It is said that the eyes are the window to the soul. Each year, one hundred thousand men and woman undergo an eyelid lift (the medical term for this is blepharoplasty) to improve the way they look. Droopy upper eyelids are the results of excess sagging eyelid skin,and can make you look tired, angry or just older. The lower eyelids become puffy and bag develop with age due to prolapse of fat underneath the eyes. There are many different surgical and non-surgical approaches to these problems, and customizing the treatment to the patient's problem is the key to natural looking and beautiful results.
Upper eyelids can be opened up and lifted without surgery with Botox injections. Injecting the muscles that cause the eyebrows to pull down and to droop over the eyes will allow them to lift up and raise the skin of the upper lids. This is a 5 minute treatment that has no downtime, and can be done on a lunch hour or on the way out to meet friends.
Lower eyelid appearance can be improved without surgery as well. Underneath the bags there is usually a deep groove. By injecting the grooves under the bags with fillers such as Juvederm (my personal favorite) or Restylane it camouflages bags and supports them. This is great for those not ready for surgery or with the beginning of bags.
In upper eyelid lift surgery, incisions are placed in the creases of the lids in order to keep the incisions as invisible as possible along these natural folds. The incision is made and the precise amount of excess fat,muscle, and loose skin that are contributing to the problem are removed. It is imperative that it is decided whether the heaviness of the upper eyelids is related to the eyebrows and forehead dropping. This is determined by simply lifting on the eyebrow and seeing if it improves the appearance. If it does, than a browlift is necessary not an eyelid lift.
In Lower Eyelid Lift Surgery, the incision is placed in an inconspicuous location just a few millimeters below the lash line and along the smile creases of the lower eyelid. Again skin, fat and muscle are precisely removed. Extremely fine sutures are then used to meticulously close the incisions, thus minimizing the visibility of any scar.
When it is determined that lower eyelid puffiness (eyelid bags) are solely the result of excess fat, the procedure can be done with an incision inside the eyelid, called a transconjunctival blepharoplasty eye lift, resulting in no external scars.
In some cases of lower eyelid surgery it is necessary not to remove the fat bags under the eyes,but "transpose" or move the fat into deep grooving under the eye. This prevents a "hollowing out" of the lower eyelids that is a tell tale sign of surgery.
Posted by Dr Jacono at 8:53 AM