It is possible to achieve both cosmetic and functional improvements with eyelid aesthetic surgery.
Eyelids are functionally very important structures. They protect the cornea layer of the eye and ensure that the tears are dispersed and keep the eye in an ideal moisture balance. Exposure of the cornea due to structural problems in the eyelids may cause epithelial problems or infection. Depending on their type and progression, eyelid problems can cause a range of problems characterized by eye irritation, pain or vision loss.
Eyelids have an anatomically complex structure. It basically consists of two parts. The anterior skin and muscle layer is the soft layer. The posterior part is rigid and is called the transconjunctival layer. The skin of the eyelids is the thinnest skin layer of the body and has an almost transparent structure. Under normal conditions, there is no subcutaneous fat, there is a striated subcutaneous muscle on the upper and lower lids.
Eyelid problems can be seen in a wide range. It is possible for both benign and malignant tumors to form in the area, which heals on their own. Structural problems such as inflammation, infection, ectropion, entropion and blepharoptosis can also affect the eyelids.
Most eyelid conditions are not vision-impairing or life-threatening. However, some problems can cause burning, irritation, pain and foreign body sensation in the eyes. One of the most common eyelid problems is an inflammation of the eyelid called blepharitis.
The condition in which the eyelashes or skin come into contact with the eye surface as a result of the eyelids turning inward is called entropion. Entropion can cause irritation and discomfort. When there is entropion of the eyelid, the eyelids may turn when the eyes blink rapidly. It usually occurs in older people and on the lower eyelid rather than the upper eyelid.
Artificial tears may need to be used to control discomfort due to entropion. But this is a temporary measure. Surgical methods are used within the scope of entropion treatment. If left untreated, entropion can damage the cornea, cause eye infections, and even threaten vision over time.
The most common entropion symptoms include eye redness, stinging, eye irritation, watery eyes, crusting on the eyelids, sensitivity to light and wind. Since corneal injury may occur when symptoms such as pain, sensitivity to light, decreased vision and redness of the eye are experienced, it is recommended to evaluate treatment options without wasting time.
Ectropion, which can be seen for different reasons such as weakness in the eyelid muscles, loosening of the tissue due to aging, skin cancer, trauma, eyelid enlargement, congenital anomaly, can be defined as an eyelid problem characterized by outward turning or drooping of the lower eyelid. It is known that this health problem, which can cause dry eye, irritation and corneal damage, can damage vision if treatment is delayed. Although ectropion treatment is planned for the patient, an operation is required for definitive treatment.
Classified as the most common eyelid abnormality, trichiasis is a problem characterized by the cilia turning inward and sinking into the eyeball. In the presence of trichiasis, the eyelashes may rotate along the eyelid or in a small part of the eyelid.
Eyelashes may turn inward after an eye infection or following trauma to the eye. Sometimes, the loss of elasticity of the skin as we age can also be the cause of trichiasis. This health problem, which can also be seen in children, mostly affects adults. Trichiasis treatment can be performed with different techniques specific to the patient.
Cysts that form on the eyelid are called chalazions. Chalazions appear as a small, red, tender and swollen area that begins to grow slowly and painlessly within a few days. They can often be confused with the formation of a sty, which is an infection of an oil gland in the eyelid. A stye forms a swollen, painful lump on the edge or inside of the eyelid.
The formation of chalazion can come to the fore for many different reasons. Chronic inflammation of the eyelids, viral infections, seborrhea, tuberculosis and rarely skin cancer can lead to chalazion formation. Chalazion is more common in adulthood, its treatment is determined on a case-by-case basis, and the cyst should not be squeezed.
Xanthelasma is a fatty plaque that usually forms near the inner canthus of the eyelid. It can be soft, medium hard or hard structure. It often occurs symmetrically. It can be progressive and permanent. It is the most common subtype of Xanthoma, which means the accumulation of cholesterol in various parts of the body. It usually does not go away on its own, it can stay the same size or get bigger.
