The eyelid lift operation aims to treat drooping eyelids, which eliminates vision problems, and improves the outer appearance of the eyes. It is also used to remove the excess saggy skin that surrounds the eye, which usually increases with age as the muscles that support the eyelids are no longer able to That''s because it weakens over time.
As a result of muscle weakness, it is expected that fat will accumulate above and below the eyelids, causing blurring of the eyebrows, drooping eyelids and causing pockets under the eyes. This surgery can limit or eliminate visual field problems caused by drooping eyelids.
Reasons for performing this surgery
Eyelid lift surgery may be considered if the patient suffers from
Swelling of the upper eyelids or the formation of pockets.
Excess skin in the upper eyelids that limits the field of vision.
Sagging of the lower eyelids, which causes the whites of the eyes below the iris (the colored part of the eye) to be exposed.
Pockets under the eyes.
Complications of blepharoplasty
Blepharoplasty is associated with a number of complications, such as the following
Infection.
Scars at the site of surgery.
Dry eye syndrome.
Hematoma of the optic nerve.
Before the operation
Before scheduling the surgery, the patient should meet with a plastic surgeon in order to decide on the efficacy of the surgery in his case. This meeting usually includes:
1. The patient''s medical history
The ophthalmologist may ask the patient, before performing the surgery, about diseases that the patient has suffered in the past and present, such as glaucoma, or allergies in the eye area, and other problems in the eyes.
The patient should inform the doctor if he suffers from thyroid disease, high blood pressure, eye problems or if he suffers from diabetes.
The doctor is also expected to ask before performing the surgery about the medications the patient is taking chronically, including over-the-counter medications and even nutritional supplements and herbs such as ginkgo, ginseng or garlic and ginger that will double the chances of bleeding .
2. Physical examination
Your surgeon will do a thorough physical exam, which includes checking your vision and ability to produce tears. He or she will also use a special device to measure parts of your eyelid.
3. Photography
Before the surgery, the doctor will visualize the eyelids from a variety of angles and positions. These images contribute to planning the course of surgery and help evaluate the long-term effects of this surgery.
You should also avoid drinking alcohol before surgery, and you should stop taking any medications that prevent blood clotting, such as: Aspirin and even ibuprofen, non-steroidal anti-inflammatory drugs, and plant food additives known to cause bleeding.
It is recommended that you stop taking these medications two weeks before your surgery. You can return to the use of these drugs after consulting a doctor.
during operation
Here are the steps of the dry cutting procedure
If the patient is undergoing upper and lower eyelid surgery at the same time, the surgeon will perform upper and lower eyelid surgery first.
The surgeon makes an incision along the natural crease of the upper eyelid. After that, it removes the excess skin and a little muscle and fat tissue that resides under the skin.
This incision is closed with a thin suture that leaves almost no scarring.
Sometimes a special bundle or surgical skin glue is used to close the incision. The incision made in the lower eyelids is made directly under the eyelashes, in the natural crease area of the eye or just inside the lower eyelid.
The doctor will remove excess fatty tissue, muscle, and excess skin. The position of the stitching is either on the inner side of the eyelid or under the eyelashes, depending on the location of the incision.
In the event that the eyelid is sagging along the pupil, another surgery will be performed in addition to eyelid surgery to treat this problem, which is called ptosis.
Eyelid surgery can be done simultaneously with another surgery, such as a brow lift or a face-lift. If the patient had the surgery only to improve his external appearance, it is expected that the health insurance will not cover the costs of the surgery.
After the operation
Eyelid surgery usually takes less than two hours, and this depends on the location and amount of excess tissue that needs to be removed. Then the patient can wake up in the recovery room. Later in the day, the patient can recover and return to complete the recovery process at home.
In general, this type of surgery is performed in an outpatient setting, which requires the patient to sleep there for a day, and this surgery is also performed under the influence of local anesthesia. The surgeon will inject the patient''s eyelids with anesthetic, and the patient will be given medication through a vein to calm him down. These drugs will cause a slight loss of consciousness, but the patient will remain awake and will not sleep due to these substances.
The patient must also remain under observation for a period of time to ensure the stability of the condition, and some analgesics are prescribed to relieve the pain.
The patient should refrain as much as possible from exposing his skin to the sun for a week before the date of surgery and after surgery for 3 months.
After the surgery, the patient will receive eye s to protect the eyes from drying out.
Ice or cold compresses can be used to reduce eyelid swelling. If the incision is closed by stitches, they must be removed within 3-4 days.
Post-surgery tips
In the event that the patient did not receive any instructions from the surgeon, he must adhere to the following precautions for a week after performing the surgery:
It is not permissible to lift weights exceeding 9 kg.
Refrain from swimming
Refrain from excessive activity, such as doing aerobic exercise or jogging.
The patient must be committed to raising his head to a level higher than the height of his chest during sleep.
Adhere to the doctor''s instructions regarding cleaning the eyes and the use of eye s.
The patient should go immediately to receive treatment if he feels shortness of breath, chest pain, irregular heartbeat, unusual pain, bleeding or vision problems.
Surgery results
It may take up to 6 months for the scars to disappear at the surgical site. The patient also has to keep the delicate skin of the eyelids from exposure to sunlight during this period of time.
Most of the people who underwent this surgery came out satisfied with the final results of the surgery, as this thing increased their self-confidence as a result of the young and energetic appearance they got as a result of this surgery.
Most people who have undergone this surgery, their results remain the same and do not change throughout their lives, but there are some patients who are expected to return and their eyelids will droop again.
