Wednesday, March 19, 2008

Should You Have An Eyelid Lift?

One of the first signs of getting older is droopy or hooded eyelids. In cases like this many people decide to have eyelid surgery (blepharoplasty).

An eyelid lift can restore the contour to the lids and help get rid of the bags under the eyes. However, it won’t get rid of your wrinkles or crows feet. You will need to have Botox treatment for that.

Generally, droopy upper eyelids and/or puffy lower ones are often genetic and run in families and it affects men as well as women. What happens is that the eyelid skin begins to thin and stretch as we get older and then becomes loose. The muscles around the eyes weaken and the fat pads that cushion the eyeball move forward resulting in saggy eyelids.

Puffiness of the eyes can occur when a fat pad starts to pull away from the bone of the lower eye and begins to sag. Droopy upper eyelids can result in hooding over the eyes as the lids get fuller and heavier.

So if that is happening to you and you are considering having an eyelid lift what can you expect and what is involved?

The procedure itself if relatively simple. It may be performed under a general anaesthetic or ‘twilight’ anaesthesia, which is also known as conscious sedation. This is where you are asleep but not unconscious. This is not as scary as it may sound. In fact, if you are only having eyelid surgery it is likely that you will be admitted as a day patient, using the twilight method, which means that you won’t have to spend a night in hospital.

Lower Eyelid
There are a number of was that the surgeon will perform the operation but the most common method of performing lower eyelid surgery is to make an incision along and under the lower lashes. The surgeon then lifts the skin and muscle to remove a small amount of fat. Excess skin and muscle are then trimmed from the lower lid.

If it is just your lower eyelids that are affected by fatty deposits the fat can just be removed from the inside of the eye without leaving a visible scar.

Upper eyelid
Surgery on the upper eyelid involves making a curved incision across the eyelid crease in the natural skin fold. This follows the shape of your eyelids. The surgeon will draw a line to identify the lower edge of the skin and will then trim it away. Next, the excess skin of the upper eyelid is marked out and this is removed along with any fatty tissue and a thin strip of muscles to give the eyelid crease more definition. The incision is then closed and the scar will be hidden by the natural fold in the upper eyelid.

Operating time will generally be about 1 to 3 hours and as I mentioned earlier you will be released from hospital shortly after it, probably the same day.

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