| Eyelidplasty surgery ( also called "blepharoplasty"),
is sometimes performed in conjunction with other facial aesthetic
procedures, but often will produce a notable rejuvenative effect on
appearance when performed in isolation. In patients of younger years,
the eyes may reveal the first evidence aging. A "tired," unhappy
look may prompt the patient to seek plastic surgical advice. Also,
some patients may have "puffy" eyelids from a very early
age on a genetic basis.
Examination may reveal problems with either upper of lower eyelids, or with both. Droopiness and redundancy of the upper eyelid skin will require excision of the tissue excess. This can be accomplished through an incision which will heal imperceptably in the eyelid fold. The lower eyelid skin may also be loose and crepe-like, and may protrude over bulging fat from the eye socket. This produces disturbing shadows beneath the eyes. If lower lid skin excess is notable, an external incision for removal of the excess will be made near the eyelash line. If a patient has fat bulges, but only slight skin excess, repair may be accomplished through incisions on the inside of the eyelid ("transconjunctival blepharoplasty"). This can be followed by laser resurfacing of the eyelid skin, avoiding all visible scarring. |
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