1916 Views November 5, 2019
UPPER EYELID AESTHETICS
Excess skin and/or fat on the upper eyelid is hard to lift as the muscle on the eyelid is not strong. The upper eyelid may not have ideal shape due to age, gestures or allergic diseases.
Generally, the situation we encounter is the difficult opening of the eye due to the sagging of the skin, the smaller eye, the attempt to move the eyelid with the help of eyebrows and muscles in the forehead.
This condition is an aesthetic problem and reduces the comfort of your daily life. Eyelid aesthetics (blepharoplasty) is performed under local anesthesia. With an incision corresponding to the fold inside the eye, scar is tried to be minimized. The length of the incision varies depending on the deformity in each patient.
The amount of the scar is depending on scar recovery, exposure to the sun. In patients who do not smoke and uses sunglasses with thick glasses, the scar will be less in a long time. Water-proof bands are used for a week. When absorbable sutures are used, suture removal is not performed. If fat tissue is much, which is seen close to the nose, excess fat is removed.
If any, loosening in the muscles and aponeurosis is removed and visibility is increased. If there is fat tissue loss after menopause, fat injection can be planned. Eyelid aesthetics performed with plasma energy is sufficient with slight events.
Repeated sessions may be required. I apply plasma energy in eligible patients and who do not require surgery. Lower eyelid aesthetics with laser does not pose any advantage except for its cool name. It also requires suture, the incision is made with a laser instead of lancet.
The laser has a risk of injuring the eye.
LOWER EYELID AESTHETICS
It provides only aesthetic benefit, unlike upper eyelid aesthetics. However, this is an important benefit as it changes the look and around the eye. This change causes a more relaxed, vivid and younger look. It is performed with an incision at the bottom of the eyelashes, so the incision is hidden.
The length of the incision is depending on the size of the deformity. It is performed under local anesthesia. Excess skin is removed but it should be noted that skin of the lower eyelid should not be pulled down. Mid-Face Lift, fat injection or procedures to increase skin quality can be performed with lower eyelid aesthetics.
If there is fat rupture or bags, it should be removed vet cautiously to prevent hollows. Under the fat bags, hollows occur on the cheeks. Excess fat in the bags may be deployed in this hollow area to obtain a flat surface.
Plasma energy can be used only to increase the quality of the skin.
LOWER EYELID FILLER
A hollow between lower eyelid and cheek may cause a tired and old look. It is generally caused by sagging of the cheek. Due to septum restricting the fat tissue around the eye, sagging and protruding bags are not formed.
In patients who do not require surgery, this appearance can be removed partially or completely by adding volume between lower eyelids and cheekbones (filler, fat, fibroblasts...). Fillers for lower eyelid (hyaluronic acid) become visible when applied in high dosage as the lower eyelid is thin.
It should be noted that even most quality fillers may cause a foreign material reaction as they are foreign materials. If the high volume is required, fat injection and fibroblast cell culture should be preferred as it is obtained from the skin at the back of your ears.