H06_Eyelid_Surgery

Eyelid Surgery

The skin loses its elasticity and our muscles slacken with age. For the eyelids this results in an accumulation of loose skin which collects as folds in the upper lids and forms deepening creases in the lower lids. At the same time there is slackening of the muscle beneath the skin allowing the fat, which cushions the eyes in their sockets, to protrude forward to give the appearance of bagginess. In some families there is an inherited tendency for bags to develop during early adulthood before any skin changes.

The problem often seems worse in the morning particularly with prolonged stress and lack of sleep. Fluid that is normally distributed throughout the upright body during the day, tends at night to settle in areas where the skin is loose, such as the eyelids. Drooping of the eyelids is also an effect of the ageing process and aggravates the accumulation of the skin in the upper eyelids. Sometimes so much skin accumulates in the upper lids that it hangs over the eyelashes to obstruct vision.




What can be done?
An eyelid reduction (blepharoplasty) removes the surplus skin and protruding fat to produce a more alert appearance and reduces the morning swelling. Sometimes it is only necessary to reduce the skin, sometimes the skin and the fat and sometimes just the fat. If only the fat is being removed from the lower eyelids, then this can be removed from the inside of the lower eyelid avoiding an external excision (transconjunctival blepharoplasty)

What are the consequences?
People who have the familial problem of bags beneath the eyes may well undergo surgery in their 20s. Ageing effects of the skin are apparent earlier in the eyelids than elsewhere. A reduction of the skin can be carried out from the age of 35. Patients with thyroid disease often develop eye signs which can be helped by surgery. Where there is reduced secretion of thyroxin (hypo-thyroidism) there is an increase in fat and where there is an increase in thyroxine (hyper-thyroidism) there is often so much increase in fat that the eyes protrude. An extended eyelid reduction (Olivaris procedure) can treat this satisfactorily.





What are the limitations?
It is important for you to understand that only the wrinkles which are in the skin which is cut away will be removed. We are only treating the eyelids within the bony margin of the orbit (eye sockets). Folds of skin extending on to the cheek (festoons) will not normally be improved. Wrinkles in the area of the crows feet will remain and although the skin is much tighter it is still necessary to be able to open and close the eyes freely. The skin has less elasticity with age and for proper closure of the eye the upper eyelid will need to have surplus skin when it is open. Descent of the eyebrow can be helped by endoscopic brow lift and an extension of this, the deep facelift, can be used to not only lift the eyebrow and the upper eyelid, but also lift and open the outer angle of the eye.
Sometimes residual or recurrent wrinkles are suitable for treatment by chemical peeling or laser resurfacing. The operation has no effect at all on the dark colour of the lower eyelid.

The Operation
Both upper and lower eyelid surgery can be carried out under local anaesthesia or under general anaesthesia in a hospital.
In a typical procedure the surgeon makes incisions following the natural lines of your eyelids; in the creases of upper lids and just below the lashes in the lower lids (see illustration). These incisions are extended a little way into the crow?s feet or laughter lines at the corner of the eyes. Through this incision surplus fat is removed and excess skin and sagging muscle removed.
If you have a pocket of fat beneath your lower eyelids without surplus skin then the fat may be removed through the inside of the lower eyelid.
The resurfacing laser can be used at the same time as a transconjunctival blepharoplasty to tighten the external skin and reduce wrinkles, although there is no external scar there is residual redness in the skin which will last a few months.
Following surgery it would be best to keep your head elevated for a few days to reduce swelling. Cold compresses can also help. The surgeon will normally apply some suture strips or steri-strips as support to the eyelids after surgery and if these become crusted they can be replaced. Cleaning the eyes with water is useful and the surgeon may advise the use of eye drops or ointment.

The sutures are usually removed after 3 to 5 days and soon after you will be able to use make-up. Sometimes you will be advised to use the suture strips or steri-strips as support to the lower eyelids for a week or so.
The closure of the eyes appears tight after surgery because of the swelling and because skin has been removed. If closure is not complete at night the patient should apply some eye ointment before going to sleep. This sensation will settle as the swelling goes down.
The eyes appear watery after surgery, partly because of swelling under the conjunctiva (chemosis) and partly because the tear ducts are swollen and do not drain as readily. This will last a few weeks. Although there is bruising it can quite readily be disguised with make-up and dark glasses. The scars will be pink for a few months, but eventually they become almost invisible.

What are the risks?
All surgery carries some uncertainty and risk. When eyelid surgery is performed by a qualified Plastic Surgeon complications are infrequent and usually minor.
Occasionally a pool of blood can collect under the skin after the operation has finished (haematoma) this usually disperses spontaneously over 2 or 3 weeks but it may need to be drained if it is large. Quite commonly the margin of the lower lid is slightly pulled away from the eye during the first day or two after surgery due to swelling. This will settle on its own or with the help of suture strips or steri-strips. Very occasionally another operation is necessary.






For an eye surgery it is impossible to get admitted to a normal hospital because it is a vital organ in the body which needs to be considered with great care. Compared to any of the surgery, eye surgery should be handled with great care as it is sensitive part in the human body. Today technology has improved for a greater extent such that the eye surgery can be done without any risk.

The hospitals in Turkey are well versed with the appliances and surgeons which can make the surgery successful. There is very less failures associated with the eye surgery done in Turkey. If the eye surgery is not performed with precision then there will be lot of side effects which may again cause serious problems for your eyes.

All the eye surgery done in Turkey hospitals has got a very good success and this can be verified by seeing the appreciations provided by the patients in the entrance of the hospitals. The reason behind this is the use of advanced machineries which are certified from the international medical group. With the involvement of experienced surgeons and machineries the Turkey eye surgery can make any impossible surgery to be a possible one.

The recent technology for eye surgery is laser treatment. For the patients who are aged it is not possible to perform surgery with blades as it takes more time for the wounds to get cured in aged people. So the laser eye surgery done in Turkey is getting prominence and thus attracting most of the people from the outside countries. In laser treatment the tissues of the cornea will be remolded and the curve will be changed so that the image of the object falls exactly on the cornea. This operation will take hardly 30 minutes but needs to spend more money in other countries.

The hospitals in Turkey have got the appliances which can perform the laser eye surgery with the affordable cost. The side effect from the laser eye surgery is very minimal and is the best option for all the eye problems. The results of other eye operations will lasts long for very few days but the laser operations results are permanent and can be affordable. If you want to take an eye surgery in Turkey then just call to an agency which will guide you exactly where and how it can be successful.

They will take care of booking ticket for you and sending you back home safely. The number of hospitals in Turkey is numerous including government and private hospitals. Hence you have got a wide chance to choose the best affordable hospital for eye surgery according to your requirement. They have got a best review from the patients from different parts of the world. Government is also supporting them with wide options to provide patients a comfortable and healthy stay during the treatment.

 

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