Scottsdale, AZ board-certified plastic surgeon, Dr. Carlos Mata, provides his patients needing corrective and cosmetic surgery on the eyelids with blepharoplasty aka eyelid surgery. The appearance of your eyes can be enhanced by eliminating excess skin and smoothing the eye area. Your exact procedure depends on your specific desires combined with your eyelids’ general physical condition, the effect of sun damage, your skin’s thickness and elasticity, existing wrinkling, the amount and distribution of eyelid fat, your underlying bone structure, allergies, heredity, and other factors. Dr. Mata, a.k.a. Dr. Scottsdale® will determine the best combination of procedures to achieve your desired result.
The procedure may either be performed on the upper eyelid only, the lower lid only or both. There will be a difference in approach when it comes to the upper and lower eyelids but the method is similar: removing any loose skin or tissue and extracting the fat deposit. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles, or dark circles.
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it may also obstruct vision for a patient. The incision is placed along the natural fold of the upper eyelid. Dr. Scottsdale® will extract the little fat pocket located under the upper eyelid muscle that creates bulges. Once done, the excess skin will be trimmed and the cut will be closed with fine sutures. The results will give the patient a rested and youthful appearance and more self-confidence.
The lower eyelid will improve any appearance of bulging, wrinkling, and sagging below the eye. One incision is made just slightly below the lash line to remove the excess skin, and a small one, inside the eyelid to remove the excess fat. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The results will give the patient a more youthful, less tired, and tighter appearance.
Ptosis Repair is performed when the upper eyelid muscle is weak leading to droopiness and heaviness to the eye. Some patients have their muscles stronger on one eyelid versus the other creating an asymmetry. This add-on consists in removing part of the muscle to create a more balanced look.
A canthopexy's main goal is to reposition and support the lower eyelid at the corner of the eye (where the eyelids meet) restoring a youthful and uplifted eye. The procedure strengthens and stabilizes the lateral tendon by using sutures to correct drooping lower eyelids.
The upper eyelid surgery can be performed under IV Sedation (light sedation). If the procedure involves the lower eyelid and/or both upper & lower eyelids, the surgery will be done under deep sedation (still breathing on your own). The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised to elevate the head for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
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Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery may also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler may also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes may be sensitive after surgery. Patients must always take the precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue but a functional one as well. Many patients with excess hanging skin on their upper eyelids are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.