As you age your skin looses the elasticity it once had during youth, causing bags to develop beneath the eyes. These fatty deposits can make you look old and haggard, even if you don’t feel that way on the inside. Blepharoplasty, or an eyelid lift, can rejuvenate a tired look, giving you back the former sparkle of youth.
Eyelifts can be performed on either or both the lower and upper lids. While surgery on the lower is most often for cosmetic reasons, sometimes excessive drooping skin on the upper can impair vision, making the procedure a medical necessity.
Another reason for this procedure is the desire to create a “double eyelid.” Those born of an Asian ethnicity often lack an extra crease, which can be created with blepharoplasty.
During the procedure, incisions are made near the lash lines or crease so any scarring will blend in naturally. On the upper lid, the loose skin and fat is cut away and in some cases crow’s feet around the outside corner will also be lifted and tightened.
The procedure for the lower lid is similar contour rx lid review. Excess fat and skin is removed and the remaining is stretched smooth and sutured back into place.
After surgery the area will be tender and there may be slight discoloration and redness. Full recovery will take between one and two weeks. Your surgeon will most likely send you home with drops and instructions to keep your head elevated and how to gently keep the area around your eyes clean as they heal.
You may experience tearing or blurry vision; although this can be a common reaction after surgery, any excessive discomfort or difficulty seeing should be alerted to your doctor immediately.
As with any surgery, the complications and risks involved should be assessed and discussed with your doctor before choosing to undergo the procedure.
The most severe complications, and fortunately rare, are long-term difficulty closing the eyes and prolonged vision problems. If too much skin or muscle is removed during the surgery, the lids will lose the ability to properly close, which will affect sleep and can cause problems with excessive tearing. This normally can only be corrected with a follow-up surgery.
Another risk to consider is the rare, but possible temporary or permanent vision abnormalities. Occasionally, hemorrhaging may occur, causing blindness or double vision and intense pain. Sometimes these problems can be corrected with emergency surgery, but there is always the chance that the damage is permanent.
In this condition, the orbital fat that cushions the globe of the eye weakens the orbital muscle and a pseudohernia develops. The resulting puffiness of the lower eyelids become conspicuously wrinkled. In older women, the wrinkling may occur without the puffiness. In some cases, the overhang of the upper lid interferes with peripheral vision.
The surgery can be and usually is performed under local anesthesia, but because most patients are nervous about surgery close to the eye, supplemental intravenous or inhalation anesthesia may be advisable. The additional anesthesia relaxes the patient who may suffer some pain when the fat is being removed. Vision is checked before the operation. Some surgeons insert plastic lenses for the protection of the eye and others do not. The surgeons also makes an estimate of the amount of tissue to be removed and usually draws an outline on the eyelid with a colored solution.
The incision on the upper eyelid is ordinarily made in the fold of the lid. The scar is thus concealed when the patient’s eye is open. The incision on the lower lid is usually made just beneath the lashes, where it will be hidden. Some surgeons prefer a conjunctival (inside the lid) incision for the lower lid, which eliminates an external scar.
The excess skin is removed and the muscles separated so that fat is exposed and can be gently extracted. Following suturing of the skin, ice compresses may be applied in order to give comfort and limit swelling and discoloration. The sutures are removed in several days. By the tenth day after surgery, the patient generally is presentable without dark glasses. The use of subcuticular (under the skin) sutures eliminates suture marks.
In most instances, the eyelid tissue heals with practically no visible evidence of surgery, although the patient should not anticipate the removal of all wrinkles. In some cases, excessive swelling may turn the lower eyelid out. This postoperative condition almost always disappears with time, but if too much skin has been removed or if there is abnormal scar formation, the drooping eyelid may be permanent and must be corrected with a skin graft.