Blepharoplasty – surgery aimed at improving the appearance of the eyelids and periorbital area (around the eyes), by removing excess skin, partial removal or redistribution of intraorbital fat as well as tightening the circular muscles of the eye.
The eyelids and periorbital area are one of the most prone to age-related changes in the areas of the face. Very delicate skin of eyelids shows age faster than any other.
Eyes – the most colorful and expressive part of the face. However, due to aging, and partly due to a genetic predisposition, the skin under the eye area loses elasticity. An indication for blepharoplasty is not the age of the patient, but the presence of excess skin and hernias. Eyebrows lowered, upper eyelids hang in the area of the lower eyelids are formed “fat” hernias. Blepharoplasty (eyelid surgery) – a procedure by which excess skin is removed, and also removed or redistributed serving adipose tissue in the upper and lower eyelids.
The changes affect not only the skin but also deeper structures. External manifestations are: excess skin in the upper eyelids that can hang and even reduce the field of vision, in the area of lower eyelid wrinkles appear and so-called “bags” under the eyes. In such cases it is possible to improve the situation by using surgery called blepharoplasty. Aesthetic blepharoplasty – one of the most popular aesthetic surgery.
There is no specific age for blepharoplasty. Such surgery is possible to carry out both the young and the elderly. The greatest number of surgeries performed after 35 years. Skin of the eyelids is the thinnest on the surface of the human body, it gives the ability to better and more rapid healing as compared with other parts of the body.In most cases, the scar extends along the natural crease, and it is practically impossible to discern after the procedure. Blepharoplasty helps refresh and restore youthfulness of your face by reducing the severity and sagging of eyelids, puffiness and bags under the eyes.
The main indications for surgery blepharoplasty are:
- Overhang of the skin in the upper eyelids that may cause narrowing of the visual field and trouble of view;
- “Fatty hernia” of the upper eyelids;
- Ptosis (drooping) of the upper eyelids;
- Ptosis of the lacrimal glands in the area of upper eyelids;
- Excess skin of the lower eyelids;
- Wrinkles in the lower eyelids;
- Muscle weakness;
- “Eye bags”;
- Deep nasolacrimal furrows.
There are 4 types of age-related changes in the periorbital area.
Type 1 – the initial changes eyelids, with minimal muscle and skin weakness, and minor herniation.
Type 2 – to the above changes are added the excess skin in the upper and lower eyelids and the transition of age-related changes on the cheek.
Type 3 – the continuing changes in the tissues periorbital area, with overhang of eyebrow, “Skeletonization” the lower edge of the orbit, the appearance of the eyelid-cheek furrows and deepening of the nasolabial folds, wherein the excess skin more pronounced.
For each patient is selected individual technique of surgery. There are cases when in 35-40 age is simple enough remove excess fat through a transconjunctival access.
This is possible with the first type of age-related changes. For older patients with more significant changes of 2-3 type usually necessary remove excess skin and sometimes muscle, manipulation with fat, eyebrow lifting and canthopexy.
Patients with type 4 of age changes need lower blepharoplasty and midface lift. The usual result of blepharoplasty is more open, cheerful and lively look with a smaller overhang of the skin and reducing swelling around the eyes.It is important to understand that in people with constantly arising swelling of the upper and lower eyelids, the situation can be greatly improved. However, eyelid edema may persist after surgery.
It is also necessary to pay attention to the position of the eyebrows and to determine whether this is the cause of excess skin on the upper eyelids. Quite often, patients who going to do the upper eyelids surgery have drooping eyebrows. As a rule, they have no idea about this. In such cases with simple excision of the skin of the upper eyelids, achieved only short-term effect. Eyebrows descend even lower and excess skin reappears. During the consultation on the forthcoming intervention is necessary to clarify whether there are problems with the eyes. If the problem is – necessary preoperative consultation with an ophthalmologist vision test.
Upper blepharoplasty (upper eyelids surgery)Immediately before surgery is performed preoperative marking with a certain amount of skin removed. During surgery, the surgeon removes the skin and may remove a small portion of muscle and fat. At the end of surgery are superimposed cosmetic seams.
Lower blepharoplasty (lower eyelids surgery)
Before the surgery the surgeon determines whether there is excess skin on the lower eyelids, its elasticity, the presence of excess fat and tone century. If there is excess skin – is used percutaneous (transdermal) access. When using of cutaneous access an incision is made on skin, indented 3-4 mm from the ciliary edge. Adipose tissue is removed or redistributed in the lack of it. Procedures such as lifting the midface, canthopexy – and, if necessary, are made from this access. Then removed excess skin and sometimes portions of the circular muscles of the eye. On wound is applied cosmetic seam.In the absence of excess skin is performed transconjunctival blepharoplasty. In this surgery, there is no incision in the skin. The cut of tissue is made from the inside of the eyelid. Thus there are no traces of the surgery.
This surgery is effective in cases where there is excess body fat in area of upper and lower eyelids. During surgery the fat is partially removed or redistributed.
Blepharoplasty – very visual, effective and minimally invasive surgery that improves the appearance not only of eyes, but also the perception of the whole person.
Surgery time: from 30 minutes to 2 hours.
The position of the cut and the information details of the surgery: For the upper eyelid incision is performed on the crease; for the lower eyelid incision runs right under the eyelashes or the inside of the eyelid.
Possible Side Effects: Temporary discomfort in the eyes, swelling and bruising. Tearing and sensitivity to light may be within the first week.
Risks: Infectious complications, bleeding, dry eye, eye asymmetry, the impossibility of a complete closure of the eyelids.
Recovery: During the first week is not recommended overly strain your eyes (much to read, watch TV, work on the computer). The stitches on the eyelids are removed on day 4-5. On work you can come back after 1 week. After 3 weeks after the operation is allowed to resume the previous physical activity. Swelling and bruising usually disappear within 7 – 14 days.
Result: From several years to long term, depending upon the rate of aging and predisposing of patient.
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