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Eyelid and Eyebrow
Surgery
The eyes are
the first features noted when people meet. And having puffy, sagging or
wrinkled eyelids can convey a false image of being tired, sad or old. Luckily
there are many techniques that can reverse these physical signs. The actual
technique(s) chosen depends on what combination of deformities is present.
Are the eyebrows too low producing an appearance of excess skin over the
upper eyelashes and hooding or hanging of skin towards the outermost part of
the eye? This condition is treated with one of several browlift procedures.
In addition to the descent of skin below the eyebrow, is there excess skin in
the upper eyelid proper? And are these conditions associated with puffiness
from fatty protrusions? Upper eyelid surgery (blepharoplasty) with removal of
skin and fat is the treatment for this. Of course, it is critical that the
eyebrows are in their proper position above the orbital rim before eyelid
surgery is considered. To perform an upper blepharoplasty when a browlift
should have been performed will result in pulling the eyebrows even lower and
producing a small, contracted appearance in this area.
Finally, when considering deformities of the lower eyelid, we look at the
degree of puffiness or hollowness, wrinkling, pigmentation, laxity and
vertical descent below the orbital rim. Puffiness is easily handled by fat
removal from the back or conjunctival side of the lower eyelid. On the other
hand, occasionally fat has to be pulled forward from within the orbit to fill
out hollowness of the lower lid. Laxity of skin usually requires minimal
excision, though resurfacing using the LASER or chemical peeling agents can
sometimes be sufficient. And resurfacing is certainly the treatment of choice
for wrinkling and most pigmentation problems. Finally, vertical descent of
the lower lid below the orbital rim may require more extensive procedures
such as a midfacelift which pulls the entire cheek upwards.
Email: PlastikDok
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