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Eyelid

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SUMMARY

Eyelid surgery, or blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on the upper lids, lower lids or both. Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.

Cosmeticium is one of the main clinics who offer eyelid surgery in İstanbul, Turkey.

OPTIONS FOR EYELID SURGERY

Eyelid lift surgery actually encompasses a number of different surgical techniques; which techniques a cosmetic surgeon will use depends on a patient’s anatomy and the particular changes that need to be made to achieve a patient’s goals. For any given patient, an eyelid lift may include upper eyelid surgery, lower eyelid surgery, or both.

Upper Eyelid Surgery

Do you feel like your eyes always look tired, as though you are unhappy or less alert than you feel? Do your upper eyelids seem to lack contour or obscure your upper eyelashes? Sagging, wrinkled skin on the upper eyelids can cause this type of appearance, and upper eyelid surgery can help remove the excess skin and restore a naturally youthful shape to your eyelids and a more open, refreshed appearance to your eyes.

Upper eyelid surgery typically involves an incision made in the natural crease above the eye, through which your cosmetic surgeon will remove a precise amount of excess skin and fat and/or adjust the surrounding muscles to make the desired improvements.

Lower Eyelid Surgery

Do you have puffy, sagging “bags” beneath your eyes that make you look as though you haven’t slept well, even though you have plenty of energy? This is likely due to herniated fat that collects beneath the eyes. While this can become more pronounced over time as skin loses elasticity, puffy lower lids can occur in patients as young their twenties, causing them to look much older than they actually are.

Lower eyelid surgery can be an excellent solution to correct eyelid bags. There are a variety of surgical techniques that cosmetic surgeons can use to improve the lower eyelids; incisions are generally located on the outer edge of the lower eyelid, just beneath the eyelashes or inside the eyelid. Your cosmetic surgeon will explain the approach he or she determines is best for you.

Through the incisions, your cosmetic surgeon will remove or reposition fat to create a smooth, natural contour beneath the eyelid. Depending on the case, excess, sagging skin may be removed or the lower eyelid muscle may be tightened to provide the most natural, effective results.

 Combining Eyelid Surgery with Another Procedure

If you are like many patients, you may want to address aging in a few different areas of your face. While eyelid surgery alone can significantly rejuvenate your appearance, it’s quite common to have a facelift, brow lift, or both performed in conjunction with an eyelid lift to achieve more comprehensive facial rejuvenation. A brow lift will address sagging skin and deep furrows above the eyes, while a facelift will address jowling, sagging, and wrinkles on the cheeks and neck.

THE PROCEDURE

Typically, general anesthesia is not necessary for blepharoplasty, although the anesthesia used will be tailored to the patient’s comfort level and the type of procedure(s) being performed. If only blepharoplasty is being performed, local anesthesia with oral sedation (or IV sedation for lower eyelid surgery) can be an excellent option, however if combined with other procedures – or if the patient prefers – general anesthesia is used. Eyelid surgery takes about 1-2 hours on average when performed as a standalone procedure.

RECOVERY PERIOD

You will be instructed to sleep in an elevated position for a few days following the surgery. Most of the swelling or bruising will subside in 2 to 3 weeks. Pain and discomfort can be controlled with prescribed medications and cold compresses. For the first 2 weeks, you will need to limit physical activity to minimize additional swelling around the surgical site. After a short healing period of 2 to 3 weeks, you will begin to enjoy a refreshed and brighter appearance.

Most patients feel well enough to make short trips (do not drive yourself until your cosmetic surgeon gives you clearance to do so) after about a week, and return to their jobs 10-14 days after an eyelid lift. It’s always important to follow your cosmetic surgeon’s instructions after any procedure, and after eyelid surgery you will have to make a few special but relatively simple modifications to ensure your newly rejuvenated eyelids heal optimally.

RESULTS

The resulting hairline scars that follow the natural contour of the eyelids tend to fade in about two months. The final results of the surgery will be evident after several months. Before and after photographs will clearly show the results.

The anatomic condition of the eyelids, the (wear-and-tear) quality of the patient’s skin, his or her age, and the general condition of the adjacent tissues, consequent to the anatomic conditions of the patient, affect the functional and aesthetic results achieved with the eyelid surgery.


