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Eyelid Aesthetic

The changes that occur over time such as wrinkles, bagging, sagging and swelling on eyelids playing a key role in facial expression cause people to look sad, tired and older than they actually are.

What Causes Changes in the Eyelids?

Eyelids consist of skin, muscle and fat layers from outside to inside. Due to the influence of environmental factors such as age and sunlight, genetic factors, the eyelid skin loses its elasticity and relaxes. The muscle layer under the skin also relaxes and begins to fall down and sag with the effect of gravity. Fat pads, which locate in a deeper place and which normally give the eyelids a fuller and lively appearance, also begin to herniate frontward. Thus, sagging and bagging occurs in the eyelids. If there is a fall in the eyebrows, the skin excess in the upper eyelids becomes more prominent. Makeup on the eyelid disappears below the excess skin fold. In advanced cases, the excess in the upper eyelid may reach dimensions that make it difficult to see.

Age of Surgery

Although it is generally applied to 30 years or older, the operation can be performed at any age depending on the deformity of the eyelids, usually 30 years or older.

Before Surgery

To avoid bleeding complications during or after surgery, use of aspirin, vitamin E, some painkillers or herbal preparations that reduce blood clotting should be discontinued at least 10 days in advance. It is best not to use drugs or supplementary pills other than balanced diet. Those who have high blood pressure should be controlled with medication.

The Surgery

– The surgery should be performed in a hospital under the supervision of anesthesiologist.
–It can be performed under local anesthesia and i.v. sedation (intravenous) applied only to eyelids or general anesthesia. The patient can go home on the same day. 
–Only the upper, only the lower or 4 eyelids can be operated simultaneously.

Excess skin to be removed from the upper eyelid is marked while the patient is standing before surgery. The incision is planned to correspond to the natural fold of the eyelid while the eye is open. In the lower eyelid, the incision is made 1-2 mm below the eyelashes and corresponds to the natural curves of the skin. In cases where the eyelid skin is not too loose, only the fat bag can be removed by incision through the eyelid. The surgical technique is not standard; different techniques can be used depending on the current problem and the surgeon’s preference. At the end of the operation, the incisions are closed with the help of stitches. Especially the lower eyelid surgery requires more experience. If the lower eyelid is loosened in older ages and enough tightening is not performed during the operation, it can turn outwards and downwards (ectropion). Blepharoplasty surgery is very technical and it has low error margin. This surgery should be performed by plastic surgeons who have been trained for years. In some cases, such as the eye being in the pit, the bones that surround the eye can be interfered; shaving or support of the bones can be performed. Fat support may also be required on the eyelids. Upper eyelid cosmetic surgery is most often combined with eyebrow lifting surgery. The results to be achieved around the eyes are much more ideal and pleasant. The operation period is 1-2 hours depending on the procedure to be performed.

After Surgery

Edema and bruising on the eyelids may occur. Cold application and high pillows are recommended. There is no serious pain after surgery. If there is serious pain, it may be a sign of bleeding. The doctor should be informed.

Lacrimation, burning sensation or dryness can be felt on eyes. Eyelids may remain slightly open; it is expected to turn to previous situation as edema recovers.

The stitches are removed completely in 3-5 days.

A week later, the patient may return to work, but it may take 3-4 weeks to fully recover the minimal edema in the eyelids.

After one week contact lenses can be used.

Surgical traces can be concealed in the first weeks by make-up.

The pink colored traces in the first weeks usually become pale and unclear in time.

One of the most important complications after surgery is the accumulation of blood in the eyelids (hematoma).

To avoid bleeding;

High pillow should be used after surgery,
Cold application should be performed,

Blood pressure should be monitored and if it is high, is should be defused,
Severe cough or sneezing should be avoided,
Excessive pushing in toilet should be avoided,
Heavy materials should not be lifted,
Heavy sports should not be done for 2 weeks,
Blood thinners should not be used.