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Upper & Lower Eyelids

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Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty (Eye Lid Surgery) can be done alone, or in conjunction with other facial surgery procedures such as a Face Lift or Brow Lift. However, note that the eyelid surgery has its limitations and will NOT improve crow's feet, droopy eyebrows, scowl lines, and hoods that droop down from the outer corner of the eyelids. To improve these problems, you may need wrinkle treatments or a Brow Lift.


Eyelid Photosis - Dropping of Upper Eyelid



The upper eyelid drapes over the eye to protect and help keep the surface moist. Closed, the eye may be protected but you cannot see very much through the eyelid. To see you must lift the upper lid out of the way. The elevator muscle performs most of the work to get the upper eyelid out of the way for vision. Photosis of the eyelid means that it droops too low and cannot get out of the way enough for the eye to see. Elevation may be just enough for gaze towards the lower visual fields (towards the feet). Looking straight ahead, the lid may obstruct vision. In this first case (congenital simple photosis), the upper lid covers half of the pupil. The patient compensated by lifting her eyebrow (frontalis muscle) to help with vision when looking up.


Baggy Eye-Lids, Blepharoplasty for Eye Bag Remowal



The eyes are surrounded by protecting fat. The facial eyelid muscles and skin hold this retro-orbital fat in place resulting in a youthful line starting from the eyelashes to the cheek. The eyes are surrounded by protecting fat. The facial eyelid muscles and skin hold this retro-orbital fat in place resulting in a youthful line starting from the eyelashes to the cheek. Gravity and the wear of time can make all facial tissues sag. Under eye bags form from the fat gentle pressure on this lax muscle, ligament, and skin wall. In some cases there is extra fat behind the support wall creating the baggy eyelids. Sometimes there is relaxed extra skin (dermochalasis) causing the eye bags. At other times the lid muscles are just thickened. Upper eyelid bags can be the result of drooping eyebrows. Blepharoplasty for eye bag removal depends on the individual problem(s). Blepharoplasty sculpture is often a blend of individual elements to address each component of what has caused the baggy eyelids.


The tissues under the eyes has a flat gently tense tone in youth. Age and other factors can let the muscles sag and fat bulge. Some call this protrusion blepharochalasis and more commonly called under eye bag or baggy eyelid. It is a very common condition seen with:
    •    normal aging
    •    fatigue or being tired
    •    allergies
    •    swelling
    •    obesity
    •    certain medical problems 

Lower Eye-Lid Surgery



For lower eyelid surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed. As in upper eyelid surgery, the incision is well camouflaged by natural creases.


Upper Eye-Lid Surgery



For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when heal.



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