Eyelid and Eyebrow Corrective Surgery
Eyelid surgery is suitable for both men and women alike. This surgery helps restore a youthful, refreshing, and wakeful appearance to the face. During the pre-surgical consultation, various parameters are evaluated, such as wrinkles that extend across the forehead, sagging eyebrows that contribute to an older and tired appearance, lines that extend between the eyebrows that project a sense of anger, wrinkles on the sides of the eyes, excess skin, quality and type of skin around the eyes, fat deposits that are overly evident in the upper and lower eyelids, and concavities in the tear-bearing areas of the eyes.
Surgery for eyelid correction can be accompanied by other facial procedures, such as facelift or fat-tissue injection.
Upper Eyelids belpharoplasty
Lifting of the upper eyelids or correction of sagging eyelids is highly popular nowadays. The goal of surgery is to correct the “tired” look and improve overall appearance of the eyelids and eyes. Upper eyelid surgery is performed under local anesthesia, and duration of surgery is approximately half an hour. In this surgery, any excess skin or muscle is removed, fat depositions are excised, and a more “open” and attractive appearance is restored.
It is recommended to refrain from taking any blood thinner medication at least 2 weeks before surgery. Furthermore, one should have any outstanding medical test values normalized beforehand (such as blood pressure and blood sugar levels).
In any case of pre-existing eye disease or condition (such as dry eyes, chronic eye inflammation, glaucoma, etc.) one must complete an eye examination by an ophthalmologist and receive written authorization (and follow recommendations if given) for proceeding with the desired surgery.
Most changes seen in the eye region of the face appear after the age of 40, and various surgeries in this region become popular after this age.
During the pre-surgical consultation, the exact complaint is assessed. One must distinguish between excess skin/droopy eyelids and eyebrow sagging. Furthermore, the muscular activity of the eyes will be examined, as well as the type and quality of overlying skin, any pre-existing wrinkles, and other outstanding medical conditions that may effect the eye region (such as hyperthyroidism). Documentation of any eye disease or condition will be noted, including poor vision. If necessary, the patient will be referred to an ophthalmologist for examination.
If indeed one is diagnosed with eyebrow sagging and yet decides to undergo upper eyelid surgery only, the overall effect will be sub-maximal and the “tired” or “angry” appearance may linger (more on this later).
The incision line is located exactly in the eyelid fold, and as such any remaining scarring is camouflaged. Additional eyebrow correction will be incorporated in the same operation as necessary and will be performed before the eyelid part of the surgery.
Recovery from this surgery is quick. An overnight admission for observation is not necessary in most cases. After surgery, cold compresses are recommended in the area in order to minimize any bruising and swelling.
The initial healing period lasts between one and two weeks. During this period, one may experience local skin bruising, and swelling and/or edema. The length of time needed for the swelling to subside may last longer than the initial healing period. Usually, there is no suffering from any significant pain. In any case of incomplete close of the upper eyelid, one may experience dryness or tearing in the first few days. Therefore, it is recommended that one use artificial eye drops or lubricants and antibiotic ointment for the first nights after surgery. For removal of any discharge from the eyes, it is recommended that one use specialized cloths such as Eye-Care® by Dr. Fisher. Furthermore, one should refrain from using any facial cosmetics until two days AFTER suture removal.
Sutures should be removed approximately one week after surgery. The scars from this surgery are extremely fine in most cases, and they become highly incorporated into the natural contours and lines of the eyelid within a few months. The final results of this surgery become apparent only after several months, once all local edema and swelling has subsided.
Sagging of the eyebrows can be misleading and fool one into thinking that the upper eyelids are mistakenly drooping. If one avoids addressing this issue, appearance of the eye region may deteriorate and the eyebrows will continue to sag with time. Eyebrow lifting can be performed under local anesthesia, and the healing period is short. One may choose to incorporate other facial procedures, such as eyelid correction, at the same time of eyebrow correction surgery.
There are a number of methods by which one can have their eyebrows elevated. The procedure can be performed via an incision placed in the temporal region (either within or on the hairline), or via the incision made for eyelid correction. Eyebrow surgery “opens up” the area surrounding the eyes, and restores a more youthful and healthy appearance to the face. The correct eyebrow location in men is along the orbital ridge. In women, the location is slightly higher—approximately several millimeters higher than in men, especially in the lateral region. Lifting of the eyebrow can be done as a surgical procedure, however if the elevation desired is minimal, one can achieve this via periodic Botox® injections and thus avoid surgical intervention. After surgery, it is recommended that one apply cold compresses to the area in order to minimize bruising and edema.
