DR. MOHAN THOMAS
BEST COSMETIC SURGEON IN INDIA
Changes in the eye lid caused by saggy or droppy skin as well as bags around the eye can be corrected by blepharoplasty or eyelid lift surgery. Upper and lower eye lid can be corrected simultaneously to rejuvenates the eyes. Protruding fat and excess skin can be addressed simultaneously by excision.
Eyelid lift surgery, or blepharoplasty (BLEF-uh-ro-plas-te), corrects droopy eyelids by removing excess skin, muscle and fat. To help decide if this surgery is right for you, find out what you can expect and explore the benefits and risks involved.
Younger patients opt for surgery because of the fat deposits protruding through the orbital septum either in the upper or lower lid, making the eyes look dull and tired.
Older people normally have ageing changes such as excess eye lid skin with and without protruding fat. Most patients seeking surgery ask for a rejuvenated appearance that require re establishing the normal youthful architecture of the eyes. Some also have restricted vision because of droopy lids. Although more common in women, it’s increasingly performed on men as well.
Marking of excess skin and fat bulges is done in a standing position. The surgery can be done under local or general anesthesia The incision is made on the inner surface of the eyelid or in the natural crease of the lid. The excess skin is removed and the fat excised or relocated the incision is closed by fine sutures. This leaves a very thin scar in the area which fades over time.
The choice of surgery on the lower lid depends on the preoperative condition. Bulging fat from lower lid without excess skin is treated by transconjunctival blepharoplasty (Scar less and stitch less). Some time there may be too much looseness of the lid exposing the conjunctiva and causing tearing which requires tightening of the lid in the horizontal direction called "canthoplasty".
The sutures are removed on the5th day. Ice application over eyes keeps bruising and swelling down. Antibiotic cream and eye drops are prescribed. The bruising can be covered by a make up and sunglasses.
Due to scar contraction, rarely there is pulling of lid downwards called ectropion. Malposition of the eye lids can occur in a minority of patients, which can be corrected easily. Dryness of eyes and visible scarring are rare.
A fresher and more youthful appearance of the eyes with out bags and pouches is the norm. Some actually experience an improvement in their eye sight because of removal of excess skin.
Crows feet may be less visible but can be improved further by laser, chemical peel or botox.
Lubrication ointment at night is advised to prevent dryness and irritation for 2 weeks. Sutures are removed in 5-7 days.
Wound Care - The incision may be cleaned with dilute peroxide and coated with antibiotic ointment using a Q-tip applicator twice a day.
Activity - Avoid exercises and activities that increase your heart rate or blood pressure significantly for first 7 -10 days. Elevate the head of the bed by 30 degrees. Ice application over your eyes off and on much as possible every hour for a day will help.
Special Instruction - Contacts lensess may be worn after 2 weeks. Bloody tears and drainage can occur, especially in the first few days.