Blepharoplasty- Eyelid Surgery
By removing excess fat, skin and muscle from the upper and lower eyelids, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes. It is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of the patient’s field of vision. Blepharoplasty cannot be used to raise the eyebrows or reduce the appearance of wrinkles, crow’s feet or dark circles under the eyes, but the procedure can be combined with others such as a facelift and Botox ® treatments to achieve these results.
The procedure is usually performed in an office with local anesthesia and lasts 45 minutes to a few hours depending on how much work is done. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). The surgeon removes excess tissue through these incisions and then stitches them closed with fine sutures. In the case that no skin needs to be removed, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.
Asian Eyelid Surgery
Cosmetic eyelid surgery is the most common elective procedure among people of Asian ethnicity in the United States and in Asia. The procedure can thin a full eyelid, alter the shape or height of the upper or lower eyelid, decrease a pronounced epicanthal fold (the flap of tissue on the nasal side of the eyelid), or create a natural-looking crease in a double eyelid, which occurs in about 50-70% of the Asian population.
A common misconception is that blepharoplasty is performed to “Westernize” the eyes in an attempt to look “less Asian.” While each person’s reasons for having surgery are unique, this kind of cultural dissatisfaction is almost never a factor. Rather, the overall goal is to help the patient look and feel his or her best by changing the eyelid shape to achieve a more attractive or younger look, balance the facial features and boost self-confidence.
The procedure itself varies depending on the techniques used as well as the patient’s goals and eyelid anatomy. Generally, the surgery is performed under local anesthesia. An incisional approach is usually taken for double eyelid surgery, in which the skin and sometimes muscle are trimmed and some fat may be removed. In some cases, particularly for lower eyelid surgery, a transconjunctival (minimally invasive) approach is possible. Occasionally, the physician may be able to employ a non-incisional method using permanent sutures. Incisions and sutures are carefully placed to minimize visible scarring.
Lip augmentation increases the size of the lips through a variety of surgical and nonsurgical techniques that provide temporary or permanent results, depending on the type of material used. This procedure may be performed on one or both lips, and offers patients noticeable yet natural-looking results through a single treatment session.
This procedure is often combined with others, such as a facelift, rhinoplasty or chin augmentation to achieve a fully rejuvenated, balanced facial appearance.
There are several different options to enhance the lips, each offering patients different benefits. Injectable fillers such as Restylane®, Hylaform® and Artecoll® are performed on an outpatient basis and are injected directly into the lips for safe, noticeable results that can last for several months. Additional injections can help maintain the results of this procedure.
For more permanent results, implants can be placed in the lips during a surgical procedure performed under local anesthesia. During this procedure, an incision is made inside the mouth to place an implant material taken from the patient’s own body, a donor or made from synthetic materials.
Many patients satisfied with the appearance of their enhanced lips through injectable fillers seek lip augmentation with implants for long-lasting results. Your surgeon will discuss these options with you and determine which method is best for you during your pre-surgical consultation.