Regarding Blepharoplasty, what methods are used? What about "laser blepharoplasty"? What's the difference?
The conventional upper blepharoplasty utilizes a crescent shaped incision located along the upper eyelid fold. Excessive skin and fat may be removed. The incision is then closed.
There are multiple options for the lower lid. If the patient has mild skin excess or wrinkles, the laser can be used to tighten the skin or improve/remove wrinkles. Patients with more significant skin excess will need the subciliary approach. An incision is made just below the eyelashes. Fatty tissue or the bags are removed. Skin excess is trimmed and the incision closed.
Will having blepharoplasty affect how my contact lenses fit?
No. Blepharoplasty surgery only works on the skin and muscle of the eyelids area -- how your contact lenses fit is based on the shape of your eye itself. Although you won't be able to wear contact for the first few days after surgery (to allow time for the healing process to begin without disturbance) blepharoplasty surgery will not change how your contact lenses fit or function.
Why must brows be evaluated when considering upper blepharoplasty?
The upper eyelid and the brow must always be evaluated together. This is very important.
For example, consider someone with a low brow. The low brow causes skin to pile up on the upper lid. This weight causes the person to unconsciously lift the brow until this weight is removed. If skin is removed during an upper blepharoplasty, this weight is reduced. This allows the brow elevators to relax and lower the brow until the skin piles up on the lid again and obscures the result of the upper blepharoplasty. This situation can be avoided by recognition of brow sagging and treatment through a brow lift or forehead lift. When someone doesn’t have brow drooping, this situation does not occur. |