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Indications:
This operation is
done to remove bagginess and tighten lose skin of the eyelids. It does
not remove fine wrinkle lines, these require resurfacing the skin. The
forehead and face are not tightened by eyelid surgery.
Method:
The method of surgery
is to undermine the skin and remove the excess; this tightens the skin.
At the same time it is often necessary to remove the fat pads which
have come close to the surface. The incisions are placed in the natural
crease lines of the upper and lower eyelids. Some patients are candidates
for transconjunctival blepharoplasty. In this operation for lower lid
bagginess, the incision is placed on the inside surface (the conjunctiva)
of the lower lid. This avoids a visible scar. The operation is done
under either local anesthetic (you are awake) or general anesthetic
(you are asleep). You can choose. Most of the time this is an outpatient
operation and a stay in the hospital is not needed.
Problems: All
operations have some risk. The risks of surgery are divided into two
groups. First those that are seen in all operations and second those
that are unique or special for this operation. In the first group, the
main risks are swelling, bruising, bleeding, infection, a scar and numbness
or change in feeling. The main problem which is special for this operation
is ectropion or pulling down of the lower lid. Asymmetry of incision,
dryness of the eyes and inability to completely close the eyelids have
also been described.
Postoperative care: The
recovery takes one to two weeks. Most people are back to work within
a week or two.
For more
information schedule your free consultation with Dr. Wittenberg to
discuss this procedure in full. Our experienced and professional office
staff members are here to help you with all your questions. Call our
offices at (831) 636-9808.
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