The eyelids are where the aging manifests itself the most. Skin wrinkling in the eyelids, which are both very mobile and very thin due to their structure, is an inevitable situation in later ages. Due to various factors, the skin on the lower and upper eyelids may loosen and sag. Bagging may occur with the herniation of muscle and adipose tissues. Even in advanced stages, the upper eyelid may hinder the patient's vision to some extent. All of this causes a tired and sleepy appearance. Fresh and dynamic look disappears.
In standard eyelid surgeries, the eyelid skin, the thin muscle layer under the skin and the fats that fill the eye bags are removed. Although this is a very common operation, patients may not get the exact result they dream of, especially in patients who have high expectations and are not informed properly. However, the results are quite satisfactory, especially for well-lit patients with realistic expectations. The reason for this is that some of the basic problems mentioned above do not belong to the tissues operated but to other adjacent structures such as cheeks and forehead. For example, a large amount of congestion in the upper eyelids comes from the droopy eyebrows.
How are eyelid operations performed?
- Operations are usually performed under local anesthesia. In lower eyelid operations, general anesthesia can sometimes be chosen according to the preference of the person. In the upper eyelids, the incision is made on the fold line approximately 1 cm above the eyelashes, while in the lower eyelids, it is made just below the eyelashes. Since the skin structure is very thin in both areas, there is no significant stitch scar left. Excess skin is cut away from the incisions made and the remaining tissues are brought together and stitched.
- Upper eyelid operations are most commonly performed with eyebrow lifting techniques.
- During lower eyelid operations, interventions are usually made in the mid-face area.
- The purpose of lower eyelid surgery is to remove the eye bags, to reduce the prominence of the tear trough and to regulate the lid-cheek relationship. Fat injections or fillers are frequently used during the operation.
- The operation takes about 45-60 minutes;
- After the operation;
- Bruises and swelling may occur around the eyes. Ice application is recommended for the first 24 hours. At the end of the 1st week, these will automatically decrease and disappear.
- Sutures are removed at the end of the 1st week.
- Surgery scars fade and become indistinct at the end of 1 month.