Thursday, February 14, 2013

Evolution of the Lower Lid Surgery III

Both transcutaneous and transconjunctival blepharoplasty are regarded as substrative procedures in which the fat and redundant skin and muscles are removed. These are time-tested methods of correcting the undesirable sequelae of the aging eye. However, excess removal of the fat or skin and muscles can give rise to poor aesthetic results. One of these is hollow appearance of the eyes from excessive fat excision.
The above diagrams show the effects of excessive
fat removal.

This patient has excessive fat removal resulting in hollow appearance.
The treatment of choice is volume replacement with filler
or autologous fat transfer.

Desirable effect of transcutaneous blepharoplasty
without excessive fat removal.

Post transcutaneous bepharoplasty without excessive fat removal.
However, this patient has faint tear troughs which could be
 removed with fat repositioning or filler.
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  1. The eyes are the most common central point at the time of conversations. With ageing you may notice a change in the appearance of eyelid, which can make it look droopy, fatigued or gloomy. This can significantly hamper the aesthetic look of your face. In some cases, there can be excess eyelid skin or orbital fat which has the potential to cause pseudoptosis. Eyelid surgery, a reliable cosmetic procedure, can help to restore your youth and enhance aesthetic appearance. Blepharoplasty is a surgical procedure than can modify droopy eyelids by eradicating excess skin and fat.

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  2. Blepharoplasty is the cosmetic procedure in which your eyelids are reconstructed and excess skin removed

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