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Wed, December 12, 2018, 22:40

Blepharoplasty

upper lid blepharoplasty is a procedure for correction of excessive and droopy eyelid skin, improve peripheral  visual field as well as facial beauty  and rejuvenation. It aims at improving function, comfort and appearance.
Exess fat may accumulate above and below your eye lid, causing sagging eyebrow, drooping upper eyelid and puffiness under your eyes. Then making you older, severely sagging skin above your eyes can decrease your peripheral and superior visual field or side vision.
Blepharoplasty is usually down on an outpatient basis under IV sedation.
to help decide if blepharoplasty is right for you, find out what you can realistically expect and take time to explore the benefit and risk of blepharoplasty.
Bruising and swelling are common following surgery, and application of cold compress to surgical site is recommended 48 -72 hours after surgery.
A postoperative visit advise within first week after surgery.
This procedure is recommended should be down by oculoplastic (ophthalmic plastic surgery) before to surgery complete eye examination, visual acuity, visual field, tear function, lid margin position must be valuate by eye specialist.
Cosmetic surgery performed by the ophthalmologist is usually confined to the upper and lower eyelids and brows. Many patients desiring aesthetic reconstruction, however, may also benefit from surgery on adjacent facial structures such as the forehead, nose, temple, and cheeks. Preoperative examination must take note of these associated abnormalities, and in some cases, a more inclusive facial surgery might be more appropriate.
During evaluation of the patient for cosmetic surgery, it is essential to discuss the patient's expectations, the results that realistically can be achieved, and any potential complications. The patient must understand that although excess eyelid skin and herniating orbital fat can be removed, small lateral eyelid furrows, sagging malar cheek pads, and dark circles beneath the lower lids typically will not be improved with standard blepharoplasty procedures alone. Such abnormalities should be pointed out before surgery in order to avoid disappointment.
Preoperative evaluation should record in detail the presence of associated eyelid deformities, so modifications in the surgical approach can be planned in advance. The amount of excess eyelid skin is estimated while the patient is in the upright position, because it appears considerably less when the patient is supine. Location and degree of protruding fat pockets are recorded, also while the patient is upright.
Prolapse of the lacrimal gland is common and must not be confused with protrusion of orbital fat. There is no anterior fat pocket in the temporal upper eyelid.
The presence of any inferior scleral show should be noted and care taken not to exacerbate this by overly aggressive vertical removal of lower eyelid skin. In some cases, elevation of the lid margin may be needed for cosmetic improvement.
In most blepharoplasty procedures designed for reduction of excess eyelid skin, excision of a skin flap that includes orbicularis muscle is preferred because redundancy of muscle almost always accompanies redundancy of overlying skin.

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