Upper Eyelid Aesthetics – Upper Eyelid Blepharoplasty
Cosmetic eyelid surgery, namely blepharoplasty, is one of the most frequently performed surgeries among facial rejuvenation surgeries. Upper eyelid skin, muscle and connective tissue under the skin, fatty tissue, retaining ligaments and sometimes lacrimal gland; It can be affected by many factors such as environmental factors, age, genetic factors, the effect of gravity, valve traumas, valve masses, and rubbing due to allergic valve diseases. Sagging of the upper eyelid skin, loosening of the muscle and connective tissue, loosening of the retaining ligaments, forward displacement of the fatty tissue or fatty tissue collapse, and the tear gland sagging downwards from where it should be may occur. These conditions cause patients to feel heaviness on the upper eyelid, unhappy expression, and tired gaze. When the amount of sagging is high, a narrowing of the visual field occurs. Complaints such as headache due to using the forehead muscle to lift the lids are observed. Patients need to have a detailed eye and eye area examination by an oculoplastic surgeon, determine the presence of refractive error, evaluate the functions of the eye and eyelid muscles, visual field examinations when necessary, and evaluate additional accompanying pathologies. It is necessary to understand the patient's expectations, explain how this surgery will meet his expectations, and give information about the necessity of combined surgeries. As a result of all these evaluations, deciding on the right technique for the right patient is the most important step.
The medications used before the operation should be questioned, and medications with blood thinning effects or supplementary multivitamin treatments should be arranged. Although upper lid blepharoplasty is usually performed under local anesthesia, it can also be performed under sedation or general anesthesia upon patient request or when necessary.
One of the most important stages of surgery is the drawing phase for surgical planning. Unfortunately, there is often a misconception that upper eyelid aesthetics only involves skin removal and stitching. However, intervention is required in the connective tissue, muscle, fatty tissue under the skin and, when necessary, in the lacrimal gland. There are methods that allow the eyelid to be shaped according to the person's eye and eye area and to extend the life of the surgery. In the final stage, the skin incision is closed with aesthetic suture materials and methods.
The patient can be discharged on the same day with just a thin taping on the stitch area, without the need to close the eye. In addition to medical treatments after surgery, ice must be applied for 48-72 hours. Edema and bruising in the surgical field and surrounding tissue are among the expected effects. More rare complications include failure of the valves to close and bleeding that threatens vision, especially in patients receiving blood thinners. In these cases, detailed evaluation and intervention by an ophthalmologist is required. Patients can continue their desk jobs or non-intensive activities after 3-4 days, and their social lives that require activity after 7-10 days. Stitches 7-10. It is taken on days. The final surgical result varies from person to person, but becomes clear in an average of 2-3 months.
Lower Eyelid Aesthetics - Lower Eyelid Blepharoplasty
The lower eyelid structure is the structure that covers the lower part of the eyeball and continues towards the middle face. With the upper lid, the blinking function ensures that the eyeball is covered and protected, and the tears are circulated and moved towards the tear duct. Many reasons such as age, the effect of gravity, congenital, genetic and environmental factors, previous facial paralysis, frequently recurring lid infections, lid tumors and traumas can affect the lower lid anatomy. As a result of all these factors, deformations occur in the skin, subcutaneous connective tissue, muscle, fat and retaining ligament tissues of the lower eyelid. These changes cause complaints in people such as bags, sagging, depressions, dark circles on the lower lid, and a tired and unhappy appearance. Patients presenting with these complaints should be evaluated by oculoplastic surgery specialists. After the anatomical and functional status of the lower lid, the condition of the tear duct starting from the inner region of the lower lid, and the detection of lower lid bags, the most appropriate technique for the patient should be planned.
Lower eyelid aesthetics can be performed under local, sedation or general anesthesia, depending on the patient's condition. The medications used before the operation should be questioned, and medications with blood thinning effects or supplementary multivitamin treatments should be arranged. Lower eyelid aesthetics can mostly be performed without an incision from the inside of the lower lid or with a thin incision line just below the lower lid lash edge. Depending on the needs of the cases, it includes components and techniques such as removing some of the fatty tissues that cause lower eyelid bags, relocating them, lifting the midface upwards, and tightening the lid retaining ligaments.
The patient can be discharged on the same day without the need to close the eye. After surgery, in addition to medical treatments, ice must be applied for 48-72 hours. Edema and bruising in the surgical field and surrounding tissue are among the expected effects. Outward rotation of the lower lid due to excessive skin removal and failure to tighten the lid ligaments may cause functional and cosmetic problems in the lid. More rare complications include bleeding that threatens vision, especially in patients receiving blood thinners. In these cases, detailed evaluation and intervention by an ophthalmologist is required. Patients can continue their desk jobs or non-intensive activities after 3-4 days, and their social lives that require activity after 7-10 days. There is no need to remove stitches in the transconjunctival technique (through the lower eyelid). In the technique applied with a thin incision line under the eyelashes, the stitches are 7-10. It is taken on days. The final surgical result varies from person to person, but becomes clear in an average of 2-3 months.
