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Eyelid Surgery
- Notes: 32 year old woman desires a double eyelid fold. She has a rudimentary crease in the upper eyelids. This leaves her with no place to apply eyeliner on the upper eyelid. Asian eyelid surgery is not about Westernizing the eyelid. Rather it is about conserving normal eyelid structure while at the same time providing complementary eyelid definition to produce the desired result. Typically this type of surgery involves about a week of downtime.
- Notes: 33-year old woman with heavy upper eyelids and lower eyelid fullness. Diagnosis: Heavy brows are a feature she as had since childhood. The lower eyelids demonstrate a slight fullness from fat. Treatment: Upper and lower blepharolplasty. The goal here was to remove enough skin in the upper eyelids to accentuate the upper eyelid platforms without removing too much of the fullness of the upper eyelid which is an important feature of her face. Her mother had a bad upper eyelid surgery and at first her mom was critical of my work because she thought I had not removed enough eyelid tissues. Once that patient healed her mother cried and apologized for being critical. The patient herself is thrilled with the result and has new confidence. She told us that this surgery literally changed her life.
- Notes: 59-year-old man bothered by the fullness in the lower eyelids. Diagnosis: Herniated lower eyelid fat. Lower eyelid wrinkles. Sun damaged skin. Treatment: Transconjunctival lower eyelid surgery. Lower eyelid chemical peel. Lower eyelid surgery reduced the fullness of the lower eyelid by removing eyelid fat. This tends to deflate the lower eyelid and slightly increase the lower eyelid wrinkles. The chemical peel performed at the time of the lower eyelid surgery, helps to firm the lower eyelid skin and reduce this tendency and avoids the need for surgery to remove the excess lower eyelid skin.
- Notes: 50-year-old woman with a prior history of four eyelid blepharoplasty. Her heavy right upper eyelid bothers her. She is also concerned about the undereye hollows and nasolabial fold. Diagnosis: Prior eyelid surgery. Bilateral, asymmetric upper eyelid ptosis, right worse than left. Undereye circles. Nasolabial folds. Treatment: Bilateral upper eyelid ptosis surgery. Undereye DeepfillTM Restylane® treatment. Juvederm® implant for the nasolabial folds.
- Notes: 43 year old concerned with the heaviness of the right upper eyelid and the fullness in the lower eyelids. Diagnosis: Asymmetric eyebrows Herniated lower eyelid fat Treatment: Right upper eyelid surgery Bilateral lower eyelid surgery Discussion: Dr. Steinsapir’s procedures are tailored to your needs. Note that the lower eyelid surgery is performed through an incision behind the eyelids (i.e. no skin incision). The upper eyelid incision is hidden in the upper eyelid crease.
- Notes: 45 year-old desiring improvement of her face. Diagnosis: Midface ptosis Herniated lower eyelid fat Lower eyelid rhytids. Treatment: Lower eyelid transconjunctival blepharoplasty Arcus marginalis release Lower eyelid chemical peel
- Notes: 27 year old with a droopy right upper eyelid. Diagnosis: Right upper eyelid ptosis Treatment: Right upper eyelid ptosis surgery
- Notes: 28-year-old woman concerned with eyelid symmetry. In talking with her, her primary concern is that the eyes are both heavy but the right eye look heavier that the left eye. Diagnosis: Bilateral upper eyelid ptosis with facial asymmetry. Note that her right eye sits lower in the face than the left globe. Recognizing this fact determines the limits for what will be possible surgically. Treatment: Bilateral upper anchor blepharoplasty. Bilateral upper eyelid ptosis repair. Discussion: It is essential to correctly diagnose the nature of the anatomic issues. The punishment should fit the crime, meaning that surgery must be appropriately tailored to the individual situation. Her result is completely natural, yet it brightens her eyes. She was thrilled with her result.
- Notes: 28-year-old woman concerned with eyelid symmetry. In talking with her, her primary concern is that the eyes are both heavy but the right eye look heavier that the left eye. Diagnosis: Bilateral upper eyelid ptosis with facial asymmetry. Note that her right eye sits lower in the face than the left globe. Recognizing this fact determines the limits for what will be possible surgically. Treatment: Bilateral upper anchor blepharoplasty. Bilateral upper eyelid ptosis repair. Discussion: It is essential to correctly diagnose the nature of the anatomic issues. The punishment should fit the crime, meaning that surgery must be appropriately tailored to the individual situation. Her result is completely natural, yet it brightens her eyes. She was thrilled with her result.
- Notes: 22-year-old man bothered by the fullness in the lower eyelids. Diagnosis: The fullness in the lower eyelid is due to orbital fat that is visible because of a descent of the cheek fat pad. Classically transconjunctival surgery to remove lower eyelid fat would be offered to an individual with this set of issues. However, due to the descent of the cheek fat, removal of the lower eyelid fat without addressing the descent of the cheek fat would only accentuate the hollow under the eyes. Treatment: An arcus marginalis surgery was performed. This conserves the lower eyelid fat, which is rotated out of the lower eyelid space and onto the top of the cheek fat softening the lower eyelid hollow. Recovery is typically 8-10 days. Surgery can be performed in the office procedure suite under local anesthesia.
- Notes: 73-year old woman who feels that she can’t see her eyes any more. She is interested in cosmetic eyelid surgery to improve her appearance. Diagnosis: Dermatochlasis of the upper eyelids and eyebrow ptosis. She has heavy wrinkling around the eyes and in the crowsfeet areas. The lower eyelids demonstrate herniated orbital fat. Treatment: Upper and lower cosmetic eyelid surgery. The lower eyelid surgery was performed from behind the eyelid avoiding a skin scar. She has achieved her goals with a significant improvement. Her down time lasted about 10 days.
- Notes: 54-year old woman who feels her appearance makes her look tired. She wants to refresh her appearance but wants the results to look very natural. Diagnosis: Hooding of the upper eyelids. Bilateral eyebrow ptosis. Full lower eyelids due to herniation of the orbital fat. Lower eyelid wrinkles. Midface ptosis Treatment: Bilateral endoscopic forehead lift. Bilateral upper eyelid anchor blepharoplasty. Bilateral lower eyelid transconjunctival blepharoplasty. Bilateral midface lift. Bilateral lower eyelid chemical peel. Discussion: In this instance, a very detailed approach was needed to comprehensively improve her eyelid area. Pushing a single approach too far causes an over-operated appearance. Her appearance is very natural because of the detailed problem oriented approach to addressing her aesthetic concerns.
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