Friday, April 19, 2024

Droopy Eyelid Surgery Before And After

What Eyelid Surgery Won’t Accomplish

What is blepharoplasty surgery?

Blepharoplasty will not change your basic eye structure, as it’s not a reconstructive procedure. It won’t get rid of crow’s feet wrinkles or dark circles under the eyes.

“Eyelid surgery can definitely make you feel a lot better about your appearance,” notes Crum.

“Heredity plays a big role in how we age. You can do your part, before and after eyelid surgery, by not smoking, avoiding sun exposure, and reducing stress.”

Whether corrective surgery involves a simple eye lift or a more complex approach, your best bet is to consult with a qualified oculoplastic surgeon. Experienced ophthalmologists who are also specially trained in plastic surgery of the delicate tissues around the eye understand the balance of performing cosmetic or reconstructive surgery while maintaining eye function.

Too Much Tissue Removed

This problem is unfortunately seen much more commonly than under correction. When too much tissue is removed during an initial blepharoplasty, other problems can frequently ensue, such as: problems closing the eyes completely, a change in the shape of your eyes, tearing issues, discomfort, and/or dry eyes. In some cases, overcorrection can leave patients with a sunken, hollowed, or skeletonized appearance to the eyelids that actually adds the appearance of additional aging to the face, as opposed to the desired outcome of rejuvenation. In other cases, over-correction can result in a change in eyelid position that can result in the eyelids pulling down, turning in, turning out, or being fixed in a position where the eyelids cannot close appropriately. Depending on your specific case, you may require adjunctive procedures as a part of your revision eyelid surgery that may include: tissue and/or skin grafts, facial filler injections, facial implants, a tightening procedure for the eyelids, and/or a lift of the midface tissues in order to achieve a significant improvement in your appearance and the function of your eyelids.

Persistent Drooping Of The Upper Eyelids

Drooping of the actual eyelid margin is referred to as blepharoptosis, or ptosis for short. If you had a previous blepharoplasty, and you are concerned that your upper eyelids still look droopy, you may have some ptosis of your upper eyelids. Ptosis of the upper eyelids can be due to a number of factors and requires a full evaluation if this is a new condition. In some cases, ptosis of the upper eyelids can be demonstrated to have been present even before eyelid surgery. In these cases, if it was not diagnosed and effectively managed at the time of initial blepharoplasty, ptosis can appear somewhat more prominent and noticeable after blepharoplasty is performed. If ptosis is present as an isolated condition, you may be a candidate for blepharoplasty revision with ptosis repair. In more rare cases, if ptosis is also present with other symptoms such as double vision and/or eye pain, you may have a more advanced medical condition, and you should seek urgent evaluation by a board-certified general ophthalmologist.

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What Is A Droopy Eyelid

Droopy eyelid or ptosis occurs when the upper eyelid droops over the eye. Depending on the severity, people with droopy eyelid may experience difficulty in keeping their eyes open, eye strain and brow ache from the increased efforts to raise the eyelid, or even fatigue when doing near tasks such as reading or writing. Ptosis can impair vision based on the extent of the eyelid obstructing the pupil . In this article, we talk about droopy eyelid surgery.

Ptosis in a child and adult.

Droopy eyelid can occur at birth, due to ageing, or as a result of an eye trauma, surgery or disease. The natural aging process is the most common cause of droopy eyelid or ptosis. The levator muscle is responsible for lifting the eyelid and with age, that muscle stretches causing the eyelid to fall or droop.

The type of treatment depends on the cause of the droopy eyelid and how severe it is. Surgery is usually the recommended treatment for droopy eyelids.

Do I Have Eyelid Ptosis Or Extra Skin

Droopy Eyelids  Ptosis Surgery Photos

Ptosis is a physical condition concerning the eyes, wherein the margin of the eyelid in relation to the pupil is lower than average, making eyes look droopy or sleepy. When the presence of excess skin over the eyelid weighs down on it and causes it to droop, this is called mechanical ptosis. During an initial examination, Dr. Amiya Prasad will determine whether the droopiness is caused by ptosis or extra skin, and once this is identified, he will proceed with the appropriate procedure .