Xanthelasma treatment is mostly performed for cosmetic purposes. Treatment may require surgery, laser therapy, chemical peeling, or cryotherapy. The treatment processes of patients with fat plaques on the eyelids are decided individually.
Pathological drooping of the eyelids, called ptosis or ptosis, can occur for various reasons, such as medical problems, aging, and exposure to trauma. Eyelid drooping can occur unilaterally or bilaterally.
Depending on the severity of the situation and the drooping of the lids, vision may be obstructed. Eyelid drooping can occur temporarily or permanently. Ptosis can be seen in people both at birth and with advancing age.
One of the most common symptoms of drooping eyelids is drooping of one or both of the upper eyelids. The size of the sagging may vary, in some people it may not be noticed when carefully looked at, while in others it may be so obvious that it obstructs vision.
Depending on the progress of the ptosis, a tired and dull impression may occur in the facial expressions of the people, the person may try to increase the angle of view by tilting his head and raising his chin to increase his vision, and complaints such as dryness and tearing in the eyes may occur.
Treatment of droopy eyelids may vary from person to person. In the treatment planning, a number of factors such as whether the vision of the patients are blocked as a result of drooping eyelids, whether there is restriction in the movements of the eyelids, how the person is affected by the change in facial expression, the age of the patient, and whether the eyelid muscles are functional are taken into account.
After detailed controls, different methods such as upper eyelid aesthetics, use of glasses, ptosis surgery where the eyelid muscles are tightened can be applied within the scope of the treatment of droopy eyelids.
It is the duty of the muscles in the region to open and close the eyelids and keep them in the proper position. When the eyelid muscle is too weak, in other words, when the muscles need to be strengthened in order to compensate for the drooping of the eyelids, the frontal suspension technique may be required. After the operation, which is completed in about 15 minutes for one eyelid, the eyes should remain bandaged for 1 day.
There are many factors that can cause drooping of the eyelids. In particular, drooping in one eyelid may indicate nerve injury or sty formation. Sometimes, LASIK and cataract surgeries can also cause droopy eyelids due to muscle and tendon stretching.
In some cases, drooping eyelids can also be associated with serious health problems such as brain tumor, stroke, nerve diseases or cancer. Neurological disorders such as Myasthenia Gravis, which can affect the nerves and muscles of the eyes, can also be shown among the causes of ptosis.
Different methods are used in the treatment of droopy eyelids. When determining the method, the reasons for the droopy eyelid are acted upon. When the cause of the droopy eyelid of the person is the levator muscle, which is responsible for the opening and closing of the eyelid, this muscle needs to be repaired.
Eyelid aesthetics, which is applied to remove the sagging skin on the eyelids and rejuvenate the eye area, is not effective in this case. If the cause of the drooping of the upper eyelid is sagging of the skin, the problem can be resolved with blepharoplasty.
It is possible to achieve both cosmetic and functional improvements with eyelid aesthetic surgery. Lower and/or upper eyelid aesthetics;
Excess skin on the upper eyelid droops and can obstruct vision depending on the amount of sagging. The fat layer that is buffered and sagging around the eyeball can cause bagging. All these changes are among the signs of eyelid aging.
The cosmetic and functional changes they cause can change the shape of the eyes of the person, add a tired look to their eyes, and the deformity of the eyelids can cause aesthetic anxiety.
The most ideal treatment method for eyelid aging
The most ideal treatment method for eyelid aging may vary depending on the patient and the scope of the complaints. In the absence of significant sagging, successful results can be obtained with non-surgical applications, but eyelid aesthetics should be considered for intense sagging and wrinkles that will change the expression of the person.
Eyelid aesthetics can be examined in two separate sections as lower eyelid aesthetics and upper eyelid aesthetics. These two subtypes can be applied separately or simultaneously according to the needs of the patients.
In the early period after eyelid surgery, patients may experience complaints such as numbness, swelling around the eyes, bruising, dryness in the eyes, sensitivity to light and mild pain. In order to minimize the complaints, it may be necessary to apply cold compresses with the recommendations of the surgeons. The pain felt is at a level that can be controlled with simple painkillers.
