From the 1970’s through the 1990’s cosmetic eyelid surgery consisted primarily of cutting out skin and fat from the eyelids and reconnecting the skin for a tighter look. However, as time went on, these patients’ eyes began to look hollow. More recent eyelid plastic surgery procedures have moved toward preservation and redistribution of the precious eyelid fat. By preserving the fat and redistributing it throughout the eye area, a plump, smooth, youthful look can be achieved, which lasts much longer.
New Eyelid Surgery Procedures and Their Advantages
In the youthful face there is a smooth, flawless, convex connection between the lower eyelid and the cheek. Recreating this smooth “lid-cheek junction” is the key to rejuvenating the eye region. As people age, there is a disruption of the smooth lid-cheek junction. The fat bags of your lower lids start to protrude during your fourth decade of life. Simultaneously a hollowing occurs below the bag creating a valley or trough, hence the term “tear trough.” The result is a tired worn reflection on the face. “The area where we most commonly to see this hollowing effect take place, is in the tear trough, just below the bags on the lower lids,” says Dr. Gilbert Lee, of Changes Plastic Surgery in San Diego, CA. By plumping up that area, with either fat injections or fillers such as Juvederm and Restylane, you can achieve a flawless transition from eyelid to cheek. If tiny lines and wrinkles around your eyes are your problem, an alternative to fillers is to treat the lines with lasers. The laser treatments, in effect, cause the skin around the eye to shrink and contract, smoothing out those tiny lines. If the contour irregularities are more pronounced, then an eyelid procedure (blepharoplasty) is necessary to redistribute the fat from the bags and use that fat to fill the tear trough. A tightening of the eyelid muscle and skin layers is done simultaneously.
If your lower eyelids aren’t hollowing or bulging, perhaps it’s your top eyelid which is sagging and slowly covering your eye, making it difficult to apply make-up. Some of this may be attributed to excess fat and skin in the upper lid, while it could also be a weakening of your Levator Muscle. The levator muscle, lies within the eyelid and is responsible for opening your eye. As it contracts, the muscle pulls your eyelid into a crease (the supratarsal crease), forming the skin fold above your upper eye lashes. As you age, the levator muscle can weaken, creating sagging in the eyelid. By making a small incision on the natural crease of the upper eyelid, the excess skin, muscle and underlying fatty tissue can be removed and the levator muscle can be repaired if necessary.
Important Factors in Successful Eyelid Surgery
Dr. Lee, voted San Diego’s top plastic surgeon for 2007 and 2008, says that by using preservation techniques and combining ทําตาสองชั้ procedures (fat injections, fillers, and fat relocation) that meet the patients’ specific objectives, plastic surgery for eyelids has become much more natural and lasting. Additionally, Dr. Lee and his staff use local anesthesia and oral sedation for eyelid surgery. “This is unique,” says Dr. Lee. “Using local anesthesia keeps plastic surgery costs down for the patient and is much easier on the body than general anesthesia. Patients often comment that their eyelid surgery was a ‘neat experience’ under local.”