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Eyelid Surgery

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Introduction

“Eyes are the windows of the soul.” This aphorism conveys the importance of beautiful eyes in facial aesthetics.

With age a constellation of changes in the tissue and skin surrounding the eye impart a “tired, unhappy look”.These comprise of excess upper eyelid skin and “hooding”, “crow’s feet”, “hollowed appearance and unsightly “eye bags.”

Blepharoplasty surgeries aim at correction of the above age related changes and restoration of a youthful appearance. Complementing these is the use of anti wrinkle injections which eliminates wrinkles around the eyes.

Incisions are placed on the upper eyelids as shown and excess skin is removed to correct hooding.

Lower lid surgery involves an incision along the eyelash line with correction of fat bags and repositioning of tissues to correct hollowing.

Types Of Anaesthesia: Usually local anaesthesia.
Duration: This is a short duration procedure, no admission required.
Post-op Care: This requires pain medications and rest for the first few days following surgery. Minimal bruising and swelling are common and resolve within a fortnight. Cold fomentation with ice packs accelerates the resolution of swelling.

“Eyes are the windows of the soul.” This aphorism conveys the importance of beautiful eyes in facial aesthetics.
With age, a constellation of changes in the tissue and skin surrounding the eye impart a “tired, unhappy look”. These comprise of the excess upper eyelid skin and “hooding”, “crow’s feet”, "hollowed appearance" and unsightly “eye bags”. Blepharoplasty surgeries aim at correction of the above age-related changes and restoration of a youthful appearance. Complementing these is the use of Anti-Wrinkle Injection which eliminates wrinkles around the eyes.

Eyelid surgery can be performed on the upper eyelids, the lower eyelids, or on both depending on the indication and nature of the patient’s concern.

Upper eyelid blepharoplasty candidates include:
  1. Excessive upper eyelid skin resulting in "hooding"
  2. The absence of upper eyelid crease in certain races like orientals and Northeast Indians
  3. Excess upper eyelid fat
  4. Asymmetrical position of upper eyelids due to trauma or congenital conditions
Preoperative planning:

In both upper and lower eyelid surgery, preoperative assessment is of utmost importance. With the patient sitting comfortably, the excess skin which can be removed from both the upper and lower eyelid is carefully marked out. It is mandatory that the skin excision should not cause any problems like difficulty in closing eyes or downward pull on the lower eyelids. In the case of upper eyelid crease creation, the desired position of the crease is marked out. Incisions are placed on the upper eyelids along existing creases and excess skin is removed to correct hooding.
Lower lid surgery involves an incision along the eyelash line with correction of fat bags and repositioning of tissues to correct hollowing.

Lower eyelid blepharoplasty is indicated in patients with:
  1. Puffiness of eyes
  2. Loose wrinkled skin
  3. “Eye bags” due to fat protruding through weakened tissues
TYPES OF ANAESTHESIA

The surgery is usually performed under local anaesthesia. However, in cases involving both upper and lower eyelids or which require correction of congenital correction, general anaesthesia is required.

POST- OP CARE

In the postoperative period, the following precautions are needed:

  1. Lifting heavy weights, blood thinners and direct sunlight exposure are to be avoided for at least 1 week.
  2. Sunscreens are a must to avoid post surgery scar pigmentation and irregularities.
  3. Cold fomentation using ice packs (3–4 times/day) and head end elevation while sleeping reduce swelling and edema postoperatively.
  4. Avoid applying eye makeup for a minimum of 10–14 days.
  5. Minimal bruising and swelling are common and resolve over 10-12 days.

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*Disclaimer: The content on this website (www.aestiva.in) is solely for the purpose of educating and creating awareness about the domain i.e. plastic surgery. This shall not be treated as a substitute to a professional plastic surgeon's advice or prescription. Every individual and their case is different, so the results of any of the treatments mentioned on the website may vary.