Eyelid Surgery

Eyelid surgery, also called blepharoplasty, is a surgical procedure to rejuvenate the appearance of the eyelids by removing excess skin, fat or muscle from the upper or lower eyelids. Below is some information about eyelid surgery and the techniques involved:

Eyelid surgery, also called blepharoplasty, is a surgical procedure to rejuvenate the appearance of the eyelids by removing excess skin, fat or muscle from the upper or lower eyelids. Below is some information about eyelid surgery and the techniques involved:

Upper Eyelid Surgery:

1. Incision placement: Incisions for upper eyelid surgery are usually placed in the natural creases of the eyelids. This is a better way to hide scars after healing.

2. Fat and skin removal: excess skin and fat deposits are removed through the incisions. The underlying muscles can be adjusted if needed.

3. Closure of incisions: Incisions are closed with fine sutures to ensure proper healing and minimal scarring.

Lower eyelid surgery:

1. Placement of incisions: Lower eyelid surgery can be performed using a variety of techniques, depending on the patient's specific concerns.

a. Transcutaneous approach: in this technique, an incision is made just below the lower lash line, allowing the surgeon to remove excess skin, fat and muscle.

b. Transconjunctival approach: in this technique, an incision is made on the inside of the lower eyelid so that no external scar remains. It is used primarily when only fat needs to be removed or redistributed and there is no excess skin to treat.

2. Fat redistribution or removal: depending on the patient's needs, the surgeon may redistribute or remove excess fat from the lower eyelids to achieve a smoother and more youthful appearance.

3. Closure of incisions: Incisions are closed with dissolvable sutures or with sutures that are removed after a few days.

Combined upper and lower eyelid surgery:

In some cases, both the upper and lower eyelids can be treated in a single procedure to achieve a comprehensive rejuvenation of the entire eye area.

Additional techniques:

1. Canthopexy or Canthoplasty: These techniques are sometimes performed in conjunction with eyelid surgery to provide additional support and stability to the outer corner of the eye. They help maintain the natural shape and position of the eyelids.

2. Fat grafting: fat grafting involves taking fat from another area of the body and strategically injecting it into the eye area to restore lost volume and create a more youthful appearance.

3. Laser Resurfacing: Laser technology can be used in conjunction with eyelid surgery to improve the texture and quality of the skin around the eyes and reduce the appearance of fine lines and wrinkles.

Recovery and Results:

After eyelid surgery, patients should expect some initial swelling, bruising and discomfort, which can be treated with prescribed medications and cold compresses. It is important to follow your surgeon's postoperative care instructions, including proper wound care and avoiding strenuous activity.The results of eyelid surgery become more noticeable as the swelling subsides, usually within a few weeks. The procedure can permanently improve the appearance of the eyelids and contribute to a fresher, more youthful appearance.

It is important that you consult with a qualified and experienced plastic surgeon who specializes in eyelid surgery to discuss your goals, assess your eligibility, and determine the most appropriate techniques to achieve the desired result.

Ptosis surgery, also called blepharoptosis surgery, is a procedure performed to correct drooping of the upper eyelid(s) caused by weak or stretched eyelid muscles. Below is some information about ptosis surgery and the techniques involved:

Examination and Diagnosis: Prior to surgery, a thorough examination is performed to assess the extent of the drooping eyelids, determine the underlying cause, and plan the appropriate surgical approach. This may include an examination of the eyelid position, muscle function, and overall health of the eye.

Incision placement: Incisions for ptosis surgery are usually placed within the natural creases of the upper eyelid to minimize visible scarring. The exact location and length of the incision will depend on the technique chosen and the severity of the ptosis.

Repair of the levator muscle: Ptosis surgery is primarily concerned with repairing the levator muscle, which is responsible for lifting the eyelid. The technique used to correct the muscle varies from case to case:

a. External approach (external levator advancement): In this technique, an incision is made in the crease of the eyelid. The surgeon identifies and tightens the levator muscle by reattaching it to a higher part of the eyelid, which allows for improved eyelid elevation.

b. Internal approach (Mueller muscle conjunctival resection): This technique is used when the levator muscle is functioning normally, but drooping is due to weakness of the Mueller muscle or excessive eyelid skin. Through a small incision on the inside of the eyelid (conjunctiva), the Mueller muscle is shortened or resected to lift the eyelid.

