Eyes are the most important limbs of the face in terms of aesthetics. Eyes indicate people’s age and reflect their emotional and temperamental state. Unfortunately age signs are seen in the eyes and eyelids precedent to other parts of the body.
Naturally there are sacs in both top and bottom sides of globe of eye containing fat. A relatively strong membrane makes fix such fat sacs at their location and prevents their protuberance. This membrane is covered by the eyelid muscle which is covered by the eyelid skin in turn.
The mentioned membrane becomes weaker gradually and cannot prevent protuberance of fat sacs anymore and on the other hand, flexibility of skin declines as well, as a result wrinkles appear slowly and eyelid skin and muscles droop and fat sacs will emerge as dropsical protuberances. Interestingly, the puff of eyelids is not always due to aging, but they are symptoms of metabolic diseases such as hypothyroidism and hyperthyroidism. It is obvious that in such cases metabolic diseases should be treated instead of improving the eyelid puff through surgery.
Aging affects top and lower eyelid differently; it manifests as gradual increasing of eyelid skin in top eyelid. In some cases this phenomenon is so harsh that can eliminate visibility of the patient.
But manifestation of aging in the lower eyelid is emerged as puffing and protuberance of fatty sacs.
Although complete prevention of aging procedure is impossible, it is possible to postpone its appearance on eyelids through taking into consideration some tips.
Hence, note the following useful tips:
Having a joyous and stressless life.
Enjoying a proper nutrition
Using valid and high-grade cosmetics
Blepharoplasty is designed to remove the puffs of eyelids, to improve droopy eyelids and to remove extra skin which may decrease superficial wrinkles of eyelid. Some people suffer from dark circles around their eyes. It must be stated that Blepharoplasty is not effective for improvement of dark circles around the eyes.
Blepharoplasty is a dual-purposed operation. It is performed mostly to beatify appearance of eyes and eyelids but sometimes is prescribed to improve visibility. If the wrinkles of top eyelid are high, the extra skins drop on the eyes and eliminate the peripheral vision of the patient. Upper and external parts of visibility are being influenced more than other parts. This eliminated vision disturbs you during driving or reading. Blepharoplasty not only beatifies eyes and eyelids state but also improves visibility of patient.
In most people the upper eyelid has a transversal wrinkle, however some groups including East Asian such wrinkle is not seen and an extra lid covers their main eyelid. Blepharoplasty enables us to improve their eyelid and create a natural wrinkle in their eyelids as it is the most popular cosmetic surgery to East Asian residents such as Korean and Filipinos.
Your eyelids are examined during personal consultation meeting and you can take useful information about efficiency of Blepharoplasty for you. Meanwhile health condition and your preparation level will be analyzed for this operation. Likewise, some diseases, e.g. thyroid and kidney diseases, which create puffiness in eyelids are examined too if necessary.
It can be performed through general, spot anesthesia as well as semi-conscious sedation. Your viewpoint will be obtained to select the method of anesthesia.
Spot anesthesia is reminded with anesthesia used in dentistry. In this method, lidocaine is injected only around eyelid. Therefore eyelid will be insensitive to pain and discomfort. Local anesthesia removes only pain but anxiety and stress remains for the patient. For semi-conscious sedation, not only the eyelids will be numbed by the surgeon, but also the anesthesiologist inserts analgesic and anti-anxiety drugs via veins to patient. They steep the patient into a deep and calm sleep. It must be said that in this case the patient not only feels no pain but he/she will not tolerate any stress or anxiety, as well.
Technique: Upper and lower eyelids can be operated either separately or simultaneously.
an incision is made just on natural wrinkle of the eyelid, therefore operation scars will be removed after operation. After removing subcutaneous skin or tissue, fatty sac may be removed too if necessary and the incision is sutured with very thin thread.
If puffiness of the lower eyelid and protuberance of its fats are high, the incision will be made beneath the eyelashes in order to hide scars as far as possible. Hence, besides removing extra fats the surgeon is able to shorten extra skin of eyelid, but if protuberance of fats is low and eyelid skin is normal then fats are removed through an incision within internal side of eyelid. The advantage of this technique is that there remains no incision on the skin and also it will be healed very quickly.
Operation Time: Four eyelids about two hours
Inflation and bruise are seen around eyes after surgery. Dry eye is a usual side effect which will be improved by using artificial tear drop. Initial inflation and bruise will be removed during only one week after operation but passing several months is required to observe the final result. Scars will be paled gradually which complete removal of scars may take about 1 year.
The operation result is perpetual; however, time is passing and it is obvious that time may affect all aspects of body including operated eyelids.
Do not use Brufen, Indomethacine, Piroxicam and Mefenamic acid two weeks before operation and if you need to consume sedatives just use simple or codeine Acetaminophen.
Rinse your cosmetics completely two days before operation.
After operation your eyes will not be bandages and you can see everywhere
Use artificial tear drop after operation for three consecutive days.
Consume regularly the prescribed antibiotic for one week.
Use cold compress up to 24 hours after operation. For this purpose, pour pieces of small ices in a freezer pack then close its lid and then put the pack on your face or you can purchase special cold compress packs containing gel from pharmacy then keep it in freezer and put it on your face.
Avoid long lie down, lie down in such a way that your head is upper than other parts of your body, it helps you to enhance gradient of your body and to minimize bruise and inflation.
Refer to my office to remove the sutures after six days of operation.
If you suffer from eyesore or severe vision loss during 1 or 2 days after operation contact your surgeon.