”You don't have a second chance to make a first impression!“ It is one of the introductory words that personal development experts like to use when they start speaking. When you create your first impression, your dress, your body language are all important, but eye contact comes in before social communication begins. We try to understand the emotions of the person in front of us. Therefore, the eye area of the person in front of us is a body area that is important enough to affect our thoughts about the person.
The face alone does not consist of eyes, lips, eyebrows or cheeks; it must be considered as a whole, but the face begins to show itself around the eyes first. Skin sagging of the upper and lower eyelids, swelling, wrinkles and bagging causes an elderly, sleepy and tired appearance. Although the upper and lower lids are almost similar, they may not be deformed at the same speed, so the lower and upper lids may be separately considered.
Downward displacement of the forehead and eyebrows under the influence of gravity begins around thirty-five years of age. The widening of the upper eyelid skin becomes more significant by sagging on the outside of the eyebrows. In the fifties, the muscles and skin on the upper eyelid are also thinned, as the muscles and skin on the entire face and the sagging increases further. Because of the connective tissue around the eyes and loosening of the fibers, the fat pads in the eye pit are herniated and the so-called detention pouches are formed. Depending on the genetic features, sagging and/or bagging may also occur in the eyelids. Aesthetic eyelid surgery, such as blepharoplasty, can give the person a more youthful and fit appearance. Since the eye area has a very complex and sensitive anatomical structure, pre-operative examination should be performed very carefully and the intervention plan should be made.
Two problems are usually encountered in the upper eyelid, including the excess skin and hernia. If there is excess skin, it may be necessary to remove only the skin, if the excess skin is accompanied by an excess of fat. Sometimes the upper eyelid skin sagging becomes so much that you can even reduce your visual field may prevent you to see. Swellings on the outside of the upper eyelid may be caused by a displacement of the tear gland, not from excess fat. Fixing the tear gland towards the bone can solve this problem. In the lower eyelid, the fat tissue on the lower part of the eyeball, due to the loosening of the connective tissue, can be bagged forward. If this fat is more than necessary, it may be applied to remove the reduced fat tissue in order to compensate the tissue deficiency in the areas such as the tear groove in the distal lower eyelid-cheek separation. The groove in the lower eyelid-cheek can be temporarily corrected with fillers without surgery.
Upper eyelid operations can be performed mostly by local anesthesia, and local anesthesia should be added to the sedation method because it works in the deeper tissues of the lower eyelid. The operation of the upper eyelids alone ends in half an hour, but the operation of the lower eyelids lasts about 1 hour. A complete general anesthetic can be administered to the patients who desire. If the surgery is done with local anesthesia or sedation, they can be discharged on the same day. There may be bruises and swelling on the eyes around 7-10 days. It takes 1-2 months to complete the operation. The eyelid skin is the easiest and the best healing skin of the body, so there is no obvious scars.
Eyelids age with other organs on the face. Only the eyelid surgery of a person with eyebrow edges sagging and a goose foot will provide a partial benefit in tired or elderly expression of the patient, so the patient will not be sufficiently happy. For this reason, detailed examination of the patient must be made by a plastic surgeon and it must be analyzed whether there are additional needs such as eyebrow lifting, face lifting, filling, botox.
As with any surgery, some undesirable conditions may develop in eyelid surgeries. In the early period, the risks associated with general anesthesia may be bleeding, infection or wound healing problems. As the operation is made around the eyes, early eye irritation or dry eye may be observed and you may need treatment. Swelling and bruises around the eye after this surgery may last longer if you are exposed to sunlight for a long time. The amount of skin to be removed from the upper and lower eyelid is very important. If excess skin is removed, your eyes will remain open and they will dry out and prepare keratitis. A good planning should be made before surgery because the removal of excess tissue is much more difficult. Although the eyelid skin is the thinnest and easiest healing skin, it should not be rejected that each individual's wound healing process is different.