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27.02.2014
If you are tired of the loose excess skin of the upper eyelids and puffiness and bags of the lower eyelids making you look tired even when you are not, you are a great candidate for a blepharoplasty. Incisions are made in the natural creases of the upper eyelids and can be combined with an incision just below the lower eyelid (transconjunctival) lash line to remove excess skin allowing for a scarless recovery.
Either upper or lower eyelid surgery is performed as an outpatient basis under local anesthesia, with light sedation. In many cases, it is not just the eyelids that are drooping, but the brow is drooping, and putting weight on the eyelid structures. There is also the issue of differentiating between excess eyelid skin and upper eyelid ptosis, which is the drooping of the eyelid itself, making the eye look smaller than the other eye.
Lower eyelids could be plagued with saggy excess skin, protruding fat, dark circles, or a combination of them. Cosmetic procedures are not just for aesthetic purposes, they can also improve your quality of life. The procedure is fairly quick; it takes as little as 45 minutes and is usually performed in an office and under a local anesthetic.
The surgeon removes the excess tissue and skin through these incisions and stitches the wounds shut; stitches are removed after 5-7 days of healing – contact wearers should refrain from using their contacts for two weeks. Although blepharoplasty alone doesn’t raise eyebrows, reduce wrinkles or dark circles under the eyes, when used with laser resurfacing of the lower eyelid skin, the overall effect is quite dramatic. The effects of this procedure are long-lasting and in some cases, may even be permanent – well worth the minor discomforts and inconvenience after the surgery. Patients with thyroid problems, dry eye, high blood pressure, diabetes, detached retina, glaucoma or other health problems should consult with an ophthalmologist about eligibility. 2.) puffiness in the inner corner and middle of the upper eyelid caused by herniation (pushing forward) of fat.


Removal of bulging fat in the lower eyelid can result in a younger, rested and alert appearance. Blepharoplasty eliminates puffiness, sagging and excess skin around the eyes and creates subtle, natural results while making the eyes even more youthful.
Both upper and lower eyelids take about 45 minutes, totaling an hour and half for all four eyelids. Schwarcz offers a comprehensive review of the patient's goals in undergoing the procedure and Dr.
In this case, you may benefit from a brow lift to restore the youthful appearance of your eyes. With regards to upper eyelid ptosis, the levator aponeurosis (the muscle that opens the eyelid) usually has slipped upward leaving the eyelid in a lowered position at rest.
Blepharoplasty helps to reverse tired looking, aging eyes by removing problems areas, like excess fat, skin and muscle from the upper and lower eyelid region.
The surgeon makes laser incisions, which are hidden in a fold within the upper and lower eyelids. Patients can return to work in as little as 2 to 7 days; however, their eyes may be a bit sensitive to wind and light for a bit. When combined with other cosmetic procedures, such as Botox, Restylane, facelifts, chemical peels, blepharoplasty can produce even more stunning results. Although blepharoplasty is very safe, there are rare complications and side effects that can occur following surgery. In conjunction with upper eyelid surgery, a brow lift removes skin hanging over the upper eyes. Restore the youth to your eyes and correct the signs of aging that may cause your eyes to look half closed by seeking a consultation to explore the option of cosmetic surgery with Dr.


One can expect bruising and swelling for up to one week, with sutures removed at five to seven days after the surgery.
If you seek an overall dramatic yet subtle effect to improve the facial harmony, there are other cosmetic procedures available to you. This involves a ptosis repair, which is performed by disinserting the levator muscle and advancing it downward and reattaching it in a lowered position. The cosmetic surgeon must evaluate the bony structure of the mid-face, skin quality, and prominence of the eyeball. Your surgeon will recommend cooling eye drops and cool compresses for any temporary discomfort that you may experience. A patient who has undergone eyelid correction can generally return to work within one week. If there is poor mid-face support (sunken in, or flat bone) with a prominent eyeball, then fat must not be taken away because of the fear of looking skeletonized a few years after surgery or, even worse, the retracting or a pulling downward of the lower eyelid. These cases must be handled with care by repositioning the fat changing its contour so as not to look like bags, but rather a continuation with the cheek mound. If the eyes appear bulging, the doctor must also evaluate the patient for disease processes such as thyroid disease or other orbital processes. Schwarcz evaluates the bony structure of the mid-face, skin quality, and prominence of the eyeball.
Care must be taken with the lower eyelid skin, not removing too much to avoid a vertical shortening of the lower eyelids and not being able to close them.



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