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  • Dec 25, 11

    exploreplasticsurgery.com/...blepharoplasty Non-surgical rejuvenation

    • Because of the constant movement of the eyelids, the sphincteric action of the surrounding muscle units, and the thinness of the eyelid skin, the effects of time (and sun exposure…and lack of a good skin maintenance program) first become noticeable in this area. These aging effects  are recognized as lines, wrinkles, and bags.
    • The development of fullness under the lower eyelids is the result of fat…fat that was originally under the eyeball. Our eyeball is encased in a surrounding sea of fat and muscle. The fat serves as a natural cushion to protect it from outer compressive forces. It allows the eyeball to be moved around without risk of injury. The fat under the eye is naturally held back by a thin film of tissue that runs between the lower eyelid (tarsus) and the rim of the lower eye socket. With age this tissue weakens, allowing the fat it constrains to protrude out. In some ways, it is like a hernia which is why it is referred to as lower eyelid fat herniation.

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  • Dec 25, 11

    the upper eyelid. First, the upper eyelid has the thinnest skin on the entire body. The thinner the skin (with less dermis), the less tissue there is to produce scarring. Scar formation comes from the skin’s dermis which is paper-thin. Quite frankly, the excellent eyelid scars we see is as much the result of its thin skin as it is surgical technique. Secondly, the scar line is sufficiently above the lashline of the upper eyelid that it is completely covered when one’s eyes are open. To find an upper eyelid scar, you would have to ask the patient to close their eyes and then look carefully up close. Lastly, most poor scarring comes from wounds that are closed under significant tension. As the eyelids spent a significant part of their time being open, the incision closure or scar line is not under much stretch or tension.

    In my Indianapolis plastic surgery practice, I have observed that the upper blepharoplasty is a very effective and simple procedure to go through. Most patients report virtually no pain, no matter how it looks to the viewer. Scarring is a very rare iss

    exploreplasticsurgery.com/...2

    • Limited lower blepharoplasty procedures are ideal for younger patients. In such ‘mini’ lower eyelid surgery, several millimeters of lower eyelid skin are pinched up with a special instrument rather than making an extended incision and dissection under the eyelid skin down to the orbital rim bone. The pinched up skin is simply trimmed off and the blood supply to the remaining lower eyelid skin is unaffected. This then allows a moderate depth chemical peel to be done using either a 25% or 35% TCA (trichloroacetic acid) solution. The combination of some skin removal and skin tightening helps fresh up the lower eyelid and reduce wrinkling. Because it is a more limited lower eyelid procedure, recovery (looking good with no telltale signs of having had surgery) is usually complete in one week.

       

       

       

      When herniated fat is also present, this can be removed by an incision on the inside of the lower eyelid (transconjunctival) This also does not disrupt the blood supply to the eyelid skin so a chemical peel can still be done.

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