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Some people have eyelid surgery to correct problems that are a result of
aging, while others have inherited traits such as under eye bags that cause
them to seek treatment in their 20s or 30s.
If the upper eyelid condition is accompanied by sagging of the eyebrows, then
a forehead lift may be recommended. Smoothing of crow's feet may require
chemical peeling or laser resurfacing procedures. Circles beneath the eyes
caused by dark pigmentation may be treated with a bleaching solution or
chemical peel. Alternately, sinking around the eye socket below the eye can
be addressed with fat grafting.
High blood pressure, thyroid problems or diabetes are some of the conditions
that can increase the risks of eyelid surgery. Dr. Gilman and Dr. Ehrlichman
will ask if you have allergies and if so, how they affect your eyes. We will also
need to know if you have been told that you have "dry eye" or any other eye
problems. Often, a simple test of tearing performed by your optometrist will
be required before surgery.
Dr. Gilman and Dr. Ehrlichman will discuss two different approaches to lower
lid surgery: one uses an external incision and the other is performed from
inside the lower lid. The inside incision is the preferred method and leaves no
visible scar.
An incision is hidden within the natural fold of the upper eyelid for upper eyelid
surgery and it is through this incision that excess skin and fat are removed.
Because the incision follows the natural contour of the upper eyelid, it will be
well camouflaged when it is healed.
For lower lid surgery the incision can be hidden below the lower lashes.
Through this incision, excess skin, muscle and fat are removed. Fat may also
be redistributed to eliminate puffiness or bulges. Other adjustments such as
canthopexy (tightening of the lower lid mechanism) may be made to correct
special problems such as muscle laxity.
Dr. Gilman and Dr. Ehrlichman may decide that the best approach for
removing excess fat is a technique that needs no external incision. This
procedure is called transconjunctival lower blepharoplasty. While it is a good
approach for most patients, it cannot be used to remove excess skin so a
laser may be used in conjunction with this method to tighten the skin under
the eyes. Sometimes skin tightening is also accomplished with a lash-line
incision.
After your surgery, you may have a feeling of dryness or irritation in the eye.
This may require treatment. There is also a chance of a temporary reduction
in eyelid sensation. Impaired lid function is rare and can be treated with
additional surgery.
Mild swelling persists for several weeks in some cases while others see
swelling resolve in just seven days. Bruising normally disappears in seven to
ten days and you may use makeup within the first week to hide discoloration.
You may find your eyes are temporarily sensitive to light. You may also
experience some excess tearing or dryness. Dr. Gilman and Dr. Ehrlichman
may recommend eye drops to relieve burning or itching. You may want to
wear dark sunglasses for a couple of weeks to protect your eyes from the
wind and sun.
The incision lines will fade over several months until they become barely
visible.
Click here for more information on Blepharoplasty (Eyelid Surgery)
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Plastic Surgery Specialists Inc.
Boston
Plastic Surgery
332 Washington St., Suite 215
Wellesley, MA 02481
Phone: 781-431-7340; Fax: 781-431-7342
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