WHAT SHOULD YOU KNOW BEFORE EYELID SURGERY?

Eyelid plastic surgery is an operation that removes deformations in the lower and upper eyelids. In addition, the surgery, which also covers the loss of function, can make the area of the eye look younger. These operations in the eye area are generally defined as “eyelid surgery”. 

Type of eyelid surgeries (Upper eyelid operation, Lower eyelid operations) 

In the operation to be performed on the lower and upper eyelids, the different structures of the region are taken into consideration. The movements that are taken in accordance with the requirements of the area are evaluated. In most cases, the upper eyelid and forehead are included in the procedure. The amount of skin and muscle that are taken is determined by the drawings made for the area. If necessary, eyebrows are raised by the structure of the new eyelid.

The type of anaesthesia is determined according to the patient’s general health status, as the doctor deems appropriate. Local anaesthesia is usually sufficient for the operation on the upper eyelid. The procedure here is completed in a shorter time than lower eyelid aesthetics. With all these, upper lid and lower lid aesthetics can be combined.

Most people over the age of 35 who have eyelid aesthetics procedures are aware that the signs of ageing on their eyelids can begin to appear after they reach this age.  However,  even  if  they  have   a  medical   need,  they  can   still  have  the procedure performed at any age.

Obese or droopy eyelid surgery is a procedure that removes excess skin and muscle tissue from the upper portion of the eyelids. It can be performed together with other cosmetic procedures such as forehead lift and eyebrow lifting. The fat pads located on the cheekbones can appear on the lower portion of the eyes as people change their position. This can cause signs of ageing such as the collapse of the lower lid.

This   procedure   is   performed   using   a   technique   known   as   endoscopically suspended fat pads. They are then placed on the lower portion of the eyes before an operation is performed.

After the fat pads have been placed on the lower portion of the eyes, the excess skin and muscle are removed. The procedure is completed and the hollowness of the lower lid can be fixed. However, if the hollowness persists after the recovery period, it can be necessary for an under-eye fat injection.

What causes droopy eyelids? (Nerve problems, aging, Muscle problems…)

Eyelid drooping, which is accepted as the eyelid covering the coloured part of the eye more than 1-1.5 mm, can occur congenitally or with time. The most important reason that occurs later is age-related changes in the eyelid.

If the congenital eyelid lifting muscle is not strong enough, it causes the eyelid to droop. In addition, injuries, long-term use of contact lenses, infections, allergic diseases and some muscle and nerve diseases can cause droopy eyelids.

The subsequent drooping of the eyelids may be caused by some nerve and muscle diseases. The most important ones are brain tumours and vascular diseases, myasthenia, muscular dystrophy or ophthalmoplegia, which causes muscle   weakness.   Of   course,   not   every   droopy   eyelid   is  a   sign   of   illness. Congenital or as a result of the ageing of the lid is not a symptom of another disease.

If there are complaints such as tearing and stinging due to the eyelid tips and eyelashes   turning   inward,   it   may   mean   that   a   wound   has   formed   in  the transparent layer of the eye (cornea) over time. If the droopy eyelid is closing the pupil in children, surgery should be performed as early as possible in order not to cause lazy eyes. Eyelid  droop   surgeries are   also performed  for adult individuals for  a more aesthetic appearance. Surgical intervention remedies sagging eyelids that cause a tired and aged appearance.

If the ends of the lower eyelid turn outward rather than inward, the distribution  tears will be uneven since the lid will not come into contact with the eye. As a result, continuous   watering,   redness   and   infections   may   occur   in   the   eye. Surgery is required to prevent constant eye-watering and infections.

What medical condition requires eyelid surgery?   

According to the patient’s complaints and examinations, eyelid surgeries are planned as an upper or lower lid or both upper and lower lids in the same session. According to the patient’s request, surgery can be performed under local or general anaesthesia. With local anaesthesia, the patient’s valve level can be adjusted more precisely according to the point of view during the operation. The patient returns to his everyday life one day after the process.  Surgery for the upper eyelid; is performed from the upper eyelid line, while the lower eyelid is performed from the line just below, the lower eyelashes or from the inside of the lid. Since the surgery is performed with hidden and dissolving sutures, there are no post-operative procedures such as dressing or suture removal. When it’s the end of the recovery period, there is no scar in the surgical Area.

Measurement should be made carefully before upper eyelid bags surgery. If the measurement is completed incorrectly, the closing function of the eyelid may be impaired after surgery. An important point to be considered in surgery for the upper eyelid is to determine the possible drooping of the eyebrows. Lid surgery should be performed after the treatment of drooping eyebrows. In addition, the surgeon’s experience is even more important in the procedure for lower eyelid bags. Overcorrection during the procedure may cause the lower lid to turn outward when the patient looks up and opens his mouth. In addition, the eye vessels and lower eye muscles mustn’t be damaged during the surgery.