The initial healing period lasts between one and two weeks. During this period one may experience local skin bruising, and swelling and edema. It is possible that the amount time needed for all swelling and edema to subside will extend beyond the initial healing period. Usually, one does not experience any significant pain from this surgery. It is recommended that one refrain from applying any facial cosmetics until two days after the sutures are removed.
Sutures are removed approximately one week after surgery. The remaining scars from this surgery are extremely fine, and usually become highly incorporated into the normal contours and lines of the face within a few months. The final result of this surgery becomes apparent only after several months, once all local swelling and edema has subsided.
Lower Eyelids blepharoplasty
Correction of the lower eyelids is performed in order to treat excess skin and “bags” underneath the eyes—characteristics that contribute to a “tired” and unaesthetic appearance to the face. This surgery is can be performed under local anesthesia.
During the pre-surgical consultation the exact problem is assessed, and other parameters are examined such as quality and type of skin, sunshine damage, pre-existing wrinkles, etc. Any outstanding eye condition or disease is documented and, if necessary, an ophthalmologist consult is warranted. In such cases, written authorization from the ophthalmologist (along with pertinent recommendations) will be required before any surgery is performed.
During this surgery, any excess skin is removed, and existing swelling caused by fat deposits or local muscle relaxation is treated. The incision for this surgery is located underneath the lower eyelash line and is therefore highly camouflaged. It is recommended that one refrain from applying any facial cosmetics for at least two weeks after surgery. During surgery, removal of too much skin is avoided so as not to cause a situation where the lower eyelid is abnormally “drawn” down. This surgery is simple perform, and the recovery time is short. Duration of surgery and healing time are similar to that of upper eyelid correction surgery. It is possible to incorporate into this surgery other facial procedures, such as upper eyelid blepharoplasty, eyebrow correction, and facelift.
The effectiveness of upper eyelid correction ranges between 5 and 10 years. Lower eyelid correction lasts for approximately 5 years. This time frame is influenced by many factors, such as age, skin type and quality, smoking habits, sunshine exposure, underlying medical conditions, medications, etc. After surgery, it is recommended that one apply cold compresses to the areas operated on in order to minimize any bruising and swelling.
The initial healing period lasts between one and two weeks. During this time, one may experience local skin bruising, as well as swelling and edema. It is possible that the time needed for the edema to subside will extend beyond the initial healing period. Usually, one does not experience any significant pain from this surgery. It is recommended that one apply artificial eye drops and lubricants, and antibiotic ointment, during the first few nights after surgery. For removal of any eye discharge, it is recommended that one use specialized eye cloths such as Eye-Care® by Dr. Fisher. Furthermore, one should refrain from applying any facial cosmetics until two days AFTER suture removal.
Sutures are to be removed approximately one week after surgery. Scars remaining from this surgery are extremely fine, and become highly incorporated into existing lines and contours of the face within a few months. The final result of this surgery becomes apparent only after several months, once all swelling and edema has subsided. This surgery aims to restore a youthful and fresh appearance to the face.
Complications from this surgery are extremely rare, and may include:
1) Bleeding that may necessitate drainage in the operating room
2) Opening of the suture lines
3) Damage and irritation to the cornea of the eye. In such cases, sensitivity to sunlight and a feeling of sand stuck in the eye are common. If indicated, an ophthalmology consult is warranted, and treatment is usually conservative
5) Worsening of dry eyes or chronic eye inflammation
6) Continuous tearing
7) Double vision
8) Pulling of the lower eyelid downward (ectropion)—exposure of the conjunctiva below the cornea. To avoid such a situation, careful excision of lower eyelid skin during surgery is prioritized
9) Small cysts at the suture line
10) Worsening of any existing asymmetry
Complimentary treatments to eyelid surgery are:
1) Chemical peeling or mechanical peeling (abrasion) via laser
2) Injection of filler material based on hyaluronic acid ingredients, or injection of fat tissue (adipose tissue) for filling concavities between the lower eyelid and cheek
Further information regarding this surgery will be made available by the physician during the pre-surgical consultation.