The ocular region is the preferred area of emotional expression in relationships between people. Its appearance can be altered by general or local conditions as well as by adverse life situations. The passage of years usually manifests first in the eyelids and in the surrounding region (periocular region), rather than in the face.
Cosmetic Eyelid Surgery in Delhi has progressed in recent decades from a simple removal of excess skin and palpebral bags to a selective treatment of all palpebral structures affected by the aging process.
Numerous techniques have been developed that allow the individual treatment to be adapted to each patient according to the predominance of the relaxation of the different structures that make up the eyelids.
The use of these techniques, supported by a good indication in each patient, provides an optimal and lasting result with a reduced risk of complications.
The choice of technique depends not only on the quality of the skin of the eyelids and their possible alterations due to general and local conditions, but also on many other factors, such as:
- The amount and situation of folds and wrinkles
- The tension of the orbicular muscle
- The function of the eyelid lift muscle
- Tension of structures of fixation of eyelids
- The inclination of the palpebral fissure, which usually varies with age, with a decrease in the external angle of the eye
- The presence of palpebral bags
- The descent or protrusion of the lacrimal gland
- The symmetry or asymmetry of the two palpebral regions
- The quality of individual healing
In addition, frequently, after the age of 35, the problem is not limited to the eyelids, but also involves the periocular region in the production of a tired or aging appearance. The eyelids are inserted in this periocular region, which forms the frame of the eye, analogous to the frame of a frame.
A fully satisfactory result is not always achieved if only the appearance of the eyelids themselves is improved by the removal of excess skin, if the eyebrow and the upper part of the eyelid have descended below the bony ridge, if there are sharp wrinkles in the eyebrows, folds in the region of the crow’s feet or deep furrows under the lower eyelid, in the border with the cheek.
The lack of correction of these factors produces an incomplete elimination of the appearance of fatigue, sadness or aging.
What is the operation of the eyelids?
A single technique is not used, but different, according to the preoperative assessment of each patient: At the level of the upper eyelid the excess of the skin is corrected by removing a spindle of skin and part of the orbicular muscle that is below. If there is an excess of fat, which usually happens especially in the middle and internal part, it is corrected.
Sometimes you have to resort to additional techniques to achieve an optimal result. The suture in the upper eyelid is made inside the skin, to be able to leave the stitches the necessary time (about 7 days) without leaving suture marks or cysts.
In the lower eyelid, if there is a cutaneous excess with wrinkles, the skin of the orbicularis muscle is separated, it is tensed and the excess is resected. If there are also bags, the fibers of the orbicular muscle open at that level and excess fat is extracted.
If the bags are very extensive or the free edge of the eyelid has lost its normal tension, additional techniques are used.
In summary, the treatment will depend on the participation of the different structures in the aging process of the eyelids and the periocular region, which are different in each patient. The intervention requires experience and a precise and delicate technique, as well as a good quality of healing.
Are scars visible after an eyelid operation?
For the aesthetic operation of the Cosmetic Eyelid Surgery in Delhi, we practice the incisions in areas of low visibility: in the lower eyelid, 1 or 2 mm below the free edge of the eyelid, that is, in the “shadow” of the eyelashes. In the upper eyelid, the scar is located in the same palpebral fold, so that it is not seen when the eye is opened.
To avoid stitch marks, a continuous suture is used on the upper eyelid within the same skin, which is removed after 7 days. In the lower eyelid, the points, very thin, are removed soon: towards 48 or 72 hours after the intervention.
In general, the scar, which at first may be somewhat red, soon pales and is usually not visible until 6 or 8 weeks. However, there may be some patient with a tendency to form hypertrophic scars, which may take longer to pale.
Fortunately, the appearance of a hypertrophic or keloid scar (very red and thickened) is extremely rare at the level of the palpebral region.
What preoperative exams are necessary?
Apart from the clinical history and the examination performed during the first consultation and possible individual complementary examinations, a blood test should be performed as with any surgical intervention.
If the intervention is going to be performed under general anesthesia or sedation, you will be referred to a pre-anesthetic consultation in which the anesthesia team, who will take care of you during the surgery, will indicate the analyzes and tests that are appropriate perform.
At least 15 days before the intervention, you should refrain from taking medications containing acetylsalicylic acid or salicylates , anti-inflammatory, evening primrose oil and vitamin E, as they favor surgical bleeding and the formation of cardinals in the postoperative period. If you want to take an analgesic or antipyretic, consult us before doing so.
The day you have been scheduled for the intervention, you must go on an empty stomach, that is, without having taken any food, not even water, from at least 6 hours before the intervention. You should not apply beauty lotions or creams, makeup, lipstick and eyes, as well as nail polish.
The eyelids should be meticulously washed with soap and water, and without applying any cream or fat product on them.
If you are going to enter, the hospital must carry your personal hygiene supplies, a nightgown or pajamas, a gown and slippers. You should refrain from smoking and consuming alcoholic beverages at least three days before the intervention.
What anesthesia is used?
The aesthetic operation of eyelids can be done under local anesthesia and sedation to prevent you from feeling discomfort. The presence of an anesthetist adds security to the procedure. Of course, if the patient prefers it, it is also feasible to do it under general anesthesia, which is what is usually used when the eyelid operation is done as part of a face lift.