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AESTHETIC EYELID SURGERY

The signs of ageing – drooping eyelids, cheeks and foreheads – can be corrected with aesthetic procedures to regain a more youthful look.
 

What is Aesthetic Eyelid Surgery?


Aesthetic eyelid or eyeplastic surgery is a form of cosmetic surgery that enhances the look of the area around the eye by removing the excess skin and fat that makes the face look tired and old. Advancements in technologies and techniques in the last decade mean that today, cosmetic eye surgery requires less invasive surgeries, has better outcomes and entails shorter recovery times. Aesthetic eyelid surgery also deals with the creation of double eyelids in Asian eyes.

How does Aesthetic Eyelid Surgery work?


 As one ages, the skin becomes thinner and loses its elasticity, causing it to stretch, sag and lose its volume. The skin around the eyes is particularly delicate and show more obviously the effects of ageing. Aesthetic eyelid surgery works to reverse these signs of ageing and help regain a youthful appearance by reducing or eradicating the signs of sagging around the eyes and forehead. With an expert understanding of the structure of the eyes and face, eye plastic surgeons at SNEC can deal with the eyes and face as a whole to improve the appearance of the eyelids as well as the surrounding facial structures. The common aesthetic eye plastic procedures include: minimally invasive or small-incision eyelid, forehead, and periorbital rejuvenation surgery.

As one ages, the skin becomes thinner and loses its elasticity, causing it to stretch, sag and lose its volume. The skin around the eyes is particularly delicate and show more obviously the effects of ageing. Aesthetic eyelid surgery works to reverse these signs of ageing and help regain a youthful appearance by reducing or eradicating the signs of sagging around the eyes and forehead. With an expert understanding of the structure of the eyes and face, eye plastic surgeons at SNEC can deal with the eyes and face as a whole to improve the appearance of the eyelids as well as the surrounding facial structures. The common aesthetic eye plastic procedures include: minimally invasive or small-incision eyelid, forehead, and periorbital rejuvenation surgery. 

The Ageing Eyelid

The eyes are often the first features that draw attention and therefore form an important aspect of facial attractiveness and beauty. Over time, ageing can cause the upper and lower eyelids to appear droopy or become baggy.

Sagging skin, the weakening of facial muscles, and build up of fat pockets around the eyes, can give rise to unsightly eye bags or rings. At the same time, age and gravity can cause the eyebrow area to sag or droop. Apart from aesthetics, such conditions may also impair vision and cause eye strain or fatigue.

Example 1 :

   Before surgery

Example 2 :

   Before Surgery

 
Example 3 :

 
Eyebags before surgery

Example 4 :

 
Eyebags before surgery

What treatment is there for the ageing eyelid?

Blepharoplasty

Blepharoplasty is a form of cosmetic eyelid surgery that corrects the baggy or sagging tissues around the eyes through the removal of excess skin, fat and muscle from the eyelids. Surgery is usually performed under local anaesthesia. Incisions are made along the natural folds of the eyelid skin so that they are virtually unnoticeable when they heal. These incisions are usually closed with fine stitches. If the eyebrows are also droopy, a procedure called brow lift can also be performed. There is usually only a mild discomfort after surgery. You may expect some swelling, bruising and tightness of the eyelids, but these will resolve once the wounds heal. Infrequently, slight asymmetry in the eyelid appearance or position might occur, and may require additional surgery to correct it. Cosmetic eyelid surgery should always be performed by qualified surgeons who are appropriately trained, as incorrect surgery may lead to complications.

Endoscopic Browplasty

As we age, our forehead tissues begin to sag downward, particularly above the eye region. This can cause the appearance of sadness, anger or tiredness – and if severe, can block the line of sight and impair vision. 

Endoscopic Browplasty corrects the unstable or sagging eyebrow by opening up the area around the eyes and achieving the functional restoration of eyebrow and lid complex. Traditional open coronal incisional has been taken over by this current mini-incisional endoscopic approach which is the second most common procedure done by the aesthetic eyeplastic surgeon.

Example : 

 

  Droopy eyebrows before         
  surgery

Mid-face lift 

The eyes and forehead are not the only parts of the face to be affected by ageing. As the ageing skin loses its elasticity and tone, the cheeks can also start to sag, creating a tired or haggard look. A mid-face lift is a procedure that can help restores a smooth and youthful look to the lower eyelids and cheeks. A mid-face lift entails small deep incisions to the muscle tissue of the face. An endoscope is used to view the procedure and allow the doctor to access the fat and muscle tissue of the face to ‘pull’ these up to smoothen and tighten the skin.

Other non-incisional periorbital rejuvenation procedures are Botox and tissue filler injection.

Botox

Botox is an FDA approved drug and is currently widely used as a non-surgical method of temporarily smoothening wrinkles and furrows on the face. It is an office procedure involving tiny injections to the affected area. Results can be seen within three to four days and can last between three to six months. Occasionally there can be associated bruising or unwanted side effects of lid droop when injected around the eye. Injection by the oculoplastic surgeon minimizes the risk of these complications.

Example : 

 (a)







   Patient before botox with deep vertical
 frown lines; patient actively frowning. 
 (b)







   Patient before botox; with relaxation of 
 frown, the vertical frown lines persist.

Fillers

Fillers such as commercially available FDA approved restylane can be used to help complement the rejuvenation of the face. Common problems that can be managed with filler injection include eyebags and hollowness above the eye due to changes that occur with ageing. They can also be used to fill in nasolabial folds (the two skin folds that run from each side of the nose to the corners of the mouth) and areas where deep grooves are of a concern. The effect can last for about one to two years.
 
Please visit the following relevant links :-

Oculoplastic & Aesthetic Eyeplastic Service
Outcome Results on Oculoplastic & Aesthetic Eyeplastic Procedures
Oculoplastic & Aesthetic Eyeplastic Clinical Staff
I Want an Eye Examination / an Appointment
SNEC Smartphone Apps for Patients
Feedback

Read more on related Eye Conditions and Treatments:

Entropion
Epiblepharon
Orbital Disorders
Ptosis
Socket Reconstruction
Tearing Disorders
Thyroid Eye Disease

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