The eyes are the most important organs for the human body to interact and connect with the outside world. Not only the functions of the eyes, but also the aesthetic appearance is an important element.
Our eyelids are one of the areas that cause our face to look old or young. For many reasons, signs of aging appear in this area. This condition can occur at a young age due to genetic reasons, as well as due to old age in later ages. These negative changes can make the person look more tired than they are.
Why is Eyelid Aesthetics Performed?
The first part of the aging signs that appear on the human face is the eyes of the person. Various negative effects and other environmental factors and the negative effects of the aging process, which occur depending on time, appear in the middle age period and in the following times, various wrinkles and deformation symptoms on the face of the person and primarily around the eyes. In some cases, these effects can also be seen in people under middle age. Lower and upper eyelid aesthetic problems make the person look older and tired than they are, and cause a decrease in the lively and dynamic appearance.
These changes in the eyelids can manifest themselves in the form of curling, sagging, bagging, sagging skin, swelling in the lower lids, increase in lines, prominent wrinkles, drooping of the eye corners, ringing, bruising in the upper and lower eyelids. These changes make the person seem older than they are, as well as tired and uncomfortable. In addition, excess skin on the upper eyelid can narrow the eye opening, descend on the eyelashes, and cause the visual field to shrink.
In order to correct these undesirable conditions mentioned above, a surgical procedure called Upper Eyelid Aesthetics is applied.
In general, this situation occurs when age is advanced and skin elasticity is very deteriorated. In such cases, Upper Eyelid Aesthetics (Blepharoplasty) surgery becomes inevitable.
Things to Know About Eyelid Aesthetic Surgery
Before Eyelid Surgery
Before the eyelid surgery, the patient’s fat ratio in both eyelids, excess skin on the eyelids and the extent of the deterioration of the muscle tissue in the patient’s eyelids are examined, and the operation is planned according to the data obtained.
If the patient has a glaucoma problem, the patient should be examined by an ophthalmologist before the operation and the eyelid aesthetic surgery of the patient should be planned accordingly. If the patient has any chronic disease, this situation is also taken into consideration by the plastic surgeon and the surgery is planned accordingly.
Eyelid Surgery Anesthesia Type
Aesthetic eyelid surgery can be divided into upper and lower eyelids. The procedure for the upper region can be easily performed under local anesthesia and is preferred. The lower part should be performed under sedation anesthesia or general anesthesia. If both sides are to be operated on, the operation is planned by putting them to sleep under general anesthesia.
Procedures Performed in Eyelid Surgery
In Eyelid Surgery, basically the following procedures are performed: The excess skin from the upper eyelid and the excess muscle layer are removed and the loosening of the skin is eliminated. Depending on the patient’s needs, it may be necessary to remove some of the fat in the eye socket, that is, only the excess ones. There are 2 fat compartments in the upper eyelid. When the procedures to be done are finished, a very indistinct scar is formed as the incision site will be fully seated on the eyelid crease.
In the lower eyelid, an incision is made under the full eyelashes, only 1-3 mm of excess skin is removed from the lower eyelids, again a small amount of excess muscle is removed, there is excess fat in 3 compartments in this region. This excess fat is also removed very little. I also perform cantopexy surgery, which stretches and straightens the muscle in lower eyelid surgeries. In this way, the muscle becomes more tense without putting a load on the skin, and the lower eyelids get a better view. If ectropion has developed, a wedge-shaped lower eyelid is removed and tension is provided. When the incisions are sutured, the surgical scar just below the lower eyelashes becomes very obscure and invisible over time.
What is Upper Eyelid Aesthetics?
Upper eyelid aesthetics is a surgical procedure for removing sagging skin and excess muscle tissue on the upper eyelid and stretching the tissue.
