Blepharoplasty

The eyelid correction or blepharoplasty is different from person to person and depends on the amount of fatty tissue and skin to be removed. Corrections of the upper and lower eyelid should also be seen as two different procedures.

BLEPHAROPLASTY: THE UPPER EYELID

A correction of the upper eyelid especially involves skin removal. This type of blepharoplasty takes an average of one hour and is usually done under local anaesthesia.
The incision is made in the fold of the eyelid, so the scar will not be visible. A strip of skin (and sometimes also a piece of the orbicular muscle of the eye) is cut out. Possible fatty tissue at the interior corner of the eye, next to the nose, will also be removed.

BLEPHAROPLASTY: THE LOWER EYELID

When treating the lower eyelids, the so-called bags under the eyes are the biggest problem. Other methods need to be used: removal of fatty tissue and Hamra’s technique. Together with the plastic surgeon you can decide which method would provide the best result for you.

The first possibility involves removing fatty tissue. First of all, the surgeon needs to determine whether the bags under the eyes are indeed caused by excess fatty tissue and not fluid accumulation. Seeing that fatty tissue is constant, it can easily be removed. An oedema, on the other hand, is not constant and can alter from hour to hour.

If an excess of fatty tissue causes the bags under the eyes, removal will be done by making an incision just below the eyelashes. Often some skin is removed as well in order to avoid the effect of a ‘puffy, empty bag’ under the eyes. With this type of blepharoplasty, the orbicular muscle around the eye can easily be tightened.This form of blepharoplasty takes about an hour and is usually done under local anaesthesia.

Hamra’s technique does not involve removal of fatty tissue as it could lead to the ‘hollow eye syndrome’. This procedure, Hamra’s technique, does involve fatty tissue from the eye bags being spread to the space between the eye and the nose.
Hamra’s technique can improve the black circles, a signature of a lack of fatty tissue. This deep skin crease contains little fat. But this problem can be solved by Hamra’s technique, moving fatty tissue to the desired area.

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Belpharoplasty: before and after pics

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