Eyelid Surgery (Blepharoplasty)
Surplus skin, visible fat bags and fans of wrinkles on the skin are typical for upper and lower lids. Upper lids are usually operated under local anesthesia, in an outpatient manner. During the operation lasting approximately 50 minutes, redundant band of skin is reduced, fat pads above inner canthuses are removed and the circular eye muscle is corrected. The resulting scar has to be located into the natural flexion line of the lid.
Stiches are removed on the 6th or 7th day after operation. Lower lids, in case of presence of an extreme surplus skin, are operated by classical technique under local anesthesia and in an outpatient manner. The technique is based on reduction of the surplus skin, removal of fat bpads and in a slight straightening of the skin.
Stitches are removed on the 6th or 7th day after the operation. This type of operation is convenient for about 20% of the patients intending to have their lower lids operated.
For most of the patient it is however more convenient to undergo a surgery with a state-of-art operation technique - laser transconjunctival blepharoplasty of lower lids. This type of intervention is suitable for patients with not large surplus of skin, and with wrinkles on lower lids and big bags under the eyes. The operation is performed under a short general anesthesia lasting 30 minutes which is followed by a 24-hour hospitalization. In this operation, laser scalpel penetrates through the muscosa of the lower conjunction bag to all 3 chambers filled with fat pads. The fat tissue is removed easily and to a maximum possible scope, and the mucosa is firmly sealed. The skin cover with wrinkles is resurfaced by CO2 laser. Total time of convalescence is approximately 14 days. Combined operations of upper and lower lids in parallel are commonly performed.
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