With advancing age, sagging of the skin occurs. Gravity is also an important factor in this. Conditions such as bagging, loosening, discoloration, relaxation and wrinkles occur in the eyelids. When sun rays, air pollution, irregular sleep, cigarettes and alcohol are added to this naturally experienced process, the skin’s wearing process accelerates. Upper eyelid aesthetics is a definite and permanent surgical procedure to eliminate the deformations in the eyelid caused by all these reasons.
When Should We Consider Upper Eyelid Aesthetic Surgery?
- If the skin layer hanging from under the eyebrow to the eyelid has made your lid line invisible,
- If the skin tissue on the cover hangs like an awning especially on the outer edges, restricting your upper and lateral visual field functionally,
- If the layer of skin hanging fluffy over your lid makes you look older, tired or sick than you feel,
- If the visible surface of the upper eyelid has decreased due to the sagging skin layer and you have difficulty in applying make-up (if there is no lid to apply eyeshadow),
- If you are constantly raising your eyebrows to lift the drooping eyelid and to see / appear better, and therefore the wrinkles on your forehead have started to deepen,
You can choose Upper Eyelid Surgery.
Lower Eyelid Aesthetics
Lower Eyelid Aesthetics is a surgical application that aims to improve aesthetic problems in the lower eyelids. Lower Eyelid Aesthetic Surgery is also known by names such as under-eye surgery, under-eye wrinkle surgery, and under-eye bag surgery.
When Should We Consider Lower Eyelid Aesthetic Surgery?
During the aging process, the skin of the lower eyelid becomes thinner. Depending on repetitive gestures, the wrinkles on the lateral edge of the lower eyelid, which we call crow’s feet, become evident. Inside the lower eyelid, there is a membrane that holds the fat pads, which should normally be just under the eye, in place. This membrane loosens with aging and under-eye fat settles forward. These formations, also called under-eye bags, make the face look old, sleepless and tired. A deep depression, which we call a tear trough, develops between the innermost under-eye bag and the edge of the nose. A triangular shaped bulge (malar bag) forms just below the outermost bag.
Lower eyelid aging is closely related to midface aging. When the midface area hangs down, the soft tissue wall, which is normally in front of the lower eyelid bags, goes down. Mid-face sagging, mid-face volume loss, and mid-face bone problems visually make the lower eyelid look older.
Lower eyelid aging usually occurs in the early stages of facial aging, between the ages of 30-45.
Process After Eyelid Aesthetics
After Eyelid Aesthetic Surgery, the eyelids are not completely closed. Therefore, patients can see everywhere. This surgery is not about vision, it is about eyelids. Since the eyelids are in a very loose structure, bruising and swelling will occur. Applying ice packs on the eyes for the first 24 hours will reduce swelling and bruising. At the end of the first 48 hours, the swelling will reach its maximum and then it will enter a rapid recovery period. Two days later, the bands are changed, the person has a much wider field of vision and returns to his daily life without being very active.
Things to Consider After Eyelid Aesthetics
Swelling and bruises continue for 5-7 days after the application, depending on the profession of the person, it is recommended to spend this time resting. At the end of this period, the stitches are removed and the person can return to his social life. From this period, make-up can be applied. In the pre-operative period, not less than 7 days, not smoking and aspirin etc. It is very important not to use drugs that dilute the blood. These restrictions must be maintained for 7 days after surgery, otherwise wound healing will be adversely affected.
The patient can drive 5 days after the application. It will be beneficial for the patient not to read newspapers and books for the first 2-3 days after the surgery. From the 5th day after the procedure, the patient can take a bath. If the patient uses lenses, he should not wear lenses for 7-10 days after the surgery. After the surgery, the patient needs to protect his eyes from sunlight, for this it will be beneficial for the patient to choose quality sunglasses with UV filters.
After the operation, there are no scars on the eyelids. Because this area is very loose, has folds on its own, and is one of the places where wound healing is best in the body. You may not even realize that you had surgery 1 month later. Eyelids that regain their old and lively form after the operation will continue to preserve this feature for many years.
