Plastic correction of the eyelids
The goal of the procedure is the removal of excess skin from the upper or lower eyelids, or both simultaneously. You can also treat wrinkles in the eye area and so-called “sacks”. This procedure often has a functional character, because the superfluous skin of the eyelids restricts the patient’s field of vision. A correction of the eyelids can therefore have both aesthetic and health character. The result of the eyelid correction is a firm and smooth skin next to the eyes, which can rejuvenate the face significantly.
Before the procedure
Necessary conditions for this procedure are a good overall health condition and correct values from basic laboratory tests: bleeding time, blood glucose, morphology, coagulation indicators APTT and INR, creatinine. Contraindications to the procedure include: anemia, vascular defects, uncontrolled hypertension, diabetes, sinusitis, pregnancy.
Course of the procedure
In case of a correction of upper eyelids, we remove superfluous skin in the form of a whetstone. The cut is guided in a fold. The area of the superfluous skin is measured with the eyes closed. The wounds closed with subtle seams. Correction of lower eyelids will cause the incision below the line of the eyelashes. The superfluous skin is specially prepared and removed with the eyes open. After that, the skin is connected to subtle seams. Some diseases require a reduction. The procedure is performed under local anesthesia and takes about 30-45 minutes for upper eyelids and 60 minutes to 2 hours for lower eyelids.
Natural consequences include swelling, bruising and mild pain. Sometimes in the first hours after the procedure slight bleeding may occur in the wounds. This happens because no dressings are used in this type of procedure.
Absence after the procedure usually takes 7 days. After the procedure, wet, cold compresses of boric acid should be used. In the first few days the eyelids may be swollen and sometimes have an unnatural shape. These symptoms last only for a few days. Cold compresses help the patient. The sutures are removed after 5 to 7 days. Normal appearance can be achieved again after about 10 days, the whole recovery lasts one month. Only after this time should one evaluate the results of this treatment. Sometimes the healing process is a bit slower.
The medical literature notes, that complications and poor results are rarely observed but sometimes occur. Most commonly identified complications are: less accurate closure of the upper eyelid, evasion of the lower eyelid.
Reconstructions of the eyelids
The reconstruction of the eyelids is necessary, if the patient lacks part or the entire eyelid. Such situations are the result of birth defects, accidents or cancers. The procedures are usually performed under local anesthesia and should reconstruct the anatomy of the eye protection as well as possible.
Course of the procedure
Cancers are most commonly found near the inner corner of the eye. Much less often they affect the upper eyelid. After complete removal of the tumor with a margin of healthy tissue, the site is refilled with a skin graft. Depending on the characteristics, the procedures last from 30 minutes to 2 hours. After the procedure, a pressure bandage is used.
Natural consequences of the procedure are swelling, bleeding, mild pain, watering and bruising. The mentioned symptoms disappear in a few days. The bandages are changed at intervals of a few days. The absence lasts 2 weeks.
Reconstructive surgery may result in bruising, inflammation of the wounds or necrosis of the margins. Such situations are associated with infections or blood clotting disorders. Non-compliance with medical instructions is also one of the reasons.
In reconstructions after accidents or birth defects, the rate of complications is much lower.