Eyelid Aesthetics (Blepharoplasty)

Eyelid cosmetic surgery is frequently performed to correct the signs of aging in the upper and lower eyelids. The procedure can be applied only to the upper eyelids, lower eyelids or both. The patient’s demands and examination findings are the determinants of what kind of operation we will perform.

As with all face interventions, the approach of plastic surgeons regarding blepharoplasty has changed dramatically over time. In the past we used to treat eyelids as if they were isolated organs, but now we view them as integral parts of the face. We consider the upper eyelids together with the eyebrows and forehead, and the lower eyelids together with the cheek area as a whole.

What are the signs of aging in the eyelids and surrounding area?

Changes in the eyelids and surrounding area have a serious contribution to the formation of the old age expression. Because of its very thin skin, aging together with eyelid wrinkles is an inevitable sign of aging and also highly responsible for the expression of old age. However, that is not all, another finding is the agglomeration of skin due to aging in the forehead and the eyebrow area which causes sagging and folding in the eyelids. Another sign of old age are under-eye bags. Under eye bags are formed as a result of the external herniation of the fat pads around the eyes. In rare cases, under-eye bags can also be seen in young people; this is a completely structural situation. Another sign of aging is a change that does not actually involve the eyelid, which we call tear-through deformity. The main problem here is the sagging of the cheek area with aging. As the cheek sags downward, soft tissue loss occurs in the eyelid-cheek transition area, the space between the skin and the bone tissue underneath practically empties and a deep groove is formed.

Can Cosmetic Creams correct sagging eyelids ?

It is correct to use creams to moisturize the face in our daily lives. However, it is not possible to correct sagging skin or drooping eyelids with peeling creams and cosmetic products. If eyelids sags, skin sags you can not correct it with creams, facial peelings. Cream and cosmetic products have no effect in such cases. Cosmetic surgery is the only way to correct these problems. Patients use creams to postpone, delay surgery for a while and then decide on  surgery.

Which is the right treatment for eyelid aesthetics?

Treatment should be planned specifically for each patient. Most candidates have wrinkles and folding skin on both the upper and lower lids; in this case, 4 eyelid aesthetics are applied. If there are pouches on the eyelids, the herniated fat packs should be removed without overdoing it. If the patient has additional tear-through deformity, then in addition to classical lid surgery, an endoscopic method should be used to carry the mid-face up. If there is severe drooping and agglomeration of the eyebrows, the eyebrows should be moved upwards with the endoscopic method; the application of botox can be an alternative here. If the eyelids are drooping, it may be necessary to perform repairs on the lifting muscle.

Can this surgery be done with local anesthesia?

Yes it is possible. Local anesthesia can be tried, especially if only the upper eyelids are to be operated. The situation is slightly different for the lower eyelids, it is difficult for the patient to tolerate lower eyelid surgery only with local anesthesia. I prefer general anesthesia for the comfort of patients and surgeons, because blepharoplasty (eyelid surgery) is a very sensitive procedure.

Upper eyelid aesthetics are performed under operating room conditions, local or general anesthesia. It takes 1-1.5 hours on average. The lower eyelid aesthetic is performed under general anesthesia. Duration varies between 1-2 hours.

What is the process after eyelid surgery?

The patient stays in the hospital over night and is discharged the next day. There will be no serious pain. When the skin is very thin and sensitive, there may be swelling and bruising of the eyelids however, at the end of 4-5 days they either completely disappear, or fade significantly. Generally, sutures are removed after 4-5 days and the patient returns to social life. However, the eyelids will achieve their final form in 3-6 months.

Can the tear-trough deformity be corrected by filling or fat injection?

What needs to be done here is to move the downward sagging cheek tissue up but if the patient cannot consider such an operation, filling or fat injection can be tried as an alternative. An easy and minimally invasive method, such as fat injection, may be attractive to both the patient and the surgeon, but it should be remembered that the results will also be limited.

What are the complications after eyelid surgery? ?

Since flushing is robust in this area  almost no infection is encountered after surgery. The amount of bruising and swelling varies depending on the individual, this is a temporary situation. However, deep blood accumulation (hematoma) must be taken seriously during the removal of fat packs.  The surgeon must be patient and work meticulously to avoid this and should not allow bleeding. The most common problems are aesthetic ones. Problems are caused by the insufficient removal of upper eyelid skin and the removal of more skin than is necessary from lower eyelids. In such cases, a second operation may be required after the swelling is down.