The incision for upper eyelid surgery is generally made in the natural crease of the upper eyelid and extended laterally to the side for a short distance. The excess skin and fat is then removed, and the incision is closed with sutures (stitches), which are removed over a five to seven day period.
When considering eyelid surgery, it is important to note that "heaviness" or excessive sagging skin of the upper eyelids can also be caused in part or even solely by a sagging forehead or brow. In this care, a brow lift may be recommended, in addition to the eyelid surgery to be performed at our Florida facility.
For lower eyelid surgery, there are three principle approaches:
The incision is generally made just below the eyelash margin and extended laterally to the side for a short distance. Depending on individual requirements fat may be removed or repositioned and secured in place. The excess skin is then removed and the incision closed with sutures (stitches), which are removed over a five to seven day period. At times, self-dissolving sutures are used.
This eyelid surgery approach is called a transconjunctival approach in which the incision is made inside the eyelid so as to avoid an extended scar. The fat is removed or repositioned and secured in placed. In this procedure, sutures are self-dissolving and no sutures need be removed.
In certain instances, Miami eyelid surgery expert Dr. Gershenbaum may recommend laser skin resurfacing or a skin peel concurrent with transconjunctival blepharoplasty, or at a later date, to reduce fine lines or creases, which would not be addressed by this blepharoplasty procedure.
This approach is aimed at blending the eyelid-cheek junction, allowing a more youthful appearance. In youth, there is generally a smooth contour/transition between the eyelid and the cheek. As aging progresses, the eyelid-cheek junction often appears as a trough or hollow below the eyelid fat bags.
This eyelid surgery approach reduces fat from a transconjunctival approach (incision inside the eyelid) and reduces excess skin from the more standard external incision. An eyelid tightening procedure called canthopexy is performed and the thin muscle supporting the lower eyelid is elevated and secured.
Many eyelid surgery patients have excess laxity in the lower eyelid itself, which reveals too much white of the eye and can cause dryness or irritation. At times laxity of the eyelid can resemble skin laxity. However, the correct treatment is tightening the eyelid and not removing skin, which can cause postoperative malposition (pulling down of the eyelid). Either canthopexy or canthoplasty eyelid-tightening procedures may be recommended and can be performed through the same eyelid surgery incisions.
Where external incisions are made, scars always occur, but generally are easily hidden in the natural lines and folds around the eye. Both upper and lower eyelids can be operated upon at the same time or independently as well.
Eyelid surgery is frequently performed with facelift and brow lift procedures at our Florida practice. Bandages are generally not applied over the eyelid area. Cold compresses are applied to the surgical areas as tolerated for a 48-hour period.
Procedure time for the upper eyelid is approximately one hour. Time for the lower eyelids, depending, on which technique is used, will range from one to two hours.
Eyelid surgery is generally performed in our state-of-the-art outpatient surgical facility located between Fort Lauderdale and Miami, Florida. Eyelid surgery can be performed using local anesthesia with intravenous sedation or general anesthesia.
After surgery varying degrees of swelling and bruising of the operated eyelids will occur and at times extend down to the cheek area. It generally takes one to two weeks from the day of eyelid surgery for most of the bruising and discoloration to subside. This condition generally subsides more rapidly in the upper eyelid area than in the lower eyelid area. Irregularities along the suture line may be present for several weeks. You may experience swelling, tingling, itching, numbness, and irritation with a feeling of tightness and dryness as you heal. This will last for a variable length of time.
Sutures are removed in five to seven days after eyelid surgery. At times, dissolvable sutures are used at our practice in Miami, Florida. Eyelid surgery patients do not generally complain of pain after this procedure. Any discomfort is easily controlled with medication. Light exercise can generally be started three to four weeks after surgery.
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2954-B Aventura Blvd
Aventura, FL 33180
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