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We all know the old adage that the eyes are the windows of the soul. Your eyes take center stage when it comes to showing your emotions, but unfortunately it’s also the first area to suffer from the ravages of time. Swollen, puffy bags underneath your eyes can add years to your real age, and [...]
Archive for the ‘Blepharoplasty’ Category
The Eyes Have It: Common Eye Rejuvenation Techniques
Thursday, January 31st, 2013Eye Lift
Wednesday, September 19th, 2012Eye lift surgery, also known as blepharoplasty, is a procedure used to give the skin around the eyes a more youthful and rejuvenated look. This surgery can enhance the appearance of the lower and upper eyelids. The end result is that the patient looks alert and well rested. What Eyelid Surgery Does Surgery performed on the upper [...]
Bruising after two month of blepharoplasty recovery
Tuesday, December 20th, 2011Question:I had blepharoplasty nearly two months ago and I still have horrible bruises beneath my eyes. Is this normal? When should they be gone and what can I do in the meantime? Answer:Some bruising and swelling after eyelid surgery will be present because the eye area is extremely delicate. The more involved your blepharoplasty surgery [...]
What is local anesthesia used for with a facelift?
Thursday, December 8th, 2011Question:Why is local anesthesia injected before having a facelift? Why does vascularity need to be decreased prior to surgery? Answer:A facelift can be performed with local or general anesthesia. Using a local for a facelift is a great option and works well for many patients. Click here to view a video of a facelift performed [...]
Brow lift and blepharoplasty removed too much fat
Wednesday, December 7th, 2011Question:I had a brow lift and eyelid surgery and I think the doctor removed too much fat because the area under my eyes now looks hollow. Is there some type of procedure to fill in this area? Answer:Absolutely, you have the option to add fat back to the area or a filler to reduce the [...]
Will revision blepharoplasty fix the sagging beneath my eyes?
Monday, December 5th, 2011Question:I had an eyelid lift on my lower eyelids two years ago and it didn’t take care of the loose sagging skin beneath my eyes. What can help fix this? Answer:A lower blepharoplasty can help fix the issue you describe. In the lower lid, the fatty deposits are typically repositioned which prevents the hollow look. [...]
Sagging eyelids and fine lines – is surgery my only option?
Sunday, December 4th, 2011Question:I’m interested in getting eyelid surgery to address some sagging of my upper eyelids. I also have some fine lines around my eyes. Will these be addressed at all with surgery? Answer:Fine wrinkles will not be improved by eyelid surgery. An appropriate skincare regimen, resurfacing procedure such as peels and lasers and finally, Botox or [...]
Bruising and discoloration following blepharoplasty
Saturday, December 3rd, 2011Question:How much discoloration such as bruising and redness will there be after blepharoplasty? How long does this last? Answer:The recovery following blepharoplasty is typically two weeks. It is important to take it easy for the first week following blepharoplasty and gradually increase activity during the second week. Most people are able to go back to [...]
Will eyelid surgery fix the hollow area under my eyes?
Friday, December 2nd, 2011Question:Does eyelid surgery treat under-eye hollows? If so, does it incorporate fat injection? Answer:The appearance of the under-eye hollows, or “tear troughs” can be improved with repositioning of fat during lower lid blepharoplasty. Nonsurgical improvement of tear troughs can be attained with the use of fillers or fat. I like to use Restylane for the [...]
Can I wear corrective lenses after my blepharoplasty?
Tuesday, August 30th, 2011Question:I’m contemplating getting eyelid surgery, however I wear contacts and I was wondering if I would be able to put my contacts in immediately following surgery. Answer:You will want to refrain from wearing contact lenses for two weeks following surgery. Eyeglasses are okay after your procedure, provided that they’re cleaned and disinfected prior to use. [...]
Blepharoplasty Table
FAT REPOSITIONING
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| Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). | Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity). |
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| Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. | Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye. |
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| Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye. | Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye. |
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| Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. | Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye. |
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| Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye. | Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye. |
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| Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye. | Figure 11 Fat granuloma of the right lower eyelid following fat repositioning. |
| RESULTS | |
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| Figure 12a Before | Figure 12a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 12b Before | Figure 12b After |
| B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity. | |
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| Figure 13a Before | Figure 13a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 13b Before | Figure 13b After |
| B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty. | |
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| Figure 14 Before | Figure 14 After |
| Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity. | |
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| Figure 15a Before | Figure 15a After |
| Frontal of before (left) and after (right). | |
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| Figure 15b Before | Figure 15b After |
| Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved. | |
Blepharoplasty HTML Table
FAT REPOSITIONING
|
|
| Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). | Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity). |
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| Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. | Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye. |
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| Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye. | Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye. |
|
|
| Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. | Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye. |
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|
| Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye. | Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye. |
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| Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye. | Figure 11 Fat granuloma of the right lower eyelid following fat repositioning. |
| RESULTS | |
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| Figure 12a Before | Figure 12a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 12b Before | Figure 12b After |
| B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity. | |
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| Figure 13a Before | Figure 13a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 13b Before | Figure 13b After |
| B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty. | |
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| Figure 14 Before | Figure 14 After |
| Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity. | |
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| Figure 15a Before | Figure 15a After |
| Frontal of before (left) and after (right). | |
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| Figure 15b Before | Figure 15b After |
| Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved. | |