Adjusting the eyelid crease: In some cases, ptosis surgery may involve adjusting the position or creating a new eyelid crease to achieve a more natural appearance. This is especially true for patients of Asian descent who desire a higher eyelid crease.

Closure of incisions: Incisions are closed with fine sutures to ensure proper wound healing. Depending on the surgeon's preference, the sutures used may be absorbable or may need to be removed after a few days.

Recovery and results:

After ptosis surgery, you may experience mild swelling, bruising, and discomfort in the treated area. Pain medications and cold compresses may help relieve discomfort. Following the surgeon's postoperative care instructions is essential for good healing.

The full results of ptosis surgery may not be visible for several weeks as the swelling subsides and the eyelid settles into its new position. The goal of the procedure is to improve the symmetry, function, and appearance of the eyelids, resulting in a more alert and rejuvenated appearance.

It is important that you consult with an experienced surgeon who specializes in ptosis surgery to evaluate your condition, discuss your goals, and determine the surgical technique that is best for you. The surgeon will personally counsel and guide you throughout the process to achieve the best possible outcome.​​

Preoperative care for candidates preparing for eyelid surgery includes several important steps:

1. Consultation: schedule a consultation with a qualified ophthalmologist or eye surgeon who specializes in eyelid surgery. Discuss your concerns, goals, and expectations for the procedure. The surgeon will assess the condition of your eyelids, evaluate your medical history and determine if you are a suitable candidate for the procedure.

2. Communication: clearly communicate to your surgeon the results you want and any special concerns you have. Use visual references or computer images, if available, to convey your expectations. Make sure you fully understand the possible outcomes and limitations of the procedure.

3. Medical Exam: undergo a comprehensive medical exam to make sure you are in good health for surgery. This may include blood tests, imaging tests, and other diagnostic tests as determined by your surgeon. Tell your surgeon about any pre-existing conditions, allergies or medications you are currently taking.

4. Medication review: provide your surgeon with a complete list of medications, supplements and herbal remedies you are taking. Some medications and supplements may increase the risk of bleeding or interact with anesthesia, so your surgeon may advise you to stop or adjust them before your procedure.

5. Smoking and alcohol: If you smoke, it is advisable to stop smoking well in advance of your procedure. Smoking can interfere with the healing process and increase the risk of complications. Similarly, avoid drinking alcohol for a recommended period of time before surgery, as it can interfere with anesthesia and increase the risk of bleeding.

6. Preoperative instructions: Follow your surgeon's instructions for fasting before surgery. You will usually be required not to eat or drink anything for a certain amount of time before the procedure

Postoperative care after a facelift is critical for optimal healing and recovery. Here are some general guidelines:

1. Recovery facility: provide a comfortable and supportive recovery environment. This includes having someone available to assist you in the first few days after surgery and having the necessary supplies and medications handy.

2. Rest and recovery: plan for plenty of rest and downtime after surgery. Avoid strenuous activities and any activities that may put stress on your facial tissues. It is important to elevate your head when sleeping to minimize swelling.

3. Pain management: take pain medication as prescribed by your surgeon to relieve discomfort and pain during the initial recovery period. Use cold compresses as recommended to reduce swelling and bruising.

4. Care of the wound: Follow your surgeon's instructions for caring for your incisions. Keep the incision areas clean and dry and apply any prescribed ointments or dressings. Avoid excessive sun exposure and protect your incisions from direct sunlight.

5. Facial Care: Your surgeon may recommend certain skin care routines or products to aid in the healing process and optimize results. Follow the instructions for facial cleansing, moisturizing, and sun protection.

6. Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon. At these appointments, your surgeon can monitor your healing progress, remove any sutures or staples, and address any concerns or complications.

It is important that you follow your surgeon's pre- and post-operative instructions carefully for a successful recovery and optimal results. Contact your surgeon if you have any questions or concerns during the recovery period. He or she will provide specific advice tailored to your individual needs and monitor your progress throughout the recovery process.