About eyelid aesthetics

Eyelid aesthetics (blepharoplasty) covers the treatment of problems caused by separate pathologies for the lower and upper eyelids. The main problem in the upper eyelid; It is the excess and sagging of the skin that occurs over the years. While the excess skin on the upper eyelid causes an old and tired appearance visually, it also creates a functional problem. The load created by this excess and loose tissue on the eyelid provokes the eyelids to close constantly. Patients experience problems with drowsiness and falling asleep, especially when the gaze remains motionless and fixed, such as reading the newspaper or watching television. Most of the time, they raise their eyebrows reflexively and try to solve this problem. For this reason, forehead lines become much more prominent. And most patients realize this with the warning of the physician.

Upper blepharoplasty often consists of removing excess skin with minimal scarring. However, in some cases, it may be necessary to make a plication to the levator muscle that lifts our eyelid and to provide sufficient tension in this way. Levator muscle surgeries are primarily related to ptosis surgery and are examined under a different topic. Again, as a rare case, if the fat pads that surround our eyes from above and have shock-absorbing properties become herniated, these herniated parts can be cut and cleaned.

Upper blepharoplasty can be easily performed under local anesthesia and takes an average of 1 hour. After the operation, the patient is hosted for a few hours and ice is applied to his eyes. On average, edema and bruising around the eyes may last for 1 week. Stitches are removed on the 5th postoperative day.

Lower blepharoplasty is often performed due to herniation of the fat pads that support the eyeball from below. Excess skin is rarely removed and this should be done very carefully. Because with the removal of excess skin, the lower eyelid turns outward, the eye cannot be closed and many related problems arise. Skin incisions are made just under the eyelashes in order to remove herniated fat pads and to avoid scars during this process. Since it is a fine and detailed procedure, lower blepharoplasty is more suitable to be performed under general anesthesia. Since the most feared complication in lower blepharoplasty is bleeding and hematoma, the patient should be hosted in the hospital for observation for 1 day. It can be expected that the bruises around the eyes will completely disappear within 1 week – 10 days.

I use a slightly different technique in young patients without excess skin and herniated fat pads. For this, I make small skin incisions just above the herniated fat pads and remove the excess parts directly from here. Then I stitch the skin incisions with very thin threads. Therefore, the patient is freed from large incisions extending along the entire eyelid, prolonged recovery time and swelling. The scars under the eyes disappear in a very short time.

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