Eyelid Surgery (Blepharoplasty)
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Eyelid Surgery (Blepharoplasty)

Aesthetic surgery operations aiming to improve the appearance of the eyes are among the most preferred aesthetic rejuvenation techniques. In the past year alone, more than 250,000 men and women have had eyelid surgery (blepharoplasty) with the help of board-certified plastic surgeons. In addition to these operations, there are also aesthetic operations performed by ophthalmologists and otolaryngologists apart from plastic surgeons. The sum of eyelid surgeries performed by all doctors makes this operation the most frequently performed cosmetic procedure. Patients considering eyelid surgery should undergo a rigorous evaluation before the operation. This evaluation includes patients' anatomy, eye exams, and eye-related problems such as the dry eye.

Patients who want to have eyelid surgery have one or more of the following complaints:

  • Eyes Looking Tired
  • Heavy, drooping eyelids
  • Under-eye bags and swelling
  • Excess, wrinkled skin

Most of these problems can be successfully corrected with upper and/or lower eyelid surgeries. These operations focus on improving the three central tissues of the eyelids: skin, muscle, and fat. When deciding on the best procedures for periorbital enhancement, some additional physical characteristics must be evaluated to create the most appropriate treatment plan. The following are essential factors that plastic surgeons and patients should consider before eye surgery.

Ptosis: Droopy Eyelid Causes and Treatment

Most patients who complain about the appearance of their upper eyelids notice that their eyelids are heavy and drooping or have excess. Excess skin, muscles, and fat emerging from under the muscles are removed during the upper eyelid surgery called blepharoplasty.

The operation results are immediate: the shape of the eyelids is improved, the eyes appear more open, and an overall more rested and renewed appearance is formed. Detailed and accurate examinations should be performed before the operation to determine precisely the amount of soft tissue to be excised. The differences between the ideal results men and women seek should also be considered, so that excess tissue is not removed.

In some cases, where the upper eyelids accumulate too much on the eye, eyelids drooping over a part of the field of view may affect vision. In cases where the eyelid muscles do not work effectively, the medical name for the drooping of the eyelid is 'ptosis.’ The reason for this may be congenital or different conditions. The function of the muscles that lift the upper eyelid should be examined before the operation to determine whether these muscles are functioning. This is very important to determine if any action should be taken to correct ptosis to achieve the optimum result. Ptosis repair can be performed in conjunction with cosmetic eyelid surgery. In some patients, if the soft tissues on the forehead are loose and cause drooping of the upper eyelid, brow lift surgery can be applied in addition to eyelid surgery.

Lower Eyelid Skin: Surgery or Non-invasive Treatment

The most common feature of lower eyelids is that patients want to improve their under-eye bags as well. The skin of the lower eyelid is fragile and sensitive. Moreover, it gets thinner with age, wrinkles increase, and it looks like crepe paper, causing the oil below to appear on the surface. The most important and only permanent improvement in the lower eyelid is usually performed with lower eyelid surgery. In this operation, the excess skin is directly cut and removed. Removal or repositioning of the underlying muscle layer and underlying fat can also be added to this process. In addition to surgery, there is a growing number of non-invasive treatments to improve the appearance of the lower eyelid.

Lower Eyelid Skin: Is Canthopexy Surgery Necessary?

All rejuvenation operations performed on the lower eyelid should be personalized for each patient. The potential benefits and inherent limitations of treatment options must be considered to achieve optimum results. Creating a solution for skin laxity and excess requires either a non-invasive treatment that removes excess skin or a surgical procedure that removes excess skin. One of the most important factors to consider when deciding on a surgical or non-surgical approach is to properly assess the lower eyelid and determine if the lower eyelid is strong enough to maintain its natural shape in the event of any intervention. For patients with loose eyelids, any action on the eyelid may cause the eyelid to retract or move away from its normal position. To prevent this from happening, patients may need to have second eyelid surgery. This second surgery (canthopexy), together with eyelid surgery, can reinforce or stabilize the effects of surgical procedures to preserve the natural appearance of the eye. A careful preoperative examination is essential to decide which patients may be candidates for these operations and avoid potential complications.

An essential part of the evaluations before eyelid surgery is the position of the patient's eye relative to the bone. Some patients' eyes may be forward, protruding. While there may be medical reasons for this, in some cases, the cause is genetic. Before eyelid surgery or other aesthetic procedures, medical problems should be corrected and patients’ best condition. Also, for patients with a more central position of the eyes, the surgical technique may need to be adapted. Patients should be informed about what they can expect as a result of adaptations in the method. As with all aesthetic operations, the plastic surgeon and the patient should discuss the expectations and the results that can be achieved in detail before the operation.

Upper and lower eyelids can produce immediate, long-term, and noticeable results. Although these operations seem to be understandable and straightforward, the eye area is susceptible, and this area should be carefully examined before any procedure is performed. Thus, all appropriate techniques and interventions can be performed during the operation. When eyelid surgery is performed by an experienced and board-certified plastic surgeon and all details about the patient are taken into account, it creates excellent results. As a result, patient satisfaction is very high.

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