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When you wake up with a bad hair day you can always throw it into a ponytail or wear a hat, but it's a different situation when you wake up with a swollen face. If you think your face is swollen because of an allergic reaction or other medical condition, see a doctor right away.
Background: Aging begins around the eyes early in life and continues unabated up through one’s senior years.
Between of the weight of the eyelid skin and its folding over the lashline, an obstruction of the upper visual field results. With this upper eyelid hooding and visual field obstruction comes accompanying forehead wrinkles.
Blepharoplasty (eyelid lifts) in older patients can offer great improvement in appearance and even function.
1) Advanced aging around the eyes creates severe upper eyelid hooding, upper visual field obstruction and redundant lower eyelid skin with sagging. 2) When the amount of excessive eyelid skin is considerable, the eyes can look small and one can appear to be continuously ‘squinting’. 3) Upper and lower eyelid lifts (blepharoplasties) can create considerable improvement, opening up the eyes and making them feel less heavy.
But in its most extreme form, eyelid aging will develop hooding where the loose and excessive skin will fall down and even over the eyelashes.
When there is a large amount of loose upper eyelid skin, it is tempting to think that a dramatic change can occur with its excision alone. Under general anesthesia, a pretrichial (hairline) browlift was initially performed with a beveled incision along the frontal hairline.
Her postoperative course had the typical swelling and bruising around the eyes which ensues with some expected temporary foehead and frontal scalp skin numbness.
With severe periorbital aging, oen has to consider a more comprehensive surgical approach around the eyes.
1) Severe upper eyelid hooding and brow ptosis produces an combined aesthetic and functional obliteration of the eyes. 2) When the brow is low, even aggressive upper eyelid skin removal will not produce an adequate result. 3) A combined browlift and 4-lid blepharoplasties is needed to open up the eyes in severe aging changes. Background: The constant movement of the eyelids and their thin skin makes for early and inevitable signs of aging. Despite the relatively small amount of upper eyelid skin that naturally exists, it is incredible how much excessive and loose skin can be created. Case Study: This 55 year-old female wanted to improve the appearance of her tired and aging eyes.
Her postoperative course was typical for eyelid surgery with substantial swelling and mild bruising for the first ten days after surgery. Blepharoplasty surgery has one of the highest patient satisfactions of all the rejuvenative facial plastic surgery procedures.
1) Aging of the eyes occurs by hooding of the upper eyelid skin and bulging of lower eyelid fat.
3) A lower blepharoplasty removes or relocates herniated fat and removes a conservative amount of skin with corner of the eye tightening.
For fear of being overdone, some patients will stay with less invasive procedures like Botox, injectable fillers and light and laser skin treatments. A recent study published in the February issue of the Achives of Facial Plastic Surgery reports an interesting and perhaps not unexpected finding…the more procedures patients have done, the younger they look. But the real importance of this study, and something I tell my patients all the time, is that work done around the eyes always produces the most rejuvenated appearance. Cleaning up loose and redundant eyelid skin, getting rid of eyelid bags by fat removal and even lifting sagging brows can make the whole eye area look less tired and aged.
Eyelid (blepharoplasty) and browlift surgery can make a dramatic impact on how well rested you look since eye contact is a big part of every social conversation. One of the most commonly performed facial aging procedures is that of the blepharoplasty or eyelid surgery. Of all the facial aging procedures, blepharoplasty (eyelid surgery or eyelid tucks) often makes the greatest difference in your appearance because of their social awareness. The interesting thing about blepharoplasty is that is painless to go through for most patients. Blepharoplasty is one plastic surgery where what you do before and after the procedure can make a big difference in the amount of bruising and swelling that occurs. The cost of any type of elective plastic surgery plays a major role in the decision to undergo the procedure(s). Disclaimer: The information contained on this website should not be construed as medical advice.
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This periorbital aging is manifested by the creation of extra eyelid skin which is caused by the stretching of the thin eyelid skin due to frequent movement.
This is often not even noticed by the individual because the visual field loss is so gradual. While some of these horizontal forehead wrinkles are due to lifelong facial expressions, some of them are due to a constant holding of the eyebrows upward to lift some of the skin off of the eyelids, making one able to see better. But the lower eyelid must be handled very carefully as it is at high risk for after surgery lid malpositioning.
The near continuous motion of the eyelids creates loose skin and, with enough time and motion, the eyebrows will fall over the supraorbital rims and sag downward.. The eyebrow can even lie completely under the brow bone further accentuating the hooding effect of the loose upper eyelid skin. But this does not take into account the powerful negative effect of a low brow position and its influence on obscuring the vertical space between the lashline and the brow. While she initially resisted the idea of a browlift with her blepharoplasties, she eventually resigned herself to the fact that failing to deal with her eyebrow position would limit how much of a blepharoplasty result would be seen. Eleven mms of forehead tissue was removed from the center of the hairline tapering out into the temporal area. She looked fairly normal at three weeks after surgery and completely normal by 6 weeks after surgery. Often it appears that there is at least twice as much skin present than would normally exist in the upper eyelid as one ages. She had so much upper eyelid skin that it had fallen down onto her lashlines, partially obscuring her vision. Despite the small size of the eyelids, comparatively small amounts of skin and fat removal can make for a dramatic change in appearance. While they don’t produce surgical results, there is no fear of having too significant a facial change. This study looked at sixty patients between the ages of 45 and 72 years old, 90% of whom were females. Periorbital rejuvenation, blepharoplasties and browlifts, creates the most visible evidence of improvement to both the patient and particularly to others.
