A, A tenting effect of three supporting poles can result in different curvatures of the tent. The same principle is applied in the use of three anchoring sutures to create lateral flare of a curved suprapalpebral fold. The curvature of the tent is changed according to the height of the poles. Dr. Lay’s response to this question is usually “sometimes.” The healing can be faster but bruising is equally common with suture technique when compared to the incision technique. Also, it’s important to point out that the satisfaction rate with suture technique and the risks overall really is no better versus incision technique. For some patients, Dr. Kotlus may also recommend fat grafting alongside the Asian blepharoplasty.
Patient dissatisfaction is typically from presence of scars and eyelid asymmetries. Most eyelid scars heal well, however patients seeking epicanthoplasty will upper blepharoplasty have increased risk of scarring. Eyelid asymmetries can be from a result of preexisting eyelid asymmetries being accentuated or creation of an asymmetry.

Among these, 13 lids (87%) were performed to deepen a crease set that have become shallow or rudimentary. Two eyelids from 2 cases (13%) were performed to excise some residual skin or fullness above the set crease. None of these touch-ups had required resetting from a crease that was placed too high from our primary procedure. Postoperatively, your surgeon will instruct you to use eye drops and apply ointment they prescribe.
Patients should rest with their head up at least 45 to 60 degrees. Preoperative and postoperative oral arnica has been claimed anecdotally to help when given in normal doses. Bruising will be experienced by every blepharoplasty patient, so it is not really a complication so much as an expected side effect. To minimize bruising, the patient should avoid using anticoagulative drugs, control his or her hypertension if present, and avoid postoperative trauma, bending, and straining . The use of the CO2 laser and maintaining a dry surgical field with bipolar cautery or by defocusing the CO2 laser will minimize the occurrence of postoperative ecchymosis.
The epicanthal fold refers to the skin of the upper, inner eyelid that covers the inner corner of the eye. The fold is commonly pronounced for people with Asian heritage, and genetics, age, and some medical conditions affect how this fold forms and whether it covers a significant portion of the inner eye. Some Asian blepharoplasty patients seek to remove a portion of the skin in this area and expose more of the eye. After your surgery with Dr. Eftekhari, you will return home and begin cold compress and eye ointment. If you’re diligent with the compress, you can minimize bruising and swelling. Pain is not acute, and it is manageable with over-the-counter pain medication.

Scleral show can occur with excess laser energy deposition when the fat is removed. To avoid this, use a Q-tip backstop immediately behind the fat incision made by the CO2 laser. On examination of the patient, the surgeon must look for ophthalmic and periocular disease by history and a full-eye examination.
In Southeast Asia, placing the fold at less than 6 mm is usually reserved for patients who present very narrow palpebral fissure with a small orbital width. After the lateral portion of the fat is excised, the pretarsal soft tissue "bursa" is cleared, exposing the relevant anatomy. The skin flap has been everted; the tarsal plate fully exposed; and the levator aponeurosis lies just cephalad to the tarsal plate, under the forceps. Traditional theory states that the pretarsal fold represents the insertion of the levator aponeurosis expansion into the dermis.

Blepharoplasty surgery in Portland OR can be performed on just the upper lids, just the lower lids, or both, depending upon patient’s desires and aging process. This technique is also referred to as Asian blepharoplasty procedure. This procedure is preferred when excess skin or fat needs to be removed during the procedure.
Surgery can last between 1-2 hours, depending on your unique procedure. After the surgery, you will be able to return home the same day. Asian single eyelid shows the fusion of the orbital septum to the LA below the superior tarsal border , whereas fusion is above the superior tarsal border in whites .
You will be informed of what to expect and any preparations you must make. Read on to learn more about this transformative procedure, and to discover why growing numbers of patients are choosing Asian eyelid surgery and the great results that come with it. There are several techniques that are possible for creation of an eyelid fold. However, the first step is to understand what results are desired and what will look natural to suit the facial characteristics. Your eyes may feel dry and gritty for a few days and your eyelids may feel tighter due to the tissue retraction and tightening. For men and women, hooded, droopy or sagging eyelids or sagging under eye bags may have a large effect on your appearance and find it difficult to apply makeup.

The incisional technique, on the other hand, is more predictable and long-lasting. And for patients in the 40+ brackets, surgery offers the best chance to correct issues and slow down the impact of the aging process at a relatively low cost. Young people on realself.com are interested in correcting genetic asymmetries, improving the look of tired eyes and dark circles, and treating wrinkles, creases, and puffiness they may have inherited. This method changes the direction of the inner corner and does not require any skin resection . You are expected not to scratch, rub or stretch the eyes for the next 4 weeks.
The conjunctival incision made in a transconjunctival lower lid blepharoplasty never requires sutures. It is often necessary to tighten the lower eyelid at the time of blepharoplasty. Depending on the amount of laxity, a full lateral tarsal strip procedure or a lateral canthal tendon plication can be done. If a full tarsal strip procedure is required, the patient is rigorously cautioned to avoid pulling or sleeping on the eyelid to prevent dehiscence. Slight dehiscence can be treated with topical and oral antibiotics, but a complete dehiscence needs prompt debridement and repair to avoid lower lid retraction and scarring.

On the other hand, lower blepharoplasty addresses concerns of the lower eyelid. This procedure works to minimise the appearance of under-eye bags, reduce puffiness and droopiness below the eye to smooth the skin above the cheek. Solutions to this problem can involve the use offiller, fat for volume loss to a stepwise approach to skin lightners to the area. Changes in skin sensation, unfavorable scarring, and the need for revision surgery are other potential risks related to eyelid surgery.
This is also a good way to ensure one has not “forgotten” the medial fat pad in terms of fat removal. Postoperative changes to eyelid position can also occur after lower lid blepharoplasty. Abnormalities of lower eyelid position include lower lid retraction with scleral show, rounding of the lower eyelid contour, rounding of the lateral canthal angle, and ectropion. These can result from skin shortage, middle-lamellar scarring, and posterior lamellar cicatrisation as seen in Figures 4, 5, 6, 7, and 8.