Cosmetic eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.
Specifically, eyelid surgery can treat
. Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
. Excess fatty deposits that appear as puffiness in the upper eyelids
. Bags under the eyes
. Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
. Excess skin and fine wrinkles of the lower eyelid
Is it right for me?
Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.
You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Good candidates are:
. Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
. Individuals with a positive outlook and specific goals in mind for blepharoplasty
. Individuals without serious eye conditions
You must tell your doctor if you have any of
these medical conditions:
. Eye disease such as glaucoma, dry eye or a detached retina
. Thyroid disorders such as Graves’ disease and under or overactive thyroid
. Cardiovascular disease, high blood pressure
or other circulatory disorders or diabetes
Types of Lower Eyelid
Transconjunctival Lower Blepharoplasty
The transconjunctival lower blepharoplasty is a procedure where, mainly, the goal is the removal of bulging orbital fat. The transconjunctival lower blepharoplasty is less invasive than the other two blepharoplasty procedures, however it does not get rid of extra skin; therefore, patients with significant excess skin require that skin to be excised or tightened.
Transcutaneous Lower Blepharoplasty
The transcutaneous lower blepharoplasty, or skin approach, has the main goal of removing excess skin, orbital fat, as well as orbicularis muscle. It is a highly invasive procedure that may leave scar tissue inside of the lid that would risk altering the shape of the eyelid opening. Unlike the transconjunctival lower blepharoplasty, the transcutaneous lower blepharoplasty can remove excess skin and muscle without making a second incision.
Tissue-Sparing Lower Blepharoplasty
The tissue-sparing lower blepharoplasty is a procedure where, unlike the transconjunctival and transcutaneous blepharoplasty procedures, no orbital fat is removed. The tissue-sparing lower blepharoplasty focuses on direct repair and tightening of the orbital septum and/or capsulopalpebral fascia. With the tissue sparing lower blepharoplasty, there is no risk of hollowness immediately following or over time, no risk of eyelid collapse, less risk of lid shape change, and a low chance of future fat bulging, however this procedure is still new in comparison to the other two procedures, and therefore procedures are performed on a very selective basis.
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