Correction of baggy eyelid is the common Cosmetic Surgery procedure. The eyelid have excess skin either due to aging or hereditary. At present, the loss of fat in the face and around the eyelid is corrected by fat injection and minimal skin excision to bring the facial rejuvenation.
Who is a good candidiate for cosmetic eyelid surgery?
How is cosmetic eyelid surgery performed?
Details of surgery
Results of surgery
Complications of surgery
Eyelid surgery is performed on men and women of all ages who want to improve their appearance. Most people have eyelid surgery to minimise the effect of aging. It helps to improve the tired look due to baggy eyelids. This procedure sometimes combined with fat injection around the eye which give more youthful appearance. This fat is taken from your body.
Who is a good candidate?
You may be a good candidate for eyelid surgery if you have any of the following conditions.
Upper eyelids
- Excess skin that hides the natural fold of the upper eyelids
- Loose skin that hangs down from the upper eyelids
- Puffiness in the upper eyelids that creates a tired look
Lower eyelids:
- Excess skin and fine wrinkles of the lower eyelids
- Puffy "bag" and in some cases dark circles
Eyelid surgery needs to be approached with extra caution if you have any of the following medical conditions:
- Thyroid problems, such as hypothyroidism or Graves' disease
- Lower eyelids that droop significantly and reveal the white beneath the iris
- Eye problems, such as "dry eye", a detached retina or glaucoma
- High blood pressure or other circulatory disorder
- Cardiovascular disease
- Diabetes
A few important points:
- Sagging eye brows can be tightened and smoothed with forehead lift
- Crow's feet near the eyes can be minimised with a chemical peel or laser resurfacing
- Dark circles beneath the eyes that can not be helped by blepharoplasty can be treated with bleaching, medication, chemical peel or laser treatment
- Lower eyelid muscle tone can be improved with additional eyelid surgery.
<Back to the top> |
How is cosmetic eyelid surgery performed?
The specific method used for eyelid surgery will be determined by your features and your surgeon's preference. |
Upper eyelid |
|
|
| |
Upper Eyelid Skin Removal |
|
| |
 |
|
| |
|
|
| Incision begins within the natural crease of the eye's inside corner and extends slightly beyond the outside corner into the crow's feet. Through this incision, excess skin and fatty tissue are removed. The incision line follows the natural contour of the upper eyelid, and is camouflaged when healed. |
| |
|
|
| Lower eyelids |
|
|
| |
Lower Eye Lid incision and fat collection |
|
| |
 |
|
| |
|
|
The incision is concealed just below the lower lashes. Through this incision, excess skin, muscles and fat are removed. Fat beneath the eye can be redistributed to eliminate puffiness or bulges. In some patients, the underlying muscle will be tightened.
In the second type of technique, the incision is put inside the eyelid and there will not be any incision on the skin. However, in this technique, excess skin of the eyelid cannot be removed. Laser resurfacing or chemical peel is sometimes used in conjunction with these procedures to minimise fine wrinkles near the eyes.
<Back to the top> |
Preparation for surgery:
- Smoking can increase the chance of complications; so it would be advisable for you to STOP or cut down on cigarette consumption 2 weeks before and 2 weeks after surgery.
- Do not take aspirin for 2 weeks before and 2 weeks after your surgery. If you take aspirin within this period, please inform the office. BEWARE! Many medications contain aspirin, pleases review the enclosed list of medications to be avoided. Read labels carefully.
- Notify the doctor or nurse of any cardiac or medical problems you may have, allergies to any kind of tape, drugs or medications must also be reported.
On the day of surgery:
- Do not eat or drink after midnight the night before. You should have body and hair wash with medicated soap
- Please inform the office if you take any heart or blood pressure medications, some medications may be taken with a small sip of water.
- Do not wear your contact lenses.
- Wear clothing that fits loosely and does not have to go over your head, preferably a button down shirt, sweat pants, and slip on shoes.
- Please do not wear any makeup, facial lotion or creams. Leave all jewelry and valuables at home.
First week after surgery
Expect the effects of anesthesia to pass slowly, which may take a variable amount of time. Pain medications may prolong the sense of fogginess or cause an upset stomach. The anesthetic and pain medicines tend to produce constipation, so it is advisable to eat high-fiber foods and/or take stool softeners during recovery. Start with liquids, and advance to a normal diet when you are sure your stomach is comfortable. Try to maintain a low-salt diet to discourage water retention.
- Refrain from watching TV or reading for the first 24-48 hours after surgery.
- The following information will help during the first 24-48 hours after surgery to minimise swelling. Place ice in zip lock bag and place over eyelids with a washcloth between them. Apply for 15-30 minutes on and 30 minutes off. The frozen peas help to conform around the eyes. Another alternative is to saturate several 4 X 4 gauze in ice water until they are dripping wet. Fold the sponges in half and apply to each eye. Place an ice cube on top of each sponge and allow the ice to melt. This will keep the eyelids cool and wet, and the suture line (stitches) clean
- This surgery is usually an outpatient procedure. You can be discharged after a few hours of surgery or after 24 hours.
- Always use pillows to keep head elevated when sleeping or resting
- You may have blurred vision due to ointment, or discomfort which can be controlled by medication
- Bend little and do not put head down, which can lead to bleeding in the eyelid.
Few weeks after surgery:
- Bruising and swelling is very common which will disappear after a few weeks. Tightness around the eyelids will diminish as the swelling goes down.
- You can resume normal activities within a few weeks of surgery.
- Any vision related symptoms will disappear over time. You can resume wearing contact lenses.
- Avoid direct sunlight for a few weeks and use sun block cream and darkly tinted sunglasses for a long time after surgery.
<Back to the top>
|
What do you expect as a results of surgery?
Most traces of surgery will nearly disappear after several weeks. The results of cosmetic eyelid surgery are long lasting and make you look younger. However, the effect of aging on the face will continue.
<Back to the top>
What are the complication following eye surgery?
May people undergo cosmetic eyelid surgery and experience no major complication. One of the most important but rare complications can be bleeding behind the eyeball, which can affect the vision. Others are deformity of eyelid and watering of eye due to scar contraction.
<Back to the top>
|
