Your eyes are often the first things that people notice about you, and are an important aspect of your overall appearance. Young eyeIid skin is smooth, but over time, the eyelid skin stretches, the fat bulges, and the muscles weaken. The eyebrows may also droop and sag (a condition called brow ptosis). Age, heredity and sun exposure all contribute to this process. Loose or baggy lids detract from your overall appearance and make you look tired or older. When the brow droops, it crowds more skin down over the upper lids and exaggerates the hooding and crow’s feet at the outer corners of the eyes, making you look sad, tired, or angry. When severe enough, the upper eyelid skin may hang over the lashes and obstruct peripheral vision.
Eyelid surgery can provide one or a combination of the following improvements:
-Opening the upper eye area
-Reducing puffy under-eye bags
-Removing loose skin and fat deposits on the upper or lower eyelids
-Improving peripheral vision obstructed by upper eyelid hooding
Surgery to remove excess skin, bulging fat, and lax muscle from the upper or lower lids is called blepharoplasty. If the sagging skin obstructs peripheral vision, blepharoplasty can eliminate the obstruction and expand the visual field. Blepharoplasty will also give the eyes a more youthful appearance. Excess skin and fat are removed from the upper lid through an incision hidden in the natural eyelid crease. If the upper lid is droopy, the muscle that raises the lid can be tightened. The incision is then closed with fine sutures.
Blepharoplasty will not elevate a drooping brow or remove wrinkles in the crow’s feet area. A procedure to elevate the brows may be appropriate, instead of, or in addition to upper lid blepharoplasty. Correction of mild to moderate brow ptosis can be accomplished through incisions directly above the brows, in the forehead creases, or at the hairline. These techniques are most effective if the brow ptosis involves predominantly the central area of the forehead. For more significant amounts of brow ptosis, or to address deep frown lines or lateral hooding of the upper lids, it may be necessary to raise the brows and forehead through incisions behind the hairline. The endoscopic brow lift is performed through small incisions hidden behind the hairline, using an endoscope and special instruments. The muscles that pull the brow down and crease the forehead skin are relaxed, allowing the brow to be raised into a more youthful position. A coronal brow lift can achieve the same results through a large incision well behind the hairline.