Plastic surgery procedures aimed at improving the appearance of the eyes are some of the most sought after aesthetic rejuvenation treatments in the Canary Islands. The preoperative evaluation of patients desiring a blepharoplasty requires a meticulous evaluation of their anatomy and a thorough examination by our specialist.
Some of the main complaints from patients who want an eyelid rejuvenation are:
- They seem tired or fatigued.
- That the eyelids weigh them down and they feel droopy.
- Who have bags or swelling under the eyes.
- Who have excessive skin and many wrinkles.
Most of these problems can be successfully corrected with upper or lower blepharoplasty, or both. These surgeries focus on improving the three main components of eyelid tissue: skin, muscle, and fat.
In this regard, when determining the best procedures for periorbital enhancement, our specialist, the prominent Dr. Daniel J. Rodríguez Morales de los Ríos evaluates additional factors to formulate an appropriate treatment plan and guarantee success in each intervention. Among these factors are:
Drooping of the upper eyelid: is there ptosis?
In some cases where the upper eyelids excessively overlap the eyes, vision may be affected and part of the visual field is obscured by the drooping eyelids. The medical term that describes a drooping upper eyelid due to poor function of the eyelid muscles is ptosis, and it can be congenital or result from a number of different conditions, including changes in the muscle due to age.
The function of the specialized muscles that lift the upper eyelid should be evaluated before eyelid surgery to determine if it is working properly. This is crucial in determining if any procedures to correct the ptosis are required to ensure an optimal outcome. Ptosis repair can be performed at the same time as cosmetic eyelid surgery. In some patients, our specialist may additionally recommend a brow lift.
Lower eyelid skin: Treat with surgery or non-invasive treatment?
The most common aspects of the lower eyelids that patients would like to improve are excess skin and bags under the eyes. The skin of the lower eyelid is extremely thin and sensitive, and with age, it becomes thinner, with wrinkles, a crepe-paper appearance, and bulging of underlying fat. The most significant and only permanent improvement in the appearance of the lower eyelid is usually achieved with a lower eyelid lift or lower blepharoplasty. This surgery involves the direct excision of excess skin, maybe some muscle layer as well, and the removal or repositioning of fat.
An alternative is to perform skin pinching only, which is indicated in patients with less redundancy and results in a smoother lower lid contour. In addition to surgery, there are many non-invasive treatments to improve the appearance of lower eyelid skin. Non-surgical options that can provide some degree of skin tightening include microneedling, chemical peels, and technologies that use radiofrequency or ultrasound to tighten sagging skin.
Lower eyelid laxity: is canthopexy/canthoplasty required?
In patients whose eyelids are lax, any procedure on the eyelid can cause the eyelid to retract or move out of the normal position, resulting in lid distortion. To prevent this from happening, patients may need to undergo additional eyelid strengthening or stabilization surgical procedures, such as canthopexy or canthoplasty, at the same time as blepharoplasty to maintain the natural appearance of the eyes. The careful and precise preoperative evaluation of our surgeon is key to deciding which patients are candidates for these procedures and to avoid possible complications.
Tear Channel Correction: Add Volume, Resurface Skin, or Both?
Any plan to rejuvenate the eyes must take into account the tear zone and determine the best way to improve it. The two components of the tear canal that can be improved are volume loss and thin skin.
Globe position: Assess the prominence of the eyes
Another important part of the preoperative evaluation for an eyelid lift is observing the position of the patient's eye in relation to the bony orbit. Some patients may appear to have prominent, bulging eyeballs, also called exophthalmos. Medical problems must be treated and corrected and patients must be optimized for surgery before undergoing an eyelid lift or any other cosmetic procedure.
In addition, in patients whose natural position of the eye is more prominent, the surgical technique may require adjustment and patients should be informed preoperatively of the results that can be expected due to technique modifications.
Plastic surgery of the upper and lower eyelids is an excellent alternative to rejuvenate the face and can produce immediate and long-lasting results. Although it may be seen as a simple cosmetic procedure, the reality is that the area around the eyes is extremely delicate and must be fully examined before any treatment by a specialist with a long history in the field such as our surgeon the Dr. Daniel J. Rodríguez Morales de los Ríos to include all appropriate techniques and interventions in the plan to ensure the best results.
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