If your upper eyelids are droopy, or have excess skin that hangs, the muscles can be tightened or skin can be removed to give you a more rested and youthful look. The authors favor CO2 laser blepharoplasty with a trans-conjunctival lower lid approach. There is no area of the face hit quite as hard by aging as the eyes. In addition, placement of an upper lid traction suture is important or the skin graft will be ineffective [7–9]. This is because most patients will initially experience small amounts of lagophthalmos from ongoing local anaesthetic effect on the orbicularis, swelling, and stiffness of the eyelids. Botulinum toxin a naturally occurring substance that causes muscle relaxation lasting three to four months. He also placed a chin implant and removed some excess fat from below his chin for a more appealing profile. If essential, a lower incision is made and fat is teased forward between the skin and levator to prevent readhesion of these structures. This woman in her 40's was bothered by dark circles and undereye bags. She underwent an upper lid blepharoplasty to open up her eyes. This procedure creates a significant improvement in overall facial appearance. They usually present with some degree of excess lower eyelid skin and bunching under the eyes, but typically don't have significant 'pseudohernation' of the fat (often referred to as eyelid 'bags' by many patients). Skin Pinch Blepharoplasty.
WHO IS THE SKIN PINCH BLEPHAROPLASTY SUITABLE FOR? "Dark circles" are caused by 3 factors: shadowing caused by fat bulging above the dark area, the blood supply of the fat showing through the thin eyelid skin, and thirdly, actual pigment in the epidermis and dermis. She underwent upper and lower eyelid blepharoplasty (eyelid lift) with removal of excess skin and fat in the lower eyelids. People generally experience one of two symptoms with fat under the eyes: - There is a lack of fat, which creates an indentation that deepens over time and will often continue down the cheek in one deep continuous indented groove. For 20 years, Dr. Fodero has built an amazing resume of plastic surgery work in the New Jersey area and is recognized as a Top Plastic Surgeon in Rhinoplasty, Breast Augmentation, and Body Sculpting. Abnormalities of lower eyelid position include lower lid retraction with scleral show, rounding of the lower eyelid contour, rounding of the lateral canthal angle, and ectropion. As the deeper layers of the eyelid are not involved in this procedure, it is associated with a shorter recovery time. The eyes are one of the first areas of the face where aging becomes highly visible. She underwent an upper lid blepharoplasty to relieve the heavy feeling of her upper lids. The combination of procedures may require a few more days of recovery to heal fully. The conjunctival incision made in a transconjunctival lower lid blepharoplasty never requires sutures. Beyond this time period, one may be over treating the patient and exposing them to additional complications with very little prospect of improvement. The skin pinch is where the extra skin is operated on with a pinch procedure and the underlying fat and muscle is left alone and not interfered with.
The biggest risk is Ectropion (pulling down of the eyelid) if too much skin is removed, which can result in distortion and drying of the eye. It's normal to experience some bruising and swelling for 3-7 days post-op. THEY CREATE UNIQUENESS AND DEPTH or THEY CONVEY A TIRED, AGING APPEARANCE. THE EYES ARE THE MOST COLORFUL AND ENGAGING FEATURE OF THE FACE. Old photographs are useful to determine the patient's youthful upper eyelid fold configuration. Laser skin treatments, alone or in conjunction with blepharoplasty can also soften wrinkles in the lower eyelids.
Blepharoplasty is a straightforward, low-risk surgery with a relatively quick recovery. It has proven to be safe and effective. Usually, it is a mistake to try and change their upper eyelid nature too drastically, unless this desire and postoperative appearance is made abundantly clear. Quad Blepharoplasty With Tissue Rearrangement, Lateral Browlift and Peri Orbital C02. Retrobulbar hemorrhage is a form of compartment syndrome, with the orbit bounded by four bony walls and the orbital septum acting as the compartment.
Risk factors for overcorrection include previous eyelid trauma, dermatological conditions leading to tight skin, and Graves' disease. The lateral canthal angle is reformed to an acute configuration [24–26]. Dr. Abboud recommends that patients protect the skin surrounding their eyes with routine moisturizing and sun protection in order to maintain the results of their eyelid surgery as long as possible. Many patients undergo a lower lid skin pinch and upper blepharoplasty in-office at the same time if excess skin of the upper lids is also a concern. Since nearly everyone experiences thinning and loss of elasticity in their undereye skin, this is an important factor to consider. Patients may see some redness around the incisions immediately following surgery, but this typically fades quickly in the weeks and months following surgery.