The eyes and face are the first thing you typically see. The earliest signs of aging usually appear around the eyes and can make you look tired. In your 20’s, you may start to experience under eye bags, dark circles or skin sagging. In your 30’s, the eyelid can start to change and wrinkles may form due to dryness. By your 40’s, you will likely notice aging in the corners of your eyes.
Revision Eyelid Surgery
As you age, fat deposits around the eyes, at sites where there is loss of tissue elasticity which causes the brows and cheek fat pads to droop, creating bags under the eyes.
That is why, Blepharoplasty has become one of the most requested surgeries. Dr. Abi Akl performs upper and lower blepharoplasty and corrects excessive eyelid skin and drooping. This procedure takes 1-2 hours, it is done under local or sedation anesthesia, and you can resume your daily activities in a week.
Upper and lower blepharoplasty can be done alone or in combination with a facelift, brow lift, neck lift or all of them.
During your consultation, Dr. Abi Akl will assess the position of your eyelids and brows, and the presence of excess skin or muscle and the lack of fat.
In cases of hollowing due to aging or excessive fat removal during previous surgery, an upper eyelid fat transposition can also be performed to give a youthful appearance.
If you are complaining of ptosis, it is very important to determine if your droopy brows are causing it or is it the excess eyelid skin pushing the eyelid downward, or it may be due to weakness of your eyelid muscle. In that case, upper blepharoplasty is combined to a brow lift or ptosis repair or both.
In almost every case, Dr. Abi Akl adds to this procedure a lower eyelid fat transposition to ensure a long-lasting outcome. Sometimes he may add a canthoplasty, canthopexy or tarsal strip. In fat transposition procedure, fat is released from under the eye and repositioned in the hollow under the eye( tear trough). This adds the adequate volume to the tear trough, filling it predictably and permanently producing astonishing results.
Am I a Candidate for Eyelid Surgery?
Good health and realistic expectations are important factors in pursuing eyelid surgery. If you notice any of the following signs of aging in your eyes, you may be a candidate for blepharoplasty:
- droopy upper eyelid skin obscuring the natural fold
- puffy bags under your eyes
- problems with vision due to excess skin and sagging of upper eyelid
- wrinkles around the eyes
What about the scars?
For upper blepharoplasty, the incision is done in the natural eyelid crease. The stitches are removed after 1 week, and once you have healed completely, the scar will be invisible and will appear as your natural eyelid crease.
For lower blepharoplasty, the incision is generally placed in the lower eyelid with no external scar visible. This is called the transconjunctival approach. In some cases of extra lower eyelid skin, a small incision is placed below the lash line to allow for some skin removal. The scar will become barley visible after complete healing. This is called the transcutaneous approach.
What is the recovery period?
You should expect swelling and bruising for the first week, that will improve gradually over the next 2 to 3 weeks. You will be able to go back to work in about 2 weeks.
During your consultation, you will be given detailed instructions to follow before and after your surgery
A canthoplasty is the shortening and/or repositioning of the lower eyelid to properly tighten and position it. This procedure address lower lid laxity, due to aging or facial paralysis, with predictable and fascinating results, and it should only be performed by an expert given its complexity.
A canthopexy may also be performed in some cases to reposition the lateral junction of the eye, also known as the commissure.
These procedures take 1 to 2 hours and are done at the same time of the blepharoplasty using the same incisions. The stitches are usually removed in 5 to 7 days and the scar is hidden in the natural eye crease. You can go back to work in a week.
Revision Eyelid Surgery
Eye surgery is very sensitive and should be performed by a highly skilled surgeon. People seek revision eyelid surgery to achieve results left unmet in previous surgery. It is a common mistake to remove too much skin which can cause eye exposure and subsequent dryness and corneal injury. On the other hand, when too little is done during the first surgery, this will leave the patient with the same problem that pushed them to undergo the surgery initially.
In case of excessive fat removal due to previous surgery, Dr. Abi Akl can perform an upper eyelid fat transposition at the same time.
Revision eyelid surgery takes 1-2 hours, it is done under local or Intravenous sedation anesthesia, and you can resume your daily activities in a week.
Dr. Abi Akl is an expert eyelid surgeon. During your consultation, he will answer all your concerns and explain to you every step of the procedure and what to expect on the short and long term. You will be given detailed instructions to follow before and after your surgery.