Eyelid surgery clinic
Eyelid Surgery Clinic : What is Eyelid Surgery?
Eyelid surgery, or blepharoplasty, is a procedure to reshape and correct eyelid issues such as excess eyelid skin, indistinct eyelid creases, sagging eyelids, or fat bags in this area.
Options include upper eyelid surgery, lower eyelid surgery, or a combination of upper and lower eyelid surgery. The technique chosen depends on the individual’s eye structure, skin and muscle volume, and understanding of the procedure. The goal is simply to create a more defined eyelid crease, but regular assessments of the eyelid structure are crucial for achieving optimal results while maintaining the patient’s commitment to eyelid care.
Types of Eyelid Surgery
Double Eyelid Surgery: Suitable for those with single eyelids, indistinct eyelid creases, or uneven eyelid creases.
Short Incision Technique: Small incision of approximately 3-5 mm. Minimal swelling and faster recovery. Suitable for those with minimal excess eyelid skin and fat.
Full Incision Technique: Incision along the entire eyelid crease to remove excess eyelid skin and fat. Suitable for those with drooping eyelids, hooded eyelids, or thick eyelid fat.
Non-Incision/Suture Technique: Small holes are made and sutures are used to create an eyelid crease. No eyelid skin is cut. Suitable for those who desire a natural look and faster recovery.
Lower Eyelid Surgery
Lower eyelid surgery is often used to correct problems related to bags under the eyes, excess fat under the eyes, and excess skin in the lower eyelid area.
In some cases, the doctor may choose to remove fat or rearrange/relocate fat to create a smoother and more balanced appearance under the eyes.
The surgical incision may be made under the lash line or inside the eyelid, depending on the problem and technique chosen.
Correction of Droopy Eyelids
This surgery adjusts the strength of the levator muscle, suitable for those with droopy eyelids, sleepy-looking eyes, or where the pupil is covered by the eyelid by more than 1-2 mm.
Eyelid Ptosis Removal / Correction of Mature Eyelids (Subbrow Lift / Blepharoplasty): The incision is hidden under the brow bone to lift sagging eyelids without changing the original eyelid structure.
Epicanthoplasty / Canthoplasty: Helps to increase the width of the eyes, corrects the problem of the curved skin covering the inner corner of the eye, making the eyes appear larger and the eye shape longer and more proportionate.
3 Common Eyelid Problems and Treatment Approaches
1. Uneven Double Eyelids/Hidden Double Eyelids:
Causes: Thick eyelid structure, excessive fat accumulation, or uneven muscle tension between the left and right eyelids.
Solution: Long incision combined with fat removal and reshaping the eyelid crease for balance, or combined with eyelid muscle repositioning.
2. Weak Eyelid Muscles (Ptosis):
Causes: Levator aponeurosis (eyelid muscle tendon) is not fully stretched or functioning, causing the eyelid to droop and cover the pupil.
Solution: Requires “Levator Resection/Advancement” combined with double eyelid surgery. If only a simple incision is made without muscle correction, the eyes will still look tired and the eyelid crease will appear unnaturally thick.
3. Deep-set Eyes/Aging Eyes (Sunken Eyes):
Causes: Atrophy of fat in the eye socket area. Makes you look older than your age.
Solution: Fat repositioning or micro-fat grafting into the eye socket area to make the eyes appear firmer and more youthful.
Healing Timeline
Day 1 – 3: Maximum swelling and bruising (emphasize continuous cold compresses)
Day 5 – 7: Suture removal appointment. Swelling begins to subside, bruising starts to turn yellow.
1 – 2 weeks: Swelling reduces by 50-70%. Light makeup is possible, and you can return to work as usual.
1 – 3 months: Eyelid swelling gradually subsides, and the true eye shape becomes visible.
Preparation Before Eyelid Surgery
• Avoid Medications and Vitamins: Stop taking blood thinners and supplements that make it difficult for blood to clot (such as Vitamin E, fish oil, ginseng) at least 1-2 weeks before surgery.
• Avoid Stimulants: Stop smoking and drinking alcohol at least 1-2 weeks before surgery.
• On the Day of Surgery: Avoid makeup and nail polish. Get enough rest. Bring sunglasses to wear on the way home, and it is recommended to have
Post-Surgery Instructions
Compression:
• First 1-3 days: Apply cold compresses frequently to reduce swelling and stop bleeding.
• Day 4 onwards: Switch to warm compresses to reduce bruising.
Wound Care:
Keep the wound dry until the stitches are removed (gently clean around the eyes with saline solution).
• Apply medication strictly as prescribed by your doctor.
Sleeping and Daily Life:
Sleep with 2-3 pillows elevated on your head for the first 3 days. Avoid sleeping on your side or stomach.
• Do not wear contact lenses, apply makeup around the eyes, or rub your eyes until the wound has completely healed.
• Diet: Avoid fermented foods, spicy foods, seafood, and alcohol for approximately 2 weeks to prevent itching or inflammation of the wound.
Checklist of items to prepare at home:
Wound care supplies: Normal saline solution, sterile cotton swabs, and antiseptic cream as prescribed by your doctor.
Compression supplies: Two hot/cold gel packs (kept in a cooler case for alternating use).
Other necessities: Artificial tears (daily use, preservative-free), sunglasses (for wind and sun protection after surgery), and a neck pillow (to help keep the head elevated during sleep). MEDA
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