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About Droopy Eyelid Surgery

Blepharoplasty is surgery to lift and tighten droopy eyelids so that patients appear younger and more alert. Ptosis of the eyelids is when sagging skin below the brow is so severe that it impairs your vision. People with mild to acute ptosis can appear lethargic, grumpy or otherwise disengaged from the world around them. Blepharoplasty under local anesthesia is the safest and most effective way to remove excess skin from around the eyes.

Here Are Answers To 7 Questions About This Common Surgical Procedure

1. Why do droopy eyelids develop?

As you age, the skin along your eyelid can stretch and the muscles that raise the eyelid weaken over time. For some, droopy eyelids can result from an injury or disease, such as diabetes, Horner syndrome, Myasthenia gravis, stoke, tumor and swelling in the eyelid. Droopy upper eyelids can occur to one or both of your eyelids.

2. What are the symptoms of droopy eyelids?

A common symptom of droopy eyes is a loss of the usual field of vision, especially the upper and outer parts of your field of vision. Usually, this change occurs gradually, and you may start to have trouble driving, experience blurred vision while watching TV, frequently waking into objects or be unaware of objects on one side of your vision.

An optometrist or ophthalmologist can test your visual field and determine if you are experiencing visual defects due to the shape or position of the eyelids.

Other symptoms could be extremely dry or watery eyes or people telling you that you look tired due to baggy or sagging appearance of your eyelids.

3. Can young children have droopy eyelids?

Babies can be born with droopy eyelids, which also is called congenital ptosis. The child may lift his or her eyebrows or tilt the head back to be able to see.

4. How is eyelid surgery performed?

Blepharoplasty is the type of surgery that repairs droopy eyelids. An ophthalmologist or a plastic and reconstructive surgeon can perform this surgery.

5. What are the risks for an eyelid surgery?

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Ptosis Surgery Eyelift 11

Ptosis Surgery Eyelid Lift 70 year-old man with very severe drooping of both upper eyelids due to eyelid muscle weakness from aging. He appears extremely tired and worn-out. He underwent an in-office surgical repair of both upper eyelids. His after surgery photo is 3 months post-op. What is not as apparent is that significant Read More »

Blepharoplasty Upper Eyelid Surgery 19

Scarless Congenital Droopy Upper Eyelid Ptosis Surgery in a young woman.

Blepharoplasty Eyelid Surgery 50 year-old woman with heavy, baggy eyelids who complained of inability to see her upper eyelids because of hooding of her eyes and desiring a more youthful look. She reviewed all of Dr. Chandlers before and after plastic surgery photos and chose Dr. Chandler and his excellent work. After her in-office eyelid Read More »

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What Is Ptosis Surgery

Some people opt to undergo ptosis repair surgery to correct the issue. However, not everyone benefits from ptosis repair surgery. A thorough ophthalmological exam is needed beforehand.

If youre considering ptosis surgery, your doctor will assess your medical history and your current ocular health before making a recommendation.

Different surgical procedures help correct ptosis. These include:

Ectropion Festoons And Ptosis Patient 10

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** The material contained on this site is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care provider.

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Patient 1 Before And Three Months After Ptosis Repair Surgery Right Eye

These photos show a woman in her 20s before and after ptosis repair surgery to her right upper eyelid. The drooping of the eyelid is corrected giving her improved symmetry and a more balanced look.This surgery takes less than 10 minutes to perform but, in terms outcomes, it is the most difficult surgery I do. The goal of ptosis surgery is to improve eyelid position, but not everyone comes out this even. After the surgery heals, the operated eyelid may end up a little higher or lower than the opposite side. Sometimes when you fix an eyelid that droops, the other side drops down and a second surgery on that side is needed to improve symmetry.Because this surgery is so finicky, an in person consult is needed to see if a patient is a candidate. Again, the goal is to improve eyelid position. I always tell patients that if you will only be happy if its exactly even, its not worth doing the surgery. A realistic goal is usually a 50% improvement in the height difference between the two eyes.

