Blepharoplasty and Eyebrow LiftBlepharoplasty or eyelid surgery is carried out

to eliminate the outward signs of aging on the

face, which usually begin to appear around the

eyes. Blepharoplasty brings back the youthful look

to the area around the eyes through a

combination of procedures. The procedures

involved are, removing excess skin and fat from

the upper eyelids, removing or repositioning

excess fat in the lower eyelids, removing the excess skin, and using a

chemical peel to smoothen the skin texture of the lower eyelid. Besides

these, procedures such as eyebrow lift and removal of the muscles that

cause vertical furrows between the eyebrows can be done.

In the case of upper eyelid surgery, the scars remain hidden in the

eyelid crease. Excess fat pouches without loose skin that are found in the

lower eyelids can be removed successfully through a transconjunctival

approach. In such an approach, the incision is placed inside the lower

eyelid. To remove the loose lower eyelid skin along with the fat pouches,

an incision is placed under the eyelash line.

Effective Botox Injections and Treatments

Botox injection is beneficial in treating individuals who have deep vertical

furrows in between eyebrows, and heaviness of the inner eyebrows. This

is believed to be caused by the over activity of the corrugator muscles

over a long period of time. Though the injection is expensive, painful and

has to be administered once in every six months, it is a quick solution to

attain temporary results.

For a permanent solution, surgical removal of these muscles is the ideal

option. The procedure can be done at the time of eyelid skin removal.

Removal of the muscles doesn’t result in any impairment or have any

adverse effect; on the contrary it contributes to a natural look.

An upper eyelid surgery and a browlift can treat hooded eyelids caused by

sagging eyebrows. The procedure demands an incision above the hairline

within the scalp on either side. Plastic anchors are then attached to the

bone through the incisions to hold the lifted skin of the forehead in place.

In the course of time, these plastic anchors dissolve. Browlift is an

endoscopic technique and doesn’t require the removal of any hair.

A Different Variant of Browlift Procedure

For individuals above the age of sixty who tend to have substantial

sagging of the forehead and/or deep horizontal lines, an open browlift can

produce exemplary results. In this case, a long incision is made from the

top of the head to a region between the ears. To raise the forehead, a

strip of scalp skin is removed. Again, plastic anchors that dissolve over a

period of time are used to stretch the skin in place. This procedure is not

recommended for individuals with high forehead or thinning hair. For

those with high forehead, a different variant of browlift is opted. In such a

case, the incision is made at the hairline as the latter will not rise further.

Auxiliary procedures can treat conditions associated with the eyelids.

Botox injections can treat “crow’s feet” (wrinkles near the outer corner

of the eyes). Similarly TCA (Trichloroacetic acid) can treat wrinkles

appearing under the lower eyelid skin. It removes the top layer of the

skin and a new epidermis is regenerated which is softer and smoother.

The skin will exhibit light crusting and may remain pink in color after TCA

peel is undergone. Application of make-up will hide the coloration till it is

completely healed. Chemical peel can treat dark circles in some cases

though normally it is difficult.

Weak lower eyelids could cause symptoms of dry eyes, as they reduce

the natural protection the eye receives. This can be treated by removing

excess skin and fat from the eyelids, along with providing a tightening

process.

Surgery is not recommended for those who have less tear production

since they run the risk of developing chronic eye irritation after surgery.

Depending upon the gravity of the case, those who have dry eye

symptoms may require upper and lower eyelid surgery.

Blepharoplasty / Eyelid Surgery at bodySCULPT®

At bodySCULPT®, the procedure is performed on an outpatient basis at

our all-inclusive plastic surgery practice in Manhattan, New York City

(NYC). Eyelid surgery normally takes about an hour and a browlift takes

an extra forty five minutes. Complex cases may take longer time. Local

anesthesia is administered in most cases.

Pain medication is not required as only slight discomfort is experienced.

The eyes are not bandaged. For a few days, vision may be slightly

blurred. Ice compression on the eyelid is applied after surgery and

administered for a period of 24 hours. Browlift surgery causes more

discomfort compared to eyelid surgery. Numbness of the scalp, swelling

of the forehead and tightness of the scalp may be experienced, but will

disappear with passage of time.

Sutures are removed in a period of five days. It takes about two weeks

for the swelling and discoloration to disappear. If chemical peel has been

undergone, a light cover-up may be needed for the lower eyelid for two

weeks. Work and normal activity can be resumed one week after eyelid

surgery and two weeks after browlift or chemical peel. Outdoor activities

such as cycling, jogging and non-ball sports can be resumed three weeks

after the surgery. Ball games can be played after six weeks.

Complications and risks arising from blepharoplasty and eyebrow

surgery occur only very rarely. Irritation of the eye and infection if it

occurs at all, are temporary. Blindness or permanent nerve injury through

blepharoplasty or browlift is again very rare. Hair loss resulting from open

browlift incision is minimal. Skin darkening is not a permanent feature.

Bleaching cream can treat skin darkening that might be caused by

chemical peel.

Brow lift surgery need not be repeated. The effects of eyelid surgery last

for decades. Many undergo only one surgery, but a few may require a

second one if he/she tends to develop small amounts of excessive upper

eyelid skin over the years.

Our LocationDr. Spero J. Theodorou128 Central Park South, New York, NY 10019Call us: 1-800-282-SCULPT, 8888692762http://www.bodysculpt.com