Blepharoplasty Eyelid Surgery Information

On some faces, this can lead to an appearance that patients describe as ‘sleepy-looking facial expression” or the appearance of “smaller-looking eyes”. Figure 7, the patient had moderate brow ptosis with a preoperative MRD1 of 3, MFD 0, MCD 4, and VSD 25. Because the patient desired an MFD of 4 to 5 mm, the numbers were inputted into the equation and the recommended new crease, MCD, was to be placed at 8 to 9 mm. After discussing possible outcomes with the patient, an MCD of 9 was decided. The equation predicted a postoperative MFD of 4.5, which was very close to the patient’s actual postoperative MFD of 4 and 3.5 for the right and left eyelids, respectively.
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Liz opens up about her experience and how wonderful Dr Scamp was throughout her journey. Blepharoplasty refers to eyelid surgery in general, but there are two different procedures – Upper Eyelid Surgery or Lower Eyelid Surgery. You can have one of these procedures done on its own, or you can have them both performed at the same time. Each surgery takes approximately the same time and costs about the same too.
This can be improved by a facial fat transfer (a long-lasting solution) or injectable dermal fillers . “Fat transfer can restore the patients’ natural volume, to subtly enhance and rejuvenate the face,” says Dr. Hessler. However, fat transfer under the eyes is also a delicate procedure, and it's expensive.

Occasionally we will recommend a pre-surgical review with an optometrist. Wearing eye makeup and contact lenses should wait until after the recovery period. Also, you may experience dryness or irritation in the eyes as well that can be managed with eye drops. Our goal is always to minimize your scarring and help you have the smoothest recovery possible.
We encourage patients to think about how they would fund further treatment beyond the immediate costs expected. For a combined upper and lower eyelid blepharoplasty or lower blepharoplasty alone, a general anesthetic will be required. In these circumstances, a one-night hospital stay is recommended as lower eyelid surgery is typically more involved and generally requires specific post-operative care requirements. It’s important to rest for a few days immediately following eyelid surgery. Your doctor may recommend you take ibuprofen to relieve these symptoms. Your surgeon may also recommend ice packs for the next couple of days.
Topical ointment like Refresh pm ointment or Soothe ointment at night helps. During the daytime, if there is dryness, use of Celuvisc or Genteal gel are useful. A formal Schirmer's test with topical anesthetic may be performed. However, it is no longer considered to be necessary because the results have not been found to be entirely reliable. However, review of the blink, closure, lower eyelid laxity (the distraction and snap-back tests) and assessment of the corneal tear film is needed.

One participant was excluded from the 12-month analysis because of a malignancy. For both procedures, representative preoperative and postoperative photographs are shown in Figures 3 and 4. We considered P values less than 0.05 to be statistically significant. For the lateral eyebrow height, the GEE model included the lateral eyebrow height, baseline lateral eyebrow height, sex, age, dermatochalasis severity score, and the amount of skin removed during surgery. All residuals showed a Gaussian distribution and the M-dependent correlation structure was used . Therefore, Bellinvia et al.5 modified the excision into a wide lateral excision, and in a higher position, to eliminate the lateral hooding.
The sub-brow fat pad can be repositioned during wound closure with use of eyelid suspension sutures. This can be done with two to three absorbable sutures that incorporate the orbicularis from the lower and upper edge of the incision along with the superolateral arcus marginalis . These sutures might result in early over-correction of the upper eyelid leading to lagophthalmos, which improves within days after the surgery. The transconjunctival approach has very limited application in upper eyelid blepharoplasty. The skin incision can be closed using running or interrupted sutures with various absorbable or permanent materials , or cyanoacrylate glue to achieve an aesthetic outcome . Graded eyelid horizontal tightening is utilized in all but the youngest patients.

However, in practice this presumed pseudoherniation is often volume loss in the superonasal compartment of the orbit. Suspected loss of volume can be confirmed by examining old photographs. 41 The presenting symptoms include dry eyes, irritation, and foreign body sensation, which develop as a result of decreased tear film production or increased evaporation. 53 After the fat pads are mobilized, they can be redraped across the sulcus or blended together to augment the upper lid fold and sulcus volume.
Some swelling and bruising is a perfectly normal reaction to any invasive operation; this should subside within a couple of weeks. A consultation will provide greater understanding of your eye function and also determine the influence of previous operations or underlying conditions on blepharoplasty outcomes. Other factors taken into consideration include skin type, age and ethnic background. As with any plastic surgery, it’s important to apply healthy lifestyle habits for the best ongoing results, and to keep expectations and aspirations realistic. The upper tarsal plates span the upper eyelids becoming the ligamentous medial and lateral canthal tendons.

Many of her patients complain about looking tired and angry and are astounded at how an eyelid operation can revive their look and reveal their bright sparkling eyes again. Eyelid surgery, also known as an eyelid tuck or blepharoplasty, is a simple procedure that Dr Nerina Wilkinson commonly recommends to both men and women alike. Complications are the adverse outcomes from performing any surgical procedure.
As a result, the eyes and often the entire face may have a more tired, drawn and aged appearance. With any assessment of the eyelid region, the position of the brow is important. Sometimes with brow ptosis , the effect on the upper eyelid is dramatic. For some patients, a simple brow elevation will correct the deformity, and no eyelid surgery will be needed.
A lower eyelid blepharoplasty is the usual procedure to remove eyelid bags. Often there is a tear trough or orbital hollow inferior to the orbital bag. To increase volume, this area can be filled with autologous fat or a dermal filler.