Who Do I Visit For Droopy Eyelid Surgery

Droopy Eyelids  Ptosis Surgery Photos

Ptosis repair surgery is performed by an oculoplastic surgeon, an eye surgeon or an ophthalmologist that has undergone specialized training in the reconstruction of the functioning of the eye and the facial regions around the eye. The surgery is performed on an outpatient basis.

Blepharoplasty can be performed by an oculoplastic surgeon or a plastic surgeon together with a brow lift or face lift.

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Eyelid And Orbit Lesions

Benign and malignant lesions may develop on and around the eyes. Many eyelid lesions can be biopsied or removed during our minor surgery day. Deeper or more complex growths need to be scheduled for removal or biopsy at the hospital after initial office consultation. The most common cancers seen on the eyelids are basal and squamous cell cancers. Repair can be achieved through a variety of methods depending on the size and location of the lesion or tumor.

How Is Ptosis Surgery Done

Ptosis surgery is intended to restore proper symmetry to one or both eyelids. To determine the proper symmetry before the surgery is done, the patient is instructed to open and close their eyes in both a lying and upright position. This will let the surgeon check to see if the balance between both eyelids is correct, or if any adjustments need to be made. After that assessment, the surgery can proceed. In Dr. Amiya Prasads practice, ptosis surgery is done with his LITE IV sedation technique. This sedation method allows patients to recover from surgery feeling more refreshed. While recovering, cold packs are applied and patients are usually able to go home without any dressings.

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How Eyelid Surgery Is Performed

Upper blepharoplasty can correct drooping upper eyelids. To resolve upper eyelid ptosis , the redundant skin is excised. Fat pads may also be removed to eliminate eyelid hooding. With the removal of excess skin and fat, the upper eyelids will no longer droop. After a recovery period of a few weeks, patients will be able to see significant improvements in the appearance of their upper eyelids and eye area.

Our Awake Eyelid Lift Is An Eye

How I “Fixed” My Droopy Hooded Eyelids

Blepharoplasty under local anesthesia is also known as our Awake Eyelid Lift. It is an advanced version of a familiar procedure because the patient is given just a local anesthetic at the start of the surgery rather than a general anesthetic that would render them fully unconscious. Often, our Awake patients are given a relaxing sedative, too, to keep them serene and at ease for the duration of the operation. However, as the name implies, patients are entirely awake during the surgery. Blepharoplasty under local anesthesia leads to a shorter recovery and better outcomes than a traditional eyelid lift. Though it may seem counterintuitive at first, in fact, an Awake Blepharoplasty is a simpler surgery with far fewer complications than the sleepy, old alternatives.

Were always on the lookout for whats new in aesthetics at Valley Plastic Surgery. Read our blog to keep an eye on the latest advancements.

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Repair Droopiness And Remove Lower Eyelid Bags

This lovely lady who was in her 40s was unhappy with the bags in her lower eyelids and deep tear troughs. She was also unhappy with the droopiness of her left upper eyelid. She underwent bilateral lower blepharoplasty to remove her bags and tear troughs and left upper ptosis repair to achieve more symmetric upper eyelids and a brighter appearance.

Finding A Blepharoplasty Surgeon

You may want to ask your doctor for advice about finding a suitable specialist surgeon or hospital where blepharoplasty is performed. At your first consultation, you should ask the surgeon about their training and experience. It is preferable to have this procedure done by a surgeon who is specially trained to perform blepharoplasty and who has a lot of experience in carrying out this type of surgery.

