeries that are performed by years as standard in the last 30 years are realized that they are inadequate. It is now discussed that to take fat meringue out is unnecessary. Our expectations exceed beyond forming eyelids without pouches and now we prefer to evaluate he face as a complete.

What is the ideal treatment?
What is ideal is to consider eyelids as a part of the face. Those should be fixed step by step.
1- First of all if there is a hole below your eyes this hole must be filled. Standard lower eyelid surgeries do not fix this problem, even it may increase. This hole can be fixed by the fat that forms the pouch to spread down and lifting the cheeks up. Thereby an uninterrupted, flat surface must be formed from the cheekbones to the lower eyelids. This is a certain rule to look like young and lively.
2- If there is a serious pendency at your cheeks then it should definitely be fixed. For this use it is possible to benefit from the endoscopic techniques and lift the cheeks or during the lower eyelid operation to lift the middle face.
3- For the upper eyelid, the forehead must be considered. If your forehead and eyebrows collapsed on your eyes first those should be fixed, by temporal lifting the eyebrows should be put to the right place. Later on if there is still pendency on the upper eyelid this should be treated. Goosefoot is formed because of the pendency in the temporal area and by temporal lifting it goes off mostly.
At the both eyelids just to take muscle and skin bulges is sufficient after the problems that I mentioned above are fixed.

WHAT IS EXPECTED BEFORE AND AFTER THE SURGERY
Although this is a small surgery the eyelids tumefy very easily. Hence, be organized as you will not be seen by people for 1 week. This is not an aching surgery. There is no need of hospital stay. Your eyes will be open after the surgery. There will be just small tapes on the eyelids.

COMPLICATIONS
Infection is very rare at eyelids. But akanam can be a complication which is afraid of. A little bleeding underneath the eyelid skin is very normal. This is appeared as lividness in the eye and it may be encountered in almost all the eyelid surgeries. But in the cases that the pouches are taken a bleeding in the veins that feed these fat might form a pressure on the vision nerves and it may cause to seeing problems and even blindness. Even if it is a very rare complication it is declared in the literature.
The most scared and the most frequent complication is a stretching on the eyelids downwards. This possibility increases in the patients that undergo the surgery for the second time. The problem is generally to take the eye skin overmuch and the treatment is to put the skin that is missing back. For this use it may be necessary to take skin from the upper eyelids.
There is a risk of harming the cornea of the eyes in this surgery. No matter it sounds like it is impossible it is useful to think that the surgery is performed very close to the eyes and by very sharp gauges and there is always a risk even it is small.

THE REPORT OF THE SURGERY
Anesthesia: Local or general
Where should the surgery be performed: In a hospital operating room.
The duration of the surgery: 1-3 hours
The duration of the hospital stay: Can be dismissed at the same day.
Ache and pain after the surgery: You can have a little ache for the first days. Painkillers taken by mouth are usually sufficient.
Tumescence and lividness: Between 3-7 days. Sometimes high level.
Dressing for the wound: The wound is not dressed until the sutures are taken. Everything is taken with the sutures.
Sutures: At the 5th day.
When can be back at work: 3-7 days
Sports: After 2 weeks long joggings, after 3 weeks running can be fulfilled but it is needed to wait 4 weeks for severe sports.
Last shape: Generally, first month the edema continues. But the last shape comes up after the 3rd month.