Preparing for your Surgery
You will be given specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medicines.
If you smoke, plan to quit at least two weeks prior to the surgery and not resume smoking for at least two weeks after your surgery. Avoid overexposure to the sun before the surgery, especially on the abdomen, and do not go on astringent diet, as both can inhibit your ability to heal. If you develop a cold or infection of any kind, it is important to inform the surgeon, as your surgery may need to be postponed.
You will need to arrange for someone to collect you after your surgery, as you will be unable to drive. It is also advisable to have someone to stay with you for a few days to help you out, if needed.
Before your Surgery
In the week before, you should not take any medications containing aspirin (acetylsalicylic acid), since these products affect the blood clotting mechanism and therefore may lead to excessive bleeding during and after surgery, hence resulting in increased bruising. Taking high doses of vitamin E preparations, eating large amounts of garlic and consuming alcohol can also produce the same result and should be avoided. If pain medication is necessary, we recommend you take ibuprofen/paracetamol.
It is in your own best interests to quit smoking, at least two weeks before and until 2 weeks after surgery. It is well known that smoking causes narrowing of the blood vessels, which leads to a decreased blood supply to the skin, thus slowing and interfering with the healing process.
Be sure to inform your surgeon of any medications you take, as well as possible allergies including (drug, latex, plasters and so on).
Your surgeon will decide whether preliminary examinations are necessary, such as blood tests, an electrocardiogram, or x-rays of the lungs. If this is the case, these tests should be performed several weeks before the surgery. It is best not to wear any makeup when you come in for your operation, and to tie your hair back if possible.
Your operation will take place at London Centre for Aesthetic Surgery Gulf, based in Dubai Healthcare City, and is generally performed under sedation (this is not a general anaesthetic). The procedure normally takes between 45 minutes and 1.5 hours, depending upon whether the upper or lower (or all four) lids are being operated on. If all four of your eyelids are to be operated on, the surgeon will normally start on the upper lids.
During the procedure, the surgeon makes a fine incision along the creases of the upper eyelid and just below your lower lashes. With upper Blepharoplasty, a small amount of excess skin is gently removed from your eyelid. During lower Blepharoplasty, small fatty deposits, which cause puffy bags under the eye, are gently and carefully removed. It may also be necessary to remove a very small amount of sagging skin. Extremely fine stitches are then used to close the incisions, in the upper lid you will have one long continuous suture per eyelid and the lower lid will have about 4 separate sutures. Small skin strips called steri-strips will be placed along the suture line, to keep the wound clean and aid healing. These need to remain in place for 3 days.
After the Procedure
After your operation, you will need to remain at the clinic for about 2 hours, to allow us to monitor your recovery from the sedation. You will need to arrange for someone to come and collect you, as you are not permitted to drive or take public transport for 48hrs after having sedation.
After surgery, your surgeon may use an ointment and apply some small skin strips. As the anaesthesia wears off, your eyelids will feel quite tight and sore but your surgeon will provide you with pain medication and antibiotics. You will be asked to keep your head elevated and to continue to ice the eyes over the next 12 hours, this will minimise bruising and swelling.