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Blepharoplasty Upper Eyelid Surgery 17

Upper Blepharoplasty Eyelid Surgery 65 year-old woman came to Dr. Chandler with heavy saggy upper eyelids. She complained of feeling heaviness of her lids making her feel and look tired. She also desired the ability to apply makeup like when she was a younger woman she complained that you could never see her mascara Read More »

What Is Droopy Eyelid Surgery

Droopy Eyelids  Ptosis Surgery Photos

Droopy eyelids occur when there is a gradual stretching of the tissue that supports the lid caused by aging, long-term contact wear, or injury.

After a thorough examination, your ophthalmologist will gauge whether droopy eyelid surgery is appropriate based on the patients ocular and medical history. Some patients require the levator muscle to be tightened, while others with weak levator muscles may need frontalis suspension.

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Reduce The Sagging Eyelid Skin

This patient in his late 30s was unhappy with the heavy appearance of his upper eyelids. Eyelid surgery in male patients is significantly different than in female patients since removing too much skin or puffiness can lead to a very feminized look.This patient underwent upper eyelid surgery and achieved a refreshed and yet a very natural look preserving his masculinity.

What Are The Benefits Of Working With An Oculofacial Plastic Surgeon For Revision Blepharoplasty

Especially when considering a revision blepharoplasty, it is very important to do your homework with regard to the education, background, training, and experience of a qualified surgeon. It is highly recommended to seek the care of a fellowship-trained oculofacial plastic surgeon for such revision procedures. An oculofacial plastic surgeon should have a board certification in general ophthalmology, and advanced sub-specialty fellowship training in the field of oculofacial plastic surgery .

The main reason why this is so important, particularly for revision eyelid surgery, is because the health and safety of your eyes and vision must be maintained in order to attain your best results. After having previous unsuccessful eyelid surgery, your eyelid tissues may be somewhat compromised or scarred, and you may experience other significant symptoms such as blurry vision, eye pain, tearing, dry eyes, an inability to close the eyes, double vision, and/or problems with your normal blinking. These important symptoms must be effectively measured and addressed as an important part of any plan for a successful blepharoplasty revision.

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More About Our Services

Dr. Dailey was the first surgeon in Oregon to use advanced laser technology to make incisions for eyelid and other plastic surgery of the head and neck. Some patients may choose to have eyelid surgery at the same time as a brow lift, or to rejuvenate the entire face. Lean more about our other cosmetic and skin care options.

To find out more about cosmetic eyelid surgery, call for an appointment at .

Upper And Lower Eyelid Surgery Reduces Puffiness

My Blepharoplasty Before and After

This lovely lady who is in her 30s was unhappy with the puffiness in her upper and lower eyelids. Some patients have genetic excess of the fat pads around their eyes and that becomes evident at a young age, like in this lady. This patient underwent upper and lower eyelid surgery which gave her a more refreshed and yet natural result. The pictures are before surgery and 6 weeks after her surgery.

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Who Is A Good Candidate For Blepharoplasty

The best candidates for an eye lift are people who are in good health and who have a realistic idea of what they want. Most are 35 years or older, but if baggy eyelids or droopy eyelids run in your family, you may decide to have the surgery done sooner.

Eyelid surgery can improve your appearance and help build your confidence. However, it may not result in your ideal look or alter your facial structure. Before you decide to have surgery, think about your goals and discuss them with your surgeon.

Rounding Of The Corners Or Change In The Shape Of Your Eyes

If you are concerned that your eyes may have changed shape after your initial blepharoplasty, you may be a candidate for revision eyelid surgery. Sometimes, this change in the shape of your eyes after surgery can be due to the positioning of the lower eyelids. It is possible that you may have had some laxity of the lower eyelids that was present even before surgery. This laxity is a relatively common, age-related change that is seen in the lower eyelids, and when present, should be addressed during blepharoplasty surgery in order to achieve the best possible results. There are also a number of other issues that can sometimes affect the shape of the eyes after blepharoplasty, such as scarring, hollowing, and others. Dr. Lewen will need to evaluate your individual case at the time of your consultation to determine the best treatment to repair any issue with the shape of your eyes.

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