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Candidatos:
Adults of all ages can
benefit from blepharoplasty. Patients in their 20s or 30s might improve their
inherited traits that can make them look older or tired. Patients with excess
skin or puffy appearance on the upper eyelids, excess skin, bags and dark
circles on the lower eyelids.
Objetivos:
The eyelid procedure can
be designed according to the problem. If only the upper eyelids are affected
there is no need to operate on the lower eyelids, and vice versa. If the problem
is only caused by excess fat, with no skin excess, there is no need to remove
skin. If excess skin is the problem, there might not be necessary to remove fat.
Usually, however, with a patient in their forties of fifties, there is usually
the need to correct the drooping upper eyelids and puffy bags below the eyes by
removing excess fat, skin, and muscle. SomeTempo operatórios a forehead lift is recommended
if the upper eyelid condition is accompanied by sagging of the eyebrows. A
chemical peel can be necessary if there is dark pigmentation forming circles
around the eyes. Crow's feet can be treated simultaneously through laser
resurfacing.
Incisões and technique:
I prefer to do
blepharoplasty using a CO2 laser. The technique will depend on the problem, the
excess fat and skin in the eyelid areas, and the position of the eyebrows. In
the upper eyelid the incision is hidden within the natural fold and extends to
the outside corner of the eye. Excess skin and fat are removed. The incision is
performed with the laser and there is no bleeding. The lower eyelid fat pockets
are removed through an incision placed inside the lower eyelid. There is no need
for stitches. If there is a need to remove excess skin and muscle another
incision is hidden just below the lower lashes, easily camouflaged by natural
creases. The laser may be used to tighten the lower eyelid
skin.
Operating Tempo operatório:
1 to 3 hours. Anestesia: Usually locally with
sedation or general.
In/Outpatient:
Usually
outpatient.
Período de recuperação period:
There is usually no pain, just
temporary discomfort, swelling, bruising, itching of eyes, tearing and
sensitivity to light for a few days.
Período de recuperação:
Reading: 2 or 3 days. Back to work: 7 to 10 days.
Contact lenses: two weeks. Exercising about 3 weeks. Bruising and swelling may
take several weeks to disappear, but usually with makeup or dark glasses the
aspect is almost normal.
Complicações possíveis:
Hematoma (accumulation
of blood under the skin that may require removal), infection and reactions to
Anestesia. Temporary blurred or double vision. Bleeding, dry eyes, slight
asymmetry in healing or scarring. There might be a temporary difficulty in
closing eyes completely (rarely permanent). If there is a pulling down of the
lower lids it may require further surgery. Blindness is extremely
rare.
Detalhes:
Besides the normal pre-operative
exams you will be asked to do an eye test. The first evening after surgery, you
should rest quietly with your head elevated. You should apply cold compresses to
your eyelids to increase comfort. Stitches are usually removed after five to
seven days.
Duration of Results:
Several years.
SomeTempo operatórios permanent. |
