What is an eyelid lift?
Droopy eyelids are one of the main reasons some people undergo blepharoplasty to remove and tighten the extra skin on the eyelid for a more alert and youthful appearance. Once drooping lashes have improved, blepharoplasty can also improve your vision by providing a less distracting view. Blepharoplasty removes excess skin, muscle, and sometimes fat from the upper or lower eyelids. In some cases, you may need to remove only the skin, but not the muscles, or you may need a procedure on the upper and lower eyelids.
Upper eyelid blepharoplasty (sometimes called an “eyelid lift”) should not be confused with upper eyelid tattoo surgery, which is usually a procedure that increases the position of the upper eyelid margin by tightening the muscles and ligaments that elevate the upper eyelid. Blepharoplasty surgery can sometimes make the upper eyelid “heavy” if the weight of the excess skin actually makes the eyelid slightly larger.
In addition to making you appear older, severely shrinking the skin around your eyes can reduce your side vision (peripheral vision), especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes look younger and more alert. To help determine if blepharoplasty is right for you, find out what to really expect and explore the benefits and risks of blepharoplasty.
Why is eyelid lift done?
You may want to consider blepharoplasty if droopy or drooping lids prevent your eyes from being fully open or if your lower lids are pulled down. Removing excess tissue from the upper eyelids will improve your vision. Raise your upper and lower lids to make your eyes look smaller and more alert.
An eyelid lift may be an option if you have:
- Droopy or booger upper eyelids
- Excess skin on the upper eyelids that interferes with your peripheral vision
- Excess skin on the lower eyelids.
- Bags under your eyes
You can lift the eyelid as another procedure such as a forehead lift, facelift, or skin rejuvenation. Insurance coverage depends on whether it repairs a vision-damaging condition. If you have surgery just to improve your appearance, your insurance may not cover the cost. Lower eyelid tightening is almost always done for cosmetic reasons.
Lift the eyelid without surgery
If you are looking to lift the eye area without surgery, you should be aware that there are many options to choose from. These are the most common non-surgical brow lift treatments.
Dermal fillers are injections that use wrinkle-filling solutions for the skin. Popular brands include Zwiderm, Bellafil, Wrestilene, Rotisserie, and Sculptra. This treatment can be completed in minutes and requires no downtime. You may still experience mild side effects like redness and you may need additional injections in the future to maintain your results.
Botox (botulinum toxin type A) is a class of cosmetic injections called neuromodulators that smooth out fine lines and wrinkles by relaxing the underlying muscles. It works well for Glabellar anger lines, which are deep wrinkles that form between the eyebrows.
Botox is very fast compared to skin fillers. However, you should receive touch-up injections every 4 to 6 months to maintain your results. Side effects of Botox can include headache, numbness, and difficulty swallowing.
Platelet-rich plasma (PRP):
PRP is another type of cosmetic injection that helps regenerate skin tissues, possibly creating a more youthful appearance. Unlike dermal fillers and neuromodulators, PRP uses its own blood. Your provider uses centrifugation before injecting the sample into your body.
PRP is often used in combination with micro-needling, laser treatments, Botox, and skin fillers. While more research is needed on the use of PRP as a cosmetic wrinkle treatment, this method is expected to help treat certain health conditions such as arthritis.
Ultherapy and other methods stimulate the production of thermite collagen, thus reducing the skin’s ability to reduce wrinkles. Your provider will use an ultrasound energy emitting device to induce collagen to the desired treatment area. Therapy can take an hour or two, which is slightly longer than injection materials. The results can be seen within a few days of treatment.
Also known as laser skin resurfacing, laser therapy treats wrinkles with ablative lasers to remove layers of skin. The idea is for the new sensitive skin cells to grow back to replace the old ones. Most of these non-surgical brow lifts have wasted time for laser therapy. You may experience redness and peel for up to 10 days.
When is functional blepharoplasty necessary?
