Lower Eyelid Surgery, is it for you?
A lower blepharoplasty can correct excess loose skin, puffy fat deposits and / or chambers for the demarcation of the eyelid and cheek. The conventional lower eyelid incision is made just below the tabs and is designed to avoid detection. Patients sometimes ask about making the incision in the eye. This technique is called transconjunctival incision. This technique can only be considered for removal of fat. Although it can be done some work on the middle section of the face, is uncomfortable and sometimes painful for some time. Moreover, the incision transconjuntival does not allow the removal of excess skin, which in many patients is essential to a good result.
The fat of the lower eyelid should be retained and repositioned in 98% of patients. The lower eyelid fat may be congenital in origin too, and a small clearance may be fine. Hardly anyone over 35 years has excess fat in the eyelid. A fat lot they are insufficient in the eyes and face over time. Aging contributes to a skeletal appearance and cupped. We must save the fat and concentrate on areas where there is deficiency. This works beautifully. Again, the lower eyelid fat should never be removed. Fat loss is an indicator of aging.
Normally, lower eyelid procedures involve only the removal of excess skin, reposition the fat or the excess removal of a little fat. However, we must consider the appearance of 20 years of age and compare it with that of an older person. In the younger person it is often difficult to see where it ends and where the cheek begins eyelid. There is a lack of clear definition of the union between the cheek and eyelid. There is no demarcation line. No line where you can say “this is definitely and this is definitely eyelid cheek.” This is the appearance of youth! As aging continues, the clear demarcation becomes obvious. Sure, there will be exceptions to the rule, but 97% of the time, the demarcation of the union between the cheek and eyelid gradually becomes more obvious with aging. Herniated fat from around the eye and see swelling. Not too fat and almost never be removed.
Using the same incision blefaroplástica, the demarcation can be improved and often virtually eliminated through the moderate elevation of the underlying tissue of the cheek and orbital bone attachment to the edge, while performing lower eyelid blepharoplasty. The suspension muscle with a little removal of skin and fat transfer to concave areas will improve the restoration of a youthful image. Another benefit of adding this to the blepharoplasty procedure is the improvement of the nasolabial folds (the lines from the edge of the nose to the edge of the mouth).
In the past, there has been much fanfare by this procedure and it was called stretching the middle of the face, cheeks or stretching stretching molar. It is definitely true that if a facial stretch is performed simultaneously with the stretching of the lower eyelids, facial stretching may be of the high-SMAS (high support) that can lift the cheek properly in most cases and eradicates demarcation section of junction between the eyelid and cheek. Even in this case the middle of the face and cheek elevation through the lower eyelids are very simple and productive. I like to do this to get even better results. This stretch with facial combined with the lid and the middle section of the face give the maximum improvement of a youthful appearance with an excellent improvement on the duration of the effects.
To master the wrinkles of the eyelids or skin of the eyelids, the surgeon must remove the top layer of skin from one area and leave it to heal smoothly and yes, even a little more tightly. The top layer of skin can be removed through laser burning, peeling or electric cautery. I have found that improvements in lower eyelid laser and last a little bit surprising. Using the laser to achieve a better contraction of the skin can result in an appearance on the eyelids similar to that of a hunting dog. The laser sounds good, high technology and that, but it is not as effective as a chemical skin Keeling. In addition, the laser is much more expensive.
In conclusion, the incisions for the upper and lower blepharoplasty avoid detection when they are done the right way. This outpatient procedure can be performed with the patient awake or asleep, depending on health and the desire of the patient. Eyelid surgery can be performed separately or in combination with other procedures. The pain is minimal and recovery is quick. Sutures are removed in 4 to 5 days. Should be avoided for at least two weeks of activities that raise blood pressure. After allowing two weeks total activity.
