What is the Eyelid Surgery (Blefaroplasti)?

blefaroplasti eyelid surgeryWith aging, our skin loses its elasticity and moisture. The main reason for this is the reduction of collagen that connects our skin cells and the decrease of collagen that connects it and the resulting loss of equilibrium. In addition, the amount of hyaluronic acid that provides moisture and vitality to our skin is also reduced. Over time, the amount of collagen decreases and the skin loses moisture, becomes dull, wrinkles and sagging become visible.

With Youth Vaccine, we restore the moisture and vitality your skin needs from the very first moment, initiate collagen synthesis, and restore your youth by minimizing wrinkles and sagging.

The process is performed by distributing evenly under the skin in the form of mesotherapy. The application area is applied in areas such as the whole face, decollate area and hands where signs of aging and wrinkles are most common.

What are the signs of aging in the upper eyelid?

When talking about the signs of aging on the face, it is necessary to consider the face as a whole. In the 30s, downward displacement begins in the forehead and eyebrows. This situation is manifested by the loosening of the upper eyelid skin. In the 50s, with the thinning of the muscles in the upper eyelid, both the abundance in the skin increases and the fat pads in the eye socket become prominent. This natural process begins to become apparent in some people at an earlier age depending on some characteristics taken from the family. For example, patients whose eyebrows have been in a lower position since their youth.

What are the signs of aging in the lower eyelid?

Just as signs of aging in the upper eyelid are related to aging in the forehead, signs of aging in the lower eyelid are also related to the cheeks. In the 40s, the fatty tissue in the cheek begins to shift downwards with the effect of gravity. This situation manifests itself with a halo-like depression under the lower eyelid and a pronounced laugh line on the rim. With the thinning of the lower eyelid skin, the lines we call crowbar around the lower eyelid begin to form. In the 50s, with the weakening of the lower eyelid muscles, the fat pads in the eyeball become more prominent as they lose the support in front of them.

What should be considered before eyelid sagging surgery?

Don’t use aspirin or similar drugs for a week before the operation. Likewise, since herbal teas such as green tea and vitamin E are believed to have blood-thinning effects, it is beneficial not to take them for a week before surgery. Conditions such as high eye pressure, hypertension, thyroid diseases, and dry eye are conditions that increase the risk in eyelid aesthetic surgeries. If you have any of these chronic conditions, inform your doctor about it.

How is the upper eyelid aesthetic surgery decided?

The eyebrows are checked by physical examination of the forehead and eyebrows. After determining whether there is any asymmetry by evaluating the eyelid movements, the patients with minimal eyebrow level and fine lines on the forehead are applied preoperatively to botox and re-evaluate the upper eyelids. If the plethora of eyelids continues, upper eyelid aesthetics are decided. If there is a pronounced drop in the eyebrows, deep streaking on the forehead and significant fullness in the upper eyelid, it is decided to perform endoscopic eyebrow and temple stretching procedures and to re-evaluate the upper eyelids during the surgery and perform upper eyelid aesthetics.

How is upper eyelid aesthetic surgery performed?

If only upper eyelid aesthetics will be performed, the procedure can be performed under local anaesthesia. The duration of upper eyelid surgery does not exceed 1 hour. The amount of skin and muscle to be removed is decided by drawing while the patient is sitting. Skin and muscle removal, which is usually done in a suitable way to cause a line to be hidden in the fold line of the lid, provides sufficient tension in the eyelid. However, in some cases, the fat pads present in the inner and middle parts may be very prominent. For this reason, very small amounts of them are also surgically reduced.

How is the lower eyelid surgery decided?

It is necessary to evaluate the aging in the lower eyelid together with the aging of the cheek. Since the cheek tissue shifts downwards, mostly after the 40’s, the cheek tissue should be taken up with endoscopic surgery. After this procedure, if there is still a dilation in the lower eyelid skin and prominence in the lower eyelid fat pads, it is decided to perform the lower eyelid aesthetics during the surgery.

What is done in lower eyelid surgery?

