Eyelid Surgery Los Angeles Blepharoplasty Los Angeles


What Compells Eyelid Surgery?

I look tired but I am not! This is what I hear from patients who come to me for eyelid surgery or blepharoplasty. Most of them tell me that with age their upper eyelids have gotten heavy and droopy. This not only makes them look tired but also blocks their peripheral vision, especially during driving. While most people develop loose eyelid skin, bags, circles, and lines with age, there are those that are born with baggy or puffy lower eyelids. Their friends or coworkers often asked them if they did not sleep well the night before, or if they were working all night? This can not only be frustrating, but also affects self-esteem and social confidence.

Blepharoplasty, also known as Eyelid Lift or Cosmetic Eye Surgery, refers to the procedures that tighten drooping skin of the upper eyelids, and remove the "puffiness" or "bags" beneath the eyes. This surgery is a boon for those who wish to "freshen" up a fatigued looking face, without undergoing a full Face Lift. Many men who would not otherwise undergo cosmetic surgery undergo Blepharoplasty, one of the top three plastic surgeries in the United States. In 2005 alone, more than 231,000 Americans who were "tired of looking tired," or who wished to maintain their competitive edge at work, underwent the procedure.

Blepharoplasty corrects deformities of the eyelids that are due to aging, such as the bulges and bags that most people develop in their thirties and forties, when eyelid skin loses its elasticity, and the underlying fat begins to show. Congenital deformities it corrects include Blepharoptosis — the abnormal sagging or drooping of the upper eyelids that cause a sleepy appearance — or Blepharochalasia, the congenital excess bulging of lower eyelid fat that can occur even in young people. It will not, however, rid of persistent dark circles that many people inherit, although it may soften their appearance. It also does not eliminate "crow's feet," the tiny wrinkles around the eyes, or frown lines. These can generally be corrected with BOTOX® injections.

During Upper Eyelid surgery, the cosmetic surgeon marks the excess amount of skin to be removed, while you are in an upright position. The incision lines are usually drawn in the normal eyelid crease, allowing enough skin to remain for adequate eye closure. After you are sedated, a fine incision is made along the previously marked lines in the natural eyelid fold, with a scalpel or a laser. The surgeon then precisely trims the excessively hanging skin and the underlying redundant eyelid muscle, closing the incisions with very fine sutures.

Two kinds of incisions are made during Lower Eyelid surgery. A Transcutaneous Incision is made below your lash lines. The plastic surgeon then removes loose, wrinkled lower eyelid skin, re-draping and tightening it. A Transconjunctival Incision is made on the inside surface of the eyelid. The plastic surgeon then removes or repositions excessively herniated fat, helping to eliminate puffy lower eyelids.

There is a great variation in the character of eyelids between people of different ethnicities. For example, about half of all Asian patients have an upper eyelid that lacks a crease. Asian Eyelid Surgery or Double Eyelid Surgery can safely contour the skin above the lashes to create a crease or to change the height of an existing natural crease to create an eyelid that is harmonious with other facial features.

Upper eyelid surgery removes excess hanging skin and bulging fat. The incision falls in the natural eyelid fold and usually becomes inconspicuous after it has healed. Lower eyelid surgery incision is either placed under the lash lines or on the inner side of the eyelid, depending on whether extra skin needs to be removed or just fat.


What Is Asian Eyelid Surgery?

Asian Eyelid Surgery, also known as "Double Eyelid Surgery," is the most requested cosmetic surgery in the Asian population, both in Asia and the United States. However, the average age of those who undergo this surgery is generally younger than for eyelid surgery that is performed on "Occidental" patients.

How Is Asian Eyelid Surgery Performed?

"Double Eyelid Surgery" patients are requesting the creation of a crease "from scratch," or a change in the height of an existing natural crease. Your cosmetic surgeon will select a "low," "medium," or "high" crease. For a discontinuous or incomplete crease, the surgeon's goal will be to "complete that crease without altering the shape and height that are inborn." However, creases that are poorly defined, or multi-fold, will be converted into a single dominant crease. The surgery creates a "double eyelid" fold by removing a crescent shaped piece of skin from the eyelid, some of the subcutaneous fat, and deep fixation of the lower edge of the Levator Aponeurosis to the superior edge of the Tarsal Plate. After wound closure, the scarring of the Levator Aponeurosis margin at the Tarsal Plate will create a new fold.

Non-Incisional Techniques also exist. In these procedures an incision is not made, but a permanent suture is made through a series of multiple stabs. The suture is then pulled under the skin in order to create a zone of scarring, and therefore a fold. This approach is not as successful as the Incisional Approach described earlier.

Epicanthoplasty is a procedure where the epicanthal fold by the middle corner of the eyelid is lengthened by a series of small "Z-plasty" incisions in order to make the eyelids appear more occidental. Although this procedure used to be very popular and was an integral part of Asian Eyelid Surgery, today it is no longer popular because it can make the Asian face appear unnatural.

How Is Eyelid Surgery Performed?

In general, incisions are made following the natural lines of the eyelids – in the creases of the upper eyelids, and just below the lashes in the lower lids. Your cosmetic surgeon then separates skin from fatty tissue and muscle. Excess fat is removed. When necessary, skin and muscle are contoured. Your plastic surgeon will close the incisions with very fine sutures.

A key to the success of this surgery is choosing a cosmetic surgeon who is highly talented and experienced in performing it. It requires great precision and skill – very small differences in the removal of fat and skin lead to noticeable differences in the outcome.

Copyright © 2012 Los Angeles Cosmetic Surgeon------------------------ Plastic Surgery SEO-Medical Website Search Engine Optimization and Redesign by www.intactinfo.com