This fast and predictable approach avoids opening the anterior wound and also avoids overcorrection and scar abnormalities. Board Certified Oculofacial Plastic Surgeon, Dr. Sean Paul will choose the right procedure for you based on your physical characteristics and aesthetic concerns. For more information on this procedure with Utah facial plastic surgeon, Dr. Scott Thompson, call (801)776-2220 or leave your information HERE for someone to contact you. The eyes are one of the first areas of the face where aging becomes highly visible. Lower eyelid skin excision or laser resurfacing (or neither) is another key decision. And skin resurfacing may be too aggressive for certain candidates. What are my options?
1 month after upper and lower blepharoplasty with fat transfer. Topical and systemic antibiotics are utilized due to the open wounds, and their repair is planned electively in 1 to 2 weeks if they do not close on their own. After numbing up the lower eyelid with a novacaine-like injection, the eyelid lift is performed by making an incision under the eyelashes. Her eyebrows did not need elevation. Control of obvious bleeding points, if present is important. Here's a comparison of the "Mini" and "Traditional" Eyelid Surgery: MINI BLEPHAROPLASTY: Best for those with good skin elasticity and minimal wrinkling on and around the eyes…without under eyelid bags. Small stitches are used to reapproximate the skin edges. Multiple repairs may be required for the optimum result to be achieved. 5 months following the surgery. We also value honest assessment of each patient's concerns and won't lie to you and say that filler or other nonsurgical treatments will lead to results when this is not possible. WHO IS THE SKIN PINCH BLEPHAROPLASTY SUITABLE FOR? Figure 2 shows an example of upper lid retraction secondary to upper lid overcorrection. Bruising will be experienced by every blepharoplasty patient, so it is not really a complication so much as an expected side effect.
Reduce Crinkled, Crepe-like Skin that Plagues the Eyes. This is especially important for the lower eyelids, where pulling tight skin that is already very thin, delicate, and crepey will create a bad result. 67 year old; SMASECTOMY Facelift with Platysmaplasty, Fat Grafting to Cheeks, Marionettes & Temples with Lower Pinch Blepharoplasty. The previous scar is opened up, internal adhesions are widely released (and perfect hemostasis obtained). Important measurements to evaluate include palpebral fissure, marginal reflex distance, amount of lagophthalmos, and lid crease height. Lower Eyelid Surgery: There are a number of options for performing lower eyelid surgery: - The traditional approach places the incision just below the eyelashes, trimming and/or repositioning excess skin and fat, and tightening the lower eyelid muscle.
Lower eyelid blepharoplasty is most often performed in the operating room, but minor enhancements can be performed in the office. When skin shortage dictates skin graft placement, the technique is similar to that for other forms of cicatricial ectropion. A test spot can be offered the patient although a good result with the test spot is not a guarantee of subsequent good results.
The marked skin area is incised and removed, using either a scalpel, scissors, laser, electrosurgical instrument, or radiofrequency. This is one of our most common combinations of treatments. Involves the least risks possible. For an upper lid blepharoplasty, skin sutures with 6-0 prolene imbricating levator or pretarsal tissue is preferred. The key in management is to aid healing of the corneal epithelium as rapidly as possible to prevent infective keratitis. She also had a closed rhinoplasty at the same time. True canalicular injury may require late repair if epiphora results.
If the patient continues to have difficulty describing or demonstrating what he or she desires changed, and into what, it obligates the surgeon to promote discussion or present alternatives until clear agreement occurs—otherwise, surgery should not be done. It is very important to avoid strenuous activities that require bending or lifting for a week after surgery. 47-year old woman wanted to correct the heaviness of her upper eyelids. Botulinum toxin a naturally occurring substance that causes muscle relaxation lasting three to four months. Patients usually start seeing results within 1-2 weeks after surgery but it may take up to 4-6 months to see the final outcome. Surgery is sometimes a patient's best and only option to truly address their concerns. WHY DO A SKIN PINCH BLEPHAROPLASTY? Another outcome noted by patients is asymmetry of lateral hooding reduction. The approach Dr. Abboud chooses depends on the pre-operative assessment, your desires, and whether or not he will remove any redundant skin. However, when most of the excess tissue is located in either the upper or the lower lids, surgery can be performed on just one set of eyelids.
Cautery is performed as needed to ensure the site is bloodless. Generally, the surgeon must leave 10 mm of skin under the brows above the upper lid crease incision in order to avoid lagophthalmos, and more if the lid crease height is less than 10 mm from the lid margin. Many patients who come to Dr. Leong want to look younger, and it is no secret that sagging undereye skin reveals your age. In some patients laser resurfacing can both tighten excess skin and remove wrinkles. The excess skin hanging over the eyelid area can contribute to a less youthful appearance. Mini Skin Pinch Blepharoplasty surgery does the following: - Achieves a modest but natural refreshed look. Usually by 7-10 days after surgery, most skin pinch eyelid lift patients feel comfortable enough to be in the public eye with a little concealer on. These, however, are part of the normal healing process after surgery and are often temporary as they typically resolve on their own. Lower lid lift (Blepharoplasty). Despite the use of a lidocaine/marcaine mixture for local anesthetic, it is important to note that this form of diplopia is always gone by the next day.
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