With the incision made just below the lower eyelid eyelashes, the lower eyelid skin is lifted together with the muscle. The reduction of fat pads is rarely necessary. Generally, the spreading of fat packs to the edge of the eye socket helps in correcting the depression that occurs under the eye. If the cheek lifting and spreading of the fat pads are insufficient in removing this debris, the oil injection process is also added. After removing the skin and muscle abundance, the muscle tissue is hung on the outer wall of the orbit. This provides support to the fat pads. Since lower eyelid aesthetics is usually performed together with mid-facelift surgery, it is performed under general anaesthesia. The duration of the operation varies between 2 and 4 hours depending on the additional interventions to be performed.

What should we pay attention to after the surgery?

When the procedure is over, there will be bands covering the eyelids. These do not prevent you from seeing. Cold is applied around the eyes to control enema after the procedure. Despite these precautions, swelling and bruising may occur around the eyes. These swelling and bruises increase in the first 2 days. It starts to decrease gradually from the 3rd day. Starting arnica cream in the early period helps the bruises to pass faster. Especially in the first hours after the procedure, leakage and slight bleeding may be seen on the tapes covering the eyelids. Effort, coughing, sneezing increase these complaints.

While resting after the procedure, keeping the head high with a few pillows helps to reduce edema. In the first days after the procedure, there may be complaints in the form of tension, stinging and burning around the eyes. These complaints can be resolved with simple painkillers.

Edema around the eyes begins to decrease from the 3rd day after the procedure and activities can be increased. Tapes and stitches around the eyes are removed on the 5th day after the procedure. A small band can be placed around the corner of the eye for another 5 days. On the same day, it is allowed to wash the eye contour and to apply moisturizer to the eyelids. While performing these procedures, care should be taken and hard movements should be avoided. When the bands and stitches around the eyes are removed, it is natural to turn yellow and have a limited swelling. These decrease day by day and can be hidden with light makeup. After the procedure, heavy sports, applications that increase edema such as solarium, sauna, sun bath and steam bath should be avoided for 6 weeks. In the first weeks after the procedure, it is extremely common to have swollen eyes when waking up in the morning. This swelling gradually decreases during the day. In the first weeks, there may be tension, stinging and watering in the eyes due to wind and sun exposure. Sunglasses can be used to prevent this situation.

Will there be any scars after eyelid surgery?

In the upper eyelid fold, lower eyelid, under the eyelashes, a thin pink line may be noticeable in the first weeks. In the corner of the eye, this situation may continue for a longer time in some cases. Since the eyelid skin is very thin, it is very difficult to distinguish the scar that will occur on the skin after 1 year. Again, in some cases, in cases where the outer edge of the eye needs to be hung with a muscle sling, the eyes may be slanted, especially in the first week. This situation decreases with each passing day.

What are the risks of eyelid surgery?

Although rare, bleeding problems may be encountered during or after eyelid surgery. If bleeding occurs after the operation, emergency drainage treatment may be required. Aspirin or anti-inflammatory drugs should be stopped ten days before the operation because they increase the risk of bleeding. Hypertension that is not under medical control can also cause bleeding during or after the operation. Bleeding under the eyelids may delay healing and cause scarring.

Infection is usually not expected after this surgery. In rare cases, if the infection develops, the problem can be solved with appropriate antibiotic therapy.

Blindness is extremely unlikely after blepharoplasty. However, intraocular bleeding during or after surgery may cause this. This problem can be overcome with early diagnosis and drainage.

The most feared and relatively common complication is the pulling down of the lower eyelid (ectropion). This possibility increases in patients who have had a second surgery. The problem is that the eye skin is removed more than necessary and the treatment is to replace the missing skin. For this, it may be necessary to take the skin from the upper eyelid.

There may be changes in the appearance of the eyelid as a result of aging, sun exposure and some other conditions. Blepharoplasty surgery does not stop aging, nor does it continuously provide tension in the eyelid area. New surgeries and treatments may be required in the future to preserve the results of blepharoplasty surgery.

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