Eyelid lift surgery aims to treat drooping eyelids, which eliminates vision problems and improves the external appearance of the eyes. It is also used to remove excess sagging skin that surrounds the eyes, which usually increases with age, as the muscles that support the eyelids are no longer able to stretch. This is 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 to form under the eyes. This surgery can reduce or completely eliminate visual field problems caused by ptosis.
Reasons for this surgery
Eyelid surgery may be considered if the patient suffers from
Swollen upper eyelids or pockets.
Excess skin in the upper eyelids that restricts the field of vision.
Sagging of the lower eyelids, which causes the white of the eye below the iris (the colored part of the eye) to be exposed.
Pockets under the eyes.
Complications of eyelid surgery
Blepharoplasty is associated with a number of complications, such as the following
Infection.
Scars at the surgical site.
Dry eye syndrome.
Hematoma of optic nerve.
prior to the operation
Before setting a date to undergo surgery, the patient must meet with a plastic surgeon in order to decide on the efficacy of surgery in his case. This meeting will most likely include:
1. The patient''s medical history
The ophthalmologist may ask the patient before performing the surgery about the diseases that the patient suffered from in the past and present, such as glaucoma, or allergies in the eye area, and other eye problems.
The patient must inform the doctor if he suffers from thyroid disease, high blood pressure, eye problems, or if he suffers from diabetes.
It is also expected that the doctor will ask before the surgery about the medications that the patient is taking chronically, including drugs that do not need a prescription and even nutritional supplements and herbs such as ginkgo, ginseng or garlic and ginger that would double the chances of bleeding. .
2. Physical examination
The surgeon will perform a thorough physical examination, which includes checking your vision and ability to produce tears. He will also use a special device to measure parts of your eyelid.
3. Photography
Before performing the surgery, the doctor will photograph the eyelids from many angles and positions. These images contribute to planning the course of surgery and help to assess 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 that are known to cause bleeding.
It is recommended to stop taking these medications two weeks before the surgery. These medications can be used again after consulting a doctor.
during the procedure
Here are the steps to perform the dry cutting procedure
In the event that the patient is undergoing both upper and lower eyelids surgery at the same time, the surgeon will perform the upper eyelid surgery first.
The surgeon makes an incision along the natural crease of the upper eyelid. After that, he removes the excess skin and a little muscle and fat tissue that is under the skin.
This incision is closed with a thin suture that leaves almost no scar.
Sometimes, in order to close the incision, a special package or surgical skin glue is used. The incision made on the lower eyelids is made directly under the eyelashes, in the natural crease of the eye, or just inside the lower eyelid.
The doctor will remove excess fat tissue, muscle, and excess skin. The location of the suture 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 with the pupil, another surgery will be performed in addition to eyelid surgery to treat this problem, which is called ptosis.
Eyelid surgery can be performed simultaneously with another surgical procedure, such as a brow lift or facelift. In the event that 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.
Post-operation
Eyelid surgery usually takes less than two hours. This depends on the location and amount of excess tissue that needs to be removed. After that, 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 on an outpatient basis, which requires the patient to sleep there for a day. This surgery is also performed under local anesthesia. The surgeon will inject an anesthetic into the eyelids of the patient, and medications will be given to the patient intravenously 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 that the condition is stable, 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 3 months after the surgery.
After undergoing the surgery, the patient will receive eye s to prevent the eyes from drying out.
Ice packs or cold compresses can be used to reduce swelling of the eyelids. If the incision is closed by stitches, they must be removed within 3-4 days.
Post-operative advice
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 the surgery:
It is not permissible to lift weights exceeding 9 kg.
Refrain from swimming
Refrain from excessive activity with it, such as doing aerobic exercise or jogging.
The patient must raise his head to a level higher than his chest height during sleep.
Adhere to the doctor''s instructions regarding cleaning the eyes and using 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 6 months or more for the scars to disappear at the surgical site. The patient also has to keep the thin skin of the eyelids from exposure to sunlight during this time period.
Most of the people who underwent this surgery were satisfied with the results of the final surgery, as this thing increased their self-confidence as a result of the young and lively appearance that they got as a result of this surgery.
Most of the people who underwent this surgery, the results remained the same and did not change throughout their lives, but there are some patients whose eyelids are expected to return and droop again.
