Blepheroplasty (eye lid lift) Baltimore plastic surgeon
The
eyes are the first to show the aging process. Patients often complain
of the "tired look", "angry look". The eye brows descend down,
resulting in drooping eye brow, excess skin over hoods over the upper
lids. This is usually associated with puffiness of the lids, also
called bags, or herniated fat bags.
The
lower lids show their aging with wrinkles and excess skin. Bags of fat
in the lower lids. wrinkling of the skin and excess skin. Dr.
Shureih a Baltimore, Maryland Plastic Surgeon, with advanced education
in Cosmetic Surgery. Can help you reverse the aging eyelids and
brow complex. 
The surgery is designed to improve on the appearance of skin around the eyes.
Blepheroplasty can be performed on the upper and lower lids or separately upper or lower eye lids.
Understanding
the standards of beautiful eyes can help in planning for the
appropriate surgical procedure. The most important advances in the
recent years is the preservation of volume in both the upper and lower
eyelids. These procedures avoid the hollow eye that accentuates the
aging look, and gives the surgical look.
THE PROCEDURE
Evaluation
of the upper lid must include the position of the eye brow. A
droopy eye brow accentuates the upper lid aging. In those situations
the eye brow must be positioned back to normal position. This
is done with a forehead lift or a brow lift.
Excess
skin of the upper lid is then marked. The incision is positioned in the
eyelid crease. The crease should be positioned at the right height from
the lashes.
Excess
skin is then removed; fat is conservatively removed if any. Muscle
is spared and, a small slip of muscle is removed only in specific
cases. All these precautions are taken to prevent the hollow eye,
or the surgical look.
The lower eyelid can be rejuvenated in many ways. The indiscriminate removal of skin, muscle and fat, result in hollow look.
New
concepts in lower lid rejuvenation accomplish a full smooth convex
lower lid. Conservative approach can involve micro lipo injections in
the lower lid. In some a Transconjunctival approach through the inside
of the lower lid to redistribute the fat compartments. The skin is
smoothened by laser resurfacing, removal or skin peels. Advanced laxity
of the lower lid and excess skin and fat may require the traditional
approach through an incision just below the lash line. The lid is
tightened; fat is redistributed to fill the hollow lid-cheek junction.
Excess skin is removed.
Recovery
is quick about one week. Swelling and bruises will completely
disappear in 3-4 weeks. Back to exercise in 3-4 weeks.
Risks
include infection, bleeding, vision changes. Inability to completely
close the eyes. In the lower lid persistent swelling and pulled
down lower lid.
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