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The art of oculoplastics includes a variety of surgical eye procedures, often cosmetic in nature, associated with the eye socket and eyelids, tear ducts and nearby areas of the face. Typically reconstructive in nature, these types of procedures require the skill and training of licensed ophthalmologists such as those at Advanced Eye Surgery Clinic. Among the conditions addressed are droopy eyelids, tear duct obstructions, orbital fractures and even tumors in or adjoining the eyes.
Blepharoplasty – Eyelid Surgery
Blepharoplasty (Eyelid Surgery), which tightens droopy eyelids, has become one of the most popular facial plastic surgery procedures in the U.S. It usually involves removing, under the eyelids, excess skin, muscle and fat that can cause sagging brows or droopy upper lids. A successful blepharoplasty can result in a more alert, youthful-looking face.
In addition, this type of surgery can help restore peripheral (side) vision, which may have been compromised by the severely sagging skin around the eyes. The skilled surgeons at Advanced Eye Surgery Clinic excel at this type of procedure and would be happy to discuss the surgery with you and explain what to expect.
Why Eyelid Surgery Might Be Right for You
As we age or suffer skin damage from such things as UV rays or smoking, the very thin skin of our eyelids begins to stretch and the supporting muscles gradually weaken. This may enable fat to accumulate above and below the eyelids, leading to sagging or drooping skin, as well as to bags under the eyes.
You may feel youthful and vibrant, but droopy eyelids can make you appear much older and more weary than you actually are. A blepharoplasty procedure could restore your confidence and self-esteem while, in some cases, also improving your vision. If you are in good health and have no serious eye issues, then you would be an excellent candidate, should you desire a generally safe solution for sagging eyelids.
Performing an Upper Lid Blepharoplasty
Blepharoplasty surgery normally requires only a local anesthetic, though in cases where the patient is nervous or anxious, general anesthesia can be used. The procedure can be performed on either the upper or lower eyelids; often, the patient will request that both be done. Our licensed ophthalmological surgeons can help you determine the best course of action for yourself.
For the upper eyelid procedure, our surgeon will make an incision along the eyelid’s natural crease. Next, fat deposits are repositioned and any loose muscles and tissue are tightened. At this time, the doctor may also clear away any excess skin.
Finally, sutures are used to close the incisions. Great care is taken to place these invisible stitches in a way so that no visible lines can be seen on the skin once the incision area is completely healed. Blepharoplasty is considered to be a safe procedure that usually takes from 45 minutes to 2 hours, with minimal downtime afterward.
Performing a Lower Lid Blepharoplasty
Lower lid blepharoplasty, also referred to as eye bag removal, requires precision surgical skills like those demonstrated by our licensed surgeons. After an ocular examination that includes testing for visual acuity, checking the positions of the eyelids and measuring the palpebral fissure (the space between the two open lids), preparations can begin for the procedure. Other things to be discussed before moving forward, however, could be the following:
- Amount of wrinkling on the lower lids
- Laxity of the lower lids
- Depth of the orbit and or tear-through
- Any noticeable cheek atrophy
- Protrusion of the eyeballs
Once surgery begins, a similar process to upper lid blepharoplasty is used to treat the lower eyelid, except that the incision is initiated just below the lash line. Then the surgeon removes the excess skin and cleans up any issues with fatty deposits or weakened muscles.
The recovery from Blepharoplasty is brief and relatively simple. Your doctor may recommend a lubricating ointment and cold compresses to reduce post-operative symptoms such as swelling, bruising, dry eyes or irritation. These side effects usually diminish within two weeks of the surgery, and you will begin to see results that could continue to improve over the next 12 months.
Most blepharoplasty patients can return to work within two to three days of the procedure, though it’s recommended to refrain from exercise or other strenuous activities for about two weeks. Our ophthalmological team at Advanced Eye Surgery Clinic will provide you with specific post-op eye care instructions after your procedure.
Another condition in which the eyelid droops is called ptosis, a situation caused by a weakening or separation of the eyelid-raising levator muscle within the lid. This condition is normally the result of aging, although it can develop after an eye injury or ocular surgery. In rare cases, infants are born with this defect. Unlike blepharoplasty patients, excess skin or tissue in the eyelid is not typically present with a ptosis determination.
Ptosis can be repaired by a qualified ophthalmological surgeon, who would make an incision in the normal crease of the upper lid. Young patients with only mild ptosis may be able to avoid surgery early in life, but should be checked regularly for muscular diseases of the eye, refractive errors and amblyopia, otherwise known as “lazy eye.”
Opening Your Eyes to Better Care
Often, cosmetic surgical procedures like those provided by Advanced Eye Surgery Clinic serve the dual purpose of maintaining improved health for your eyes. Any eye condition that affects your vision and/or detracts from your appearance should be examined by a member of our proven professional team. Our priority is always to make sure that something as valuable as your eyes receives the kind of experienced, knowledgeable care that ensures a satisfactory outcome every time.