Cosmetic Surgery & Skin Clinic


Procedures

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Eyelid Surgery (Blepharoplasty):

Description

Often lumped under the term facelift are a group of operations designed to rejuvenate faces that show signs of aging. These include blepharoplasty (eyelid surgery), brow and forehead lift, mid-face lift, and skin resurfacing, among others.
Blepharoplasty
People stress eye contact and believe that they can judge a person’s character by what they see in their eyes. While people talk most about facelifts, the most popular age reversing operation among my patients these days involves the eyelids. Heavy, ‘hooded’ (drooping) upper eyelids and baggy lower eyelids make people look tired, old, and certainly past their prime. The surgical correction known as blepharoplasty can remove the fatty pouches that cause these unfortunate problems. When present, skin that has become stretched over the years can also be removed. Upper eyelid drooping, which sometimes partially obscures vision, is corrected by removal of excess skin, muscle and fat. Incisions follow natural contour lines in the upper eyelids, and in the lower lid can be made on the inside, so there is no scar at all. In some cases, circles under the eyes can be filled in and the lids tightened.
Corrects sagging, puffy or drooping eyelids, as well as bags and bulges above and below the eyes. The condition is caused when fat forces its way through layers of muscles. If surgery is used to correct visual field defects, upper-eyelid surgery may be covered by medical insurance.

Length

1 to 3 hours for both eyelids.

Side Effects

Temporary tightness of eyelids, swelling, bruising, burning, and itching. Excessive tearing and sensitivity to light for first few weeks.

Recovery

Eyelids may feel tight and sore as the anesthesia wears off; however, any discomfort can be controlled with oral pain medication. Reading: 2 or 3 days. Back to work: 7 to 10 days. Contact lenses: 2 weeks or more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling gone: several weeks.

Risks

Temporary blurred or double vision. Infection, bleeding. Swelling at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight asymmetry in healing or scarring. Difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids (may require further surgery.

Results

Several years. Sometimes permanent.

Technology

Drooping eyelids are corrected by incising a flap of skin just above the eyelid and removing excess skin and fat. For lower eyelid surgery, the incision to remove fat is hidden just under the lower lashes. However, blepharoplasty won’t remove crow’s feet and other wrinkles, or eliminate dark circles under the eyes. A surgeon may also use Transconjunctival blepharoplasty, another technique to remove excess under-eye fat; using tiny forceps by making an incision just inside the lower eyelid, in the pink area known as the conjunctival tissue.

Anesthesia

Local with sedation
General






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