A functional blepharoplasty (as opposed to cosmetic blepharoplasty) is eyelid surgery for medical reasons. In most cases, a functional eye lift is performed to remove loose upper eyelid skin if it falls too low to damage your vision while driving or other visual tasks. Another functional problem is that it is difficult to wear glasses or contact lenses, from the upper or lower eyelids.
Other medical conditions that require functional eyelid surgery include:
- The irritation of the extra folds of the skin of the eyelid is rubbed.
- The discomfort in the forehead from the excessive use of the muscles forces to lift the sagging skin in the eyelid area.
As with cosmetic blepharoplasty, functional blepharoplasty is most often performed by ophthalmologists and oculoplastic surgeons. However, general plastic surgeons, ear, nose, and throat surgeons, and oral and maxillofacial surgeons also perform medically necessary eyelid surgery.
Who are the best candidates for eyelid surgery?
- If you do not know if you are a candidate for blepharoplasty, make an appointment with your eye doctor, who will evaluate you for any medical problems related to your eyelids.
- If you do not have a medical reason for the blepharoplasty procedure, you can speak with your ophthalmologist if you have any concerns or concerns regarding cosmetic eyelid surgery.
- You may consider blepharoplasty if the skin around the eyes is excessively baggy and saggy, which is often due to normal aging. Sagging skin is also overkill when you have other conditions, such as puffy eyes caused by allergies or eye edema.
If you are definitely interested in blepharoplasty for cosmetic reasons, then your doctor may recommend that you keep realistic expectations. Cosmetic procedures sometimes dramatically improve appearance, they are not the ultimate fountain of youth. The aging process will continue and, as with any cosmetic procedure, your improved appearance will not be indefinite due to the eyelift. At some point in the future, you may want to consider repeating this process.
However, depending on your health and other factors, blepharoplasty can take up to 10 years. Your ophthalmologist will evaluate you for surgical risk factors, such as dry eye problems, thyroid eye disease, and diabetes. Keep in mind that the severity and number of health problems may rule you out as a candidate for blepharoplasty. Smokers are at risk for surgical problems because they heal slowly. If you smoke, your surgeon will recommend that you stop smoking for at least several weeks before a procedure.
Due to the unique structure of the eyelids of this species, eyelid surgery is very difficult to perform on people of Asian descent. Because of this, Asians are less likely to do better than other ethnic groups. Cosmetic eyelid surgery can eliminate the appearance of “no upper eyelid crease” associated with Asian facial features. This change may “westernize” the appearance of the Asian eyelid a bit. Some Asian American patients request this change; Others do not accept this.
Risks of eyelid surgery:
- Infection and bleeding.
- Dry and irritated eyes.
- Difficulty closing the eyes or other problems with the eyelids.
- Recognizable scar.
- Injury to the eye muscles.
- Pale skin discolouration.
- Post-surgery is required.
- Temporary blurred vision or, rarely, loss of vision.
- Risks commonly associated with surgery, including anaesthesia and a blood clotting reaction.
Talk to your doctor about how surgical risks apply to you. Understanding what blepharoplasty includes and weighing the benefits and risks can help you decide if this procedure is a good option.
Eyelid is the medical term for piercing the upper eyelid, a condition that affects one or both eyes. Congenital tattoos are called congenital ptosis. Droopy eyelids generally occur when the edge of the upper eyelid (eyelid margin) falls from its normal position.
When the edge of the eyelid falls too low and covers part of the pupil, it can block the upper part of your vision. In most cases, the upper eyelids droop due to the aging of previously normal structures. Normally, the muscular ligament responsible for lifting the eyelid is stretched and the eyelid droops. Surgical correction of the upper eyelid involves the repair of an enlarged tendon.
It is not uncommon for a person to develop a droopy upper eyelid after cataract surgery or other eye surgery because manipulation of the eyelid during a procedure can cause muscle weakness that keeps the eye open. Strokes and injuries can also cause ptosis. Ptosis surgery is most often performed by ophthalmologists and oculoplastic surgeons.
