| Eyes are beholder
of beauty. Whenever we meet and greet somebody our eyes make the
first contact. Glowing eyes surrounded by well-toned clear skin
of the eyelids are of paramount importance for the beauty. Eyes
are also the first indicators of the advancing age. Loose wrinkled
skin of the eyes, drooping eyebrows and eyelids, presence of bulgings
and baggy eyelids can give a tired and aged looks to a person. Presence
of excessive wrinkles or ‘crows feet’ on the outer corners
of eyes can be unattractive sometimes.
Blepharoplasty or correction of all such anomalies to an extent
can make a lot of difference in the outlook of a person. This is
the reason that eyelid cosmetic surgery is the most commonly done
procedure in elderly males and females.
Operative and post operative:
The surgery is performed under local anesthesia and is totally
painless. Depending upon the defect either upper, lower or all four
eyelids can be operated upon in the same sitting. After the required
markings over the eyelids the excessive skin folds are removed along
with fat bulgings from under the eyelids. Lower eyelid margins sometimes
require tightening procedures. Tightening or shortening the muscles
corrects upper eyelid droop. Outer laugh lines or crowfeet wrinkles
are reduced but may not be fully eliminated. Wounds are closed and
ointment is applied over the stitch line. Eyes are not bandaged.
All cases are discharged the same evening. For first 2 to3 days
swelling and redness persist around the eyes and starts getting
better thereafter. All stitches are removed on 5th or 6th postoperative
day. The fine stitch lines are visible initially but blend nicely
with natural skin folds in about a month’s time.
Uplifting of the eyebrows is usually undertaken at a later date
or combined with forehead lift.
Results & complications:
The youthfulness that is achieved after this surgery is appreciable
as early as a week after removal of stitches. Most of the cases
appreciate the clean looks after this procedure. The preoperative
difficulty and effort in opening the eyelids is reduced and the
tired looks disappear.
There are no fatal complications. Excessive swelling may result
from bleeding but is manageable. Eversion of the lower lid margin
giving a pulled down look may occur due to over resection or lack
of adequate support due to lax margin. This is correctable by some
tightening procedures of the lower lid margin. Persons with dry
eye syndrome or lack of tear formation need more care. Extremely
rare, loss of eyesight has been reported in medical literature due
to abnormal bleeding inside the eyeball.
|
