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Eyelid Aesthetics

Eyelids are one of the places where aging is noticeable mostly. In recent years, there have been very serious changes to the approach to eyelid aesthetics. We should consider the face of the person as a whole, for eyelid aesthetics. Because the problem can sometimes be caused by changes in the surrounding tissues such as cheeks, forehead triggered by aging. For this reason, ‘eye contour aesthetics’ is a more appropriate term than eyelid aesthetics. Eyelid aesthetics which is performed without analyzing the main problem might cause disappointment. Since the eyelids have very thin skin and adhered to the muscle tissue beneath, they are highly affected and wrinkled by mimics. For example, crow’s feet on the outer edge of eyes.

What kind of changes are seen around the eye with aging?

Forehead, eyebrows, and cheeks move downwards with aging. In this case, both upper and lower eyelids sag downwards. The outer edges of the eye are displaced. Accumulation of the skin on eyelids causes eyes to appear smaller than they are.

There is a thin membrane surrounding the eyeball and separates the adipose tissues from the skin. This membrane also acts as a barrier between the adipose tissues and the skin. By aging, this membrane loosens, and the fat pads effuse outward. Especially in the lower eyelid, so-called ‘under-eye bags’ occur.

Since the eye contour is thin-skinned and adherent to the underlying muscle tissue, it gets wrinkled easily and ‘crow’s feet occur with the age. A groove is formed in the portion extending from the lower inner side of the eye to the cheeks. This is largely associated with the sagging of the cheek tissue.

What is the ideal in eyelid aesthetics?

Eyebrows, lower and upper eyelids, cheeks and eyebrows should be evaluated as a whole while evaluating eyelids. It is not enough just to rejuvenate the upper eyelid and not to interfere with the lower eyelid, to achieve the young appearance as we want.

If your eyebrows are sagged and your eyelids look droopy for this reason, your eyebrows should be lifted at first. Eyebrows should be placed in a proper position with temporal lifting. If there is still sagging in the upper eyelid, then intervention should be made on eyelids. If there is a collapsed line on the junction area of the lower eyelid and cheek, this should be treated and this line should be filled with fat injection. If cheeks are in a sagging position, those should be lifted with mid-face lift-rejuvenation surgery. After all these corrections, if the excess skin and muscle tissue are removed from the upper and lower eyelids, the result is satisfactory.

What is done during the operation?

It was mentioned above that it may be necessary to intervene in other areas such as the forehead and middle face during the surgery. The duration of the operation varies depending on the additional intervention. It takes 1.5 hours to intervene in the eyelids only. During the surgery, ‘adipose tissue in under-eye bags’ in the lower eyelid is spread thoroughly downwards in order to be used to fill holes between lower eyelids and cheeks. The excess muscle and skin on the upper eyelid, especially the excess fat tissue in the inner part of eyelids are removed. Skin incisions pass through the folding area on the upper eyelid and eyelash lines in the lower eyelid.

How is the post-operative period?

It is not a painful operation. Oral painkillers are sufficient. The patient can be discharged on the same day. Since the eyelid is very thin-skinned, it gets easily swollen and bruised. For this reason, you can stay away from social life due to swelling and bruise for about one week after the operation. You can return to your work after one week. There is a period of time for your eyes to become natural. This period is 2 months on average.

Are there any aspects of the surgery to be afraid of?

The most feared bad result is that the eyelid is pushed downwards. This is related to the fact that more than excess skin is removed during the surgery. Its treatment is to replace the missing skin.