Blepharoplasty with surgery
Basic concepts
Blepharoplasty is a surgical procedure that aims to reduce excess skin and/or fat, both on the upper and lower eyelids. The duration of the surgery can vary widely, ranging from 40 minutes to 2 hours, depending on the patient’s needs and the technique used.
Upper eyelid
Over the years, the action of gravity acts on the face, with the excess skin falling on the mobile part of the eyelid. In many cases, this skin can come into contact, or even pass over the lashes, giving a tired and heavy look. Excess skin can also limit the visual field, especially at the upper level.
The procedure consists of the removal of excess skin, and in some cases, of the underlying orbicular muscle. To do this, an incision is made at the natural crease of the eyelid, about 8-10 mm from the eyelashes, in the case of women, and 6-8 mm for men.
When the incision is made in the natural folds of the eyelid, the scar is hidden, and it is practically imperceptible. Some patients refer to small lumps corresponding to eyelid fat. This can be removed in the same surgical procedure through the blepharoplasty incision.
Lower eyelid
The lower eyelids, over the years, tend to cause two major changes:
- The first is the one commonly known as bags. The bags are fatty protrusions that herniate forward and become visible. This can give the impression of tired eyes. Esto puede dar la impresión de mirada cansada.
- The second is the wrinkles and folds in the skin of the lower eyelid. This is due to sagging of the skin and stretching of the orbicular muscle, as well as the tendons.
The procedure consists of removing excess fat from the lower eyelid. There are two approaches: the transconjunctival or transcutaneous approach.
The transconjunctival approach is usually performed when there are not too many wrinkles or excess skin on the lower eyelid. This means that you will not see a visible scar and recovery will be faster.
On the contrary, if there were a lot of wrinkles or excess skin, we would talk about a transcutaneous approach. In this case, in addition to extracting excess fat, excess skin is removed. To do this, an incision is made under the eyelashes, which will eventually end up being imperceptible. In selected cases, this excess skin can be treated with erbium laser.
Oculoplastic surgery
We are also specialized in surgery for small eyelid injuries:
- Chalazion
- Styes
- Warts
- Xantelasmas
- Dermo-fatty cysts
