Your eyes are the windows to your soul. Open eyes suggest energy, alertness and interest. Most people in their early to mid 30s begin to notice a tired appearance to their eyes.
If your eyebrows need a lift, this will open your eyes and lift your expression and may avoid the need for eyelid Surgery (Blepharoplasty). Unfortunately we can not be recommended conditions such as allergies, fluid retention and thyroid disease.
This is most commonly, caused by the accumulation of excess skin and/or fat, creating a fullness or puffiness to the eyelids. This can be remedied with Blepharoplasty, where excess skin or fatty tissue of the eyelids is removed. This simply helps restore a rested more youthful appearance to your eyes.
The Blepharoplasty (cosmetic eyelid surgery, Eye Lift) is usually performed as a day patient in the Beacon Hospital. It can be combined with a brow lift and/or a facelift.
The cosmetic surgery is planned and a detailed “map” of the skin and/or fat to be removed is marked when you are awake to confirm your natural expression, eye shape as well as the mechanical movements of your eyelids. Upper blepharoplasty means trimming excess tissue from the upper eyelid fold. An incision is made in the crease above the eyelid margin.
This is very accurately marked on both sides to obtain the best possible symmetry. After the skin is removed, the very fine muscular layer under the skin may also be removed. Some people also need reduction of some fatty tissue, which lies deep and close to this layer. The amount of skin, muscle and fat to be removed is a matter of careful assessment and calculated judgement by Mr Golchin. Often patients have asymmetric eyes before surgery allowances will be made for this to create a symmetrical result where possible.
The lower blepharoplasty incision can be made inside or outside the eyelid. It is most often done on the inside of the eyelid and fat is removed (this is known as the transconjunctival approach). This leaves no external marks visible under the eye and more importantly does not interfere with the lower eyelid support mechanism.
This reduces the risk of the eyelid being pulled downwards during healing. However this approach can not permit removal of the loose skin. In these cases other techniques such as laser skin resurfacing or chemical peeling will be done to tighten the lower eyelid skin.
The external lower blepharoplasty incision allows access to remove the deeper fatty layer as well as permitting the removal of the skin. As mentioned above, this approach leaves a scar and may weaken the lower lid.
To finish up, the upper eyelid incision is stitched closed and a special dressing is applied.
With Mr Golchin and his highly trained doctors and nurses who make up the surgical team, complications are extremely rare. As with all surgeries, there is the risk of bleeding, infection, scarring or anaesthetic problems.
After a few months, the wound can hardly be seen. On occasion the eyelid surgery wound looks a little irregular or lumpy due to the stitch being pulled in the very fine skin. This will settle down in time and rarely needs an adjustment.
Drying of the eye during surgery can be treated easily and usually resolves completely overnight though excessive removal of skin can result in a pulling down of the lower lid with the inability to completely close the eyes, which can also result in dryness or irritation. This is to be avoided by careful measurements and execution of the Eyelid Surgery surgical plan.
Visual disturbance of any kind is exceedingly rare.
You too can help reduce your risks by closely following our detailed postoperative instructions.
Mr Golchin will initially ask you to express your concerns about your appearance and to discuss your wishes & expectations. He will help you to decide whether to have cosmetic surgery on all four eyelids or just the upper or lower ones.
You will be asked about your medical history and a physical examination will be conducted. You will be given an individually tailored skin care program to optimise your skins’ condition in preparation for Eyelid surgery. You may be required to visit your eye doctor and/or GP for a pre-operative check up & for any necessary blood work & x-rays.
Concise preoperative instructions are provided, and all necessary prescriptions are given to you in advance of your Eye lift surgery. You will be provided with a complete list of which medications you must avoid.
For the first one to two hours you will be under the care of the medical staff in the recovery room where cold compresses are applied to minimize swelling.
Then when you are fully alert, you will be able to return home in the care of a friend or a family member. You will be advised to keep your head elevated for several days and to continue to use cold compresses to reduce swelling and bruising. Pain medication is prescribed, for the first day although it is usually not necessary.
Eye ointment is prescribed for at night and eye drops for during the daytime for dry eyes, until the symptoms resolve. Some patients may experience some blurred vision, tearing or irritation for several days after Eyelift surgery, and the eyes may get fatigued more easily during this time. In most cases the bruising resolves after the first week.
The stitches are removed five to seven days post surgery and the incisions may remain pink for a short period of time. This can be concealed by makeup after the stitches are removed. This will fade and become inconspicuous in six to eight weeks. Most patients are happy to return to work and social activities after one week.
Heavy physical exercise and any upside down activities should be avoided for three weeks following cosmetic eyelid surgery.
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