Blepharoplasty or eyelids surgery
Is a method of aesthetic surgery for the removal of the excess of skin, fat and muscles. Blepharoplasty is indicated at almost every age, but is the most frequently addressed to the middle-aged persons and can precede with some years the face lifting.
By getting older, the eyebrows tend to droop, all the lid tissues progressively relax, the elasticity of the skin, of the tars, of the muscle and of the orbital septum is lost, and at the same time the growth of fat tissue is added.
Other causes of lid drooping can be the recurrent oedema in the menstrual period, allergies, cardiovascular diseases, renal diseases, hormonal disturbances and thyroid dysfunctions.
It can be performed for two reasons: for the correction of functional disturbances from aesthetic point of view (decrease of the visual sphere, ptosis, senile ectropion) or to improve the patient appearance.
Blepharoplasty can be performed under local or general anesthesia.
The surgical techniques of blepharoplasty are adapted depending on each individual case.
- local dressing for 24 hours
- topic cold dressings
- additional lubrication of the cornea through application of artificial tears
- antibiotic treatment
- stitches are removed from 2 to 5 days after surgery
The postoperative complications are very rare (ecchymosis, moderate pain, temporary swelling of eyelids) and depend on the correct establishing of the surgery technique, respecting of the post-operative indication.
Cosmetic surgical procedures can produce profound, long lasting changes in facial appearance, but are invasive and have an associated recovery period. For these patients, the rapidly expanding repertoire of injectable treatments is perfect to suit their needs. Injectables can be utilized during an office visit, rather than requiring a trip to the operating room. Anesthesia may or may not be needed depending on the patient’s preference and the sensitivity of the region being treated.
From the standpoint of using minimally invasive techniques to treat facial wrinkles, there are two general classes of injectables: 1- Neuromuscular ToxinsThe first option, which is most appropriate for active lines or age associated wrinkles that are just starting to appear, is to temporarily weaken or paralyze the muscle that is causing the wrinkle. Botulinum Toxin type A is a family of neurotoxins that block nerve signals that cause muscles to contract. The toxin works directly where it is placed, and thus can be artistically used to alter facial expressions. Commonly known as Botox Cosmetic®. Other manufactures toxins that will likely be approved for use in the near future, including Reloxin and PurTox. These toxins will be differentiated by their time to onset, duration of effect (the clinical effects of Botox Cosmetic® are typically 3 to 4 months), and the distance of effect from the injection site.
2- Soft Tissue FillersThe second class of injectable treatments are the soft tissue fillers. This group is rapidly expanding, and many options are available. fillers tend to last 3 to 6 months, and for some indications have a very natural feel.Some types of injections:1- A more recent class of fillers is based on hyaluronic acid (HA), which is a sugar found naturally in human skin.2- A newer class of fillers has been introduced that is based on microsphere technology. Microspheres are tiny round particles of solid material that are relatively uniform in size (calcium hydroxylapatite suspended in a gel carrier)These injectables are more useful for treatment of firmly established wrinkles or larger lines of facial aging (such as the nasolabial folds).These products are used for volume replacement and for deep facial wrinkles (such as the nasolabial folds.)
include bruising at the injection site, rare chance of an infection, and the possibility of unintentionally affecting nearby muscle groups. Specific risks should be discussed with your injector when considering treatment.