How do you prepare
Before scheduling blepharoplasty, you should consult with a plastic surgeon and an ophthalmologist (ophthalmologist) or a plastic surgeon who specializes in eye surgery (oculoplastic surgeon):
- Your medical history. Your surgeon will ask you questions about past surgeries and past or present conditions, such as dry eyes, glaucoma, allergies, circulatory problems, thyroid problems, and diabetes. Ask your doctor about your medications, vitamins, herbal remedies, alcohol, tobacco, and drug use.
- Your guesses. Talking honestly about your hopes and motivation for surgery can help set the stage for a successful outcome. Your surgeon will discuss with you whether this procedure works well for you.
Before your eyelid surgery, you must:
- Physical exam. Your surgeon will perform a physical exam, which may include examining your tear product and measuring parts of your eyelids.
- Vision test. Your ophthalmologist will examine your eyes and examine your vision, including peripheral vision. This is necessary to support the insurance claim.
- Photography of eyelids. Your eyes are photographed from different angles. These photos will help you plan your surgery, assess its immediate and long-term effects, and support your insurance claim.
Stop taking warfarin (Coumadin, Zantoven), aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Olive, others), naproxen (naproxen), and other medications associated with increased bleeding. Ask your doctor how long before you stop taking these medications before surgery. Take only the medicine approved by your surgeon.
Avoid smoking for several weeks before your surgery. Smoking reduces your ability to heal after surgery.
If you are having surgery, arrange for someone to drive you in and out of surgery. Plan to have someone with you the first night after you come home from surgery.
Before the procedure
Blepharoplasty is usually performed in the patient’s environment. Your surgeon will inject medicine into your eyelids and give you medicine through an IV to help you relax.
During the process
If you have surgery on the upper and lower lids, the surgeon will usually work on the upper lids first. Cut with the crease of the eyelid, remove excess skin, muscle, and fat, and close the incision.
In the lower eyelid, the surgeon will make an incision in the natural crease of your eye or under the eyelids inside the lower eyelid. Remove excess fat, muscle, and sagging skin, or redistribute and close the incision.
If your upper eyelid is close to your pupil, your surgeon may perform a blepharoplasty with a procedure called ptosis (TOE-sis) that provides additional support to the brow muscle.
After the procedure
After surgery, you will spend time in the recovery room, where you will be monitored for problems. You can go out later in the day to recover at home.
You may experience temporary after surgery:
- Blurred vision is applied to the eyes due to the lubricant.
- Water for the eyes.
- Sensitivity to light.
- Dual focus.
- Swollen and numb eyelids.
- Swelling and bruising as if he had black eyes.
- Pain or discomfort.
Your doctor may recommend the following steps after surgery:
- Apply ice packs to your eyes for 10 minutes every hour at night after surgery. The next day, apply ice packs to your eyes four to six times a day.
- Gently clean your eyelids and use the prescribed eye drops or ointments.
- Avoid straining, lifting heavy objects, and swimming for a week.
- Avoid strenuous activities like aerobics and jogging for a week.
- Avoid smoking.
- Avoid rubbing your eyes.
- If you wear contact lenses, do not wear them for two weeks after surgery.
- Wear dark sunglasses to protect the skin on your eyelids from the sun and wind.
- Raise your head above your chest for a few days.
- Apply cold compresses to reduce inflammation.
- After a few days, if necessary, return to the doctor’s office to remove the stitches.
For about a week, avoid aspirin, ibuprofen (Advil, Motrin IB, others), naproxen sodium (Olive, others), naproxen (naproxen), and other anti-hemorrhagic or herbal medications. If necessary, use acetaminophen (Tylenol, et al.) To control pain.
Seek medical attention immediately if you experience any of the following:
- Difficulty breathing
- Chest pain
- Abnormal heart rate
- New and severe eye pain
- Eyesight problems
Results of Eyelid lift
Many people are satisfied with the results of blepharoplasty such as relaxation and youthful appearance and more confidence. For some, surgical results can last a lifetime. For others, droopy eyelids can reappear.
The lesions and swelling usually go away in 10-14 days, perhaps when you feel comfortable going out in public again. Scars can take months to fade from surgical incisions. Take care to protect the sensitive skin on the eyelids from excessive sun exposure.