The eyes are the first area that begins to show age and often shows it the worst even as the rest of the face ages.
It can also relieve the weight of excess upper eyelid skin and get rid of bags on the lower eyes. Expect considerable swelling and bruising of the eyes, which usually is most severe by the second postoperative day. Keeping cold compresses on the eyes for the first 24 hours is also very helpful in in keeping down swelling. In browlifts, the incisions are in the scalp or at the hairline and there is no need to apply antibiotic ointment to them. In browlifts, there will be a circumferential head dressing to put pressure on the forehead. Exercise and strenuous physical activities should not be done for at least 3 weeks after surgery.
While it could be most common because there are four eyelids (and only one nose for example), it is frequently performed for reasons. Removing a little excess skin and fat can really clean up your eyes and make you look less tired and more vibrant.
Yes, there is some noticeable swelling and bruising around the eyes but remarkably, there is usually no pain.
Stopping any aspirin and non-steroidal medications 3 weeks before surgery is the first step. By 3 weeks after surgery, you will be able to enjoy the full benefits of your blepharoplasty surgery!
Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. Getting lower and lower over the years, the loss of incoming light from a gradually smaller visual field is just credited to a naturally weakening vision with age. The lower eyelids were treated by the raising of skin-muscle flaps, excision of protruding fat pockets, lateral canthopexies, conservative skin removal and orbicularis muscle suspension suturing. He did have a minor complication of some lower eyelid irritation and lower eyelid sag at the corners which took about two months after surgery to completely resolve. For many patients today, they have eyelid surgery early in life and never progress to see the extreme aging changes that can occur around the eyes. While such severe changes are usually seen in the elderly, it can occur in younger patients due to their natural genetics. Without such a space a supratarsal fold can not be created no matter how much eyelild skin is removed.

The browlift was secured into position with suture fixation through outer cortical skull bone holes and sutures to the galea.
It is also easily observed since the eyes are the fundamental focal point of human conversation. The amount of fat that comes sticking out (herniated) from below the eyeball to make up the lower eyelid bags can be equally impressive. By two weeks she looked nearly normal and by three weeks after the procedure she looked completely normal and non-surgical in appearance.
Every blepharoplasty patient’s goal is to look refreshed, maintain a natural appearance and avoid complications.
On the flip side of that concern is that they also want to have some visible improvement and get good value for their investment. Or, more relevantly, the more parts of the aging face you treat the better or more rejuvenated the entire face becomes. For this reason, blepharoplasty in particular is almost always the best value of any facial rejuvenation procedure.
Any surgery around the eye will cause a fair amount of bruising and swelling after which, although it is fairly painless, certainly looks bad and is socially obvious for a awhile. This can be done with ice cubes or frozen vegetables in a ziplock bag, changing them every 30 minutes or so as they become lukewarm. Bending over (head below one’s waist) should be particularly avoided within the first week after surgery.
It is the earliest sign of facial aging…and it often bothers patients the most because aging eyes are seen by all and make an impression (usually wrong) of being tired or worn out.
This is why I always call blepharoplasty the best value of all the facial aging procedures. Everyone will notice how much more refreshed you look…even though most will never figure that it was due to eyelid surgery. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. Known as hooding it essentially creates folds of skin that lie on the eyelashes pushing the lid margin downward. An upper and lower blepharoplasty was then done, removing skin only in the upper eyelid and skin and fat from the lower eyelid.
The lower eyelid skin was conservatively trimmed of excess skin and the orbicularis muscle and skin resuspended out laterally. Her last follow-up at three months after surgery showed a refreshed and rejuvenated periorbital appearance. It has the greatest anti-aging effect for the money as its benefits will be guaranteed to be seen by all.
Here is list of instructions that I provide to my patients after blepharoplasty and browlift plastic surgery. The antibiotic ointment is an ophthalmic preparation, so it is safe if it gets in your eyes.
Every conversation that you have ever had, you spend most of your time (or you should) looking into the other person’s eyes. For the first 24 hours after surgery, keeping your head up and ice on the eyes is tremendously beneficial.
This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Luckily, there are actions you can take to reduce swelling and keep your face looking its best. I also place an Actipatch Eye Recovery mask immediately after surgery and onto this is where you place the ice.
The third group had more total facial rejuvenation which also included browlifts with blepharoplasty and facelifts.
Some patients don’t care what others think and they are back in circulation within 3 to 5 days. ActiPatch emits pulsed electromagnetic waves which help reduce swelling on the traumatized eyelids. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. Most patients do care, however, so their full return to the public eye may be closer to 7 to 10 days. After the first 24 hours, keep your head elevated and only use a very light amount of eye antibiotic ointment on your eyelid incisions. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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