What is blepharoplasty?

Blepharoplasty, or eyelid surgery, is a plastic surgery procedure which can restore a refreshed and more youthful appearance to the eye area. Blepharoplasty corrects redundant skin and fat of the upper and lower eyelids including sagging of the upper lids and puffy bags below the lower lids.

Who is a good candidate for blepharoplasty?

Healthy men and women with good skin tone who are looking to improve excess skin of the eye area may be good candidates for blepharoplasty.


What cup size will I be after breast reduction surgery?

Most women who undergo breast reduction will end up as either a large C or a small D cup. However, some women have expressed that they would like to be smaller than this size. Although it is possible to reduce the size down further, reducing the breasts to a large C or small D is usually enough to relieve patients of their symptoms. In addition, the build and weight of the average breast reduction patient is such that anything smaller than a large C cup would not be proportional.


What happens at a consultation for blepharoplasty?

During the consultation you will discuss what it is that you dislike about your eyes and what you hope to achieve through surgery. Your eyes and skin will be examined, a thorough medical history taken, and your options discussed. All details of the blepharoplasty procedure will be explained and any questions or concerns that you may have will be addressed.


Where are the incisions?

For very mild ptosis, the incision will only go around your areola, but for most patients it also involves a vertical incision, and possibly one in the infra-mammary crease (an inverted “T”), depending on your situation. Sensation is preserved and the scars fade over time.


What anesthesia is used for blepharoplasty?

With local anesthesia or IV sedation.


How is the blepharoplasty procedure performed?

The surgery begins by making incisions which are well-concealed within the eyelid crease or inside of the eyelid. Working through the incisions, excess skin and fat are removed from the upper and/or lower eyelids.


How long does the blepharoplasty procedure take to perform?

Blepharoplasty surgery takes about one and a half hours to perform.


Where are the incisions made for blepharoplasty?

The incisions made for blepharoplasty are small and hidden as they are located in the eyelid crease or inside of the eyelid. This results in a small, well-concealed scar.


Will I have scars after undergoing blepharoplasty?

The incisions made for blepharoplasty are small and hidden as they are located in the eyelid crease or inside of the eyelid. This results in a small, well-concealed scar.


Will I experience any pain after undergoing blepharoplasty?

Patients may experience some temporary discomfort, specifically the eyelids may feel sore or tight. Medication can help to manage discomfort.


What can I expect the recovery to be like after my blepharoplasty surgery?

Patients can expect a recovery time of about five to seven days after blepharoplasty. There may be a sore or tight feeling to the eyelids, but discomfort can be managed with medication. Some bruising and swelling can occur, and most of the bruising will fade in about two to four weeks. Other side effects that may occur during recovery can including temporary itching, dryness, burning, tearing, blurred or double vision, and sensitivity to light. Within five to seven days, the stitches are removed and patients can return to work. Patients should postpone more strenuous activities for about two weeks.


When will I be able to return to work after my blepharoplasty surgery?

Patients can usually return to work in about five to seven days after blepharoplasty.


When will I be able to exercise after my blepharoplasty procedure?

Exercise and other strenuous activities may need to be postponed for about two weeks after blepharoplasty.


When are the stitches removed after the blepharoplasty procedure?

The stitches are removed within four to six days after the blepharoplasty surgery.

What are the risks of blepharoplasty?

As with all types of surgery, there are potential risks associated with blepharoplasty and these may include bleeding, difficulty in completely closing the eyes, dry eyes, infection, pulling down of the lower lids, slight asymmetry in healing or scarring, swelling at the corners of the eyelids, temporary blurred or double vision, and whiteheads.


Length of procedure: Approximately 1- 2 hours
Recovery period: 5 – 7 days to go back to work
Exercise: After 3 weeks
Stay: 1 night in hospital, 4 nights in hotel
Scars: Non-existent after healing
Potential candidate: Patients with sagging eyelids and big eye bags
Stitches: Removed in last check up by your doctor
Results: Patients with sagging eyelids and big eye bags
Combination of surgeries: Mostly facelift, eyebrow lift, forehead lift, botox and fillers