Upper Eyelid Blepharoplasty
In upper eyelid blepharoplasty surgery, an incision is made externally in the upper eyelid crease to remove excess eyelid skin and fat. It is commonly used to correct a condition called dermatochalasis, which occurs when excess skin begins to droop over the eyes. The original incision is then closed with fine, dissolvable sutures. Because the incisions are made in the eyelids’ natural contours, they are barely visible and fade with time. There is a mild amount of bruising and swelling following surgery, but this is usually gone within seven days.
Lower Eyelid Blepharoplasty
In lower eyelid blepharoplasty surgery, the incision can be made internally (transconjunctival) or externally through the skin. The decision regarding which approach is best for you will be determined by the amount of skin that is present in the lower eyelid. The internal approach leaves no external incision line while the external incision is placed just below the eyelid margin to disguise its appearance. Recovery times are similar to upper eyelid surgery.
Active wrinkles or creases develop from making the same facial expression thousands of times. These lines are called lines of “facial expression” and are typically located at the outer eyelid area (crow’s feet) and in the forehead (frown lines). BOTOX® works by temporarily paralyzing the muscle groups that cause these lines to develop. It is best used to prevent the formation of expression lines before they become present at rest. To minimize treatment discomfort, BOTOX® injections are performed with the smallest needle possible. Benefits begin about four days after treatment and last an average of four months.
Ptosis is the medical term for drooping of the upper eyelid, a condition that may affect one of both eyes. When the edge of the upper eyelid falls, it may block the upper field of your vision. Symptoms of ptosis include a decreased ability to keep your eyes open, eye strain and eyebrow fatigue from the increased effort needed to raise your eyelids, and fatigue – especially when reading. Acquired ptosis is treated surgically, with the specific operation based on the severity of the ptosis and the strength of the levator muscle. Surgery is designed to reattach the stretched muscle to its normal location.
Ectropion is the medical term used to describe an abnormal lower eyelid that turns outward and no longer touches the eye. As a result, the conjunctiva (the mucous membrane that lines the eyelid) may become red and exposed. This condition usually involves one or both lower eyelids but rarely, may affect the upper eyelid(s). If the ectropion is due to laxity of the eyelid’s supporting structures, it is best treated surgically. Depending on the cause, surgery can reposition the eyelid back to its normal position against the eye.
Entropion is a condition in which an eyelid turns inward, rubbing against the eye, making it red, irritated and sensitive to light and wind. If it is not treated, the condition can lead to excessive tearing, crusting of the eyelid, mucous discharge, and irritation of the eye. A serious inflammation could result in damage to the eye. There are a number of surgical techniques for successfully treating entropion and each surgeon will have a preferred method. The usual treatment for entropion involves tightening of the eyelid and its attachments to restore the lid to its normal position.
Thyroid Eye Disease Surgery
One of the most common thyroid diseases is hyperthyroidism, in which there is an overproduction of thyroid hormones. People with hyperthyroidism may experience some degree of eye difficulty. Eye problems are most commonly caused by abnormal swelling of the soft tissues surrounding the eyes, and enlargement of the muscles that move the eyes and open the eyelids. As a result, the eyes may protrude forward, there may be retraction of the upper eyelids which forces the lids apart, there is an inability to fully close the eyelids, and an abnormally large amount of the front of the eyes is exposed. This results in wide prominent eyes, a fixed staring expression, and infrequent blinking of the eyelids. Surgery may be required to correct these problems if they begin to threaten vision or become cosmetically unacceptable. Surgical procedures may include corrected the eyelid positions or removing the bony walls of the eye socket (orbital decompression).
Obstructed Tear Duct Surgery
The tear drain consists of two small openings called punctum; one in your upper eyelid and the other in your lower eyelid. Each of these openings leads into a small tube called the canaliculus which, in turn, empties into the lacrimal sac between the inside corner of your eye and your nose. The lacrimal sac leads into a canal called the nasolacrimal duct that passes through the bony structures surrounding your nose and empties tears into your nasal cavity. The most common symptoms are excessive watering, mucous discharge, eye irritation, and painful swelling in the inner corner of your eyelids. Your surgeon may recommend a number of treatments based on the analysis of your symptoms.
Periocular Skin Tumor Removal
Skin bumps and lesions involving the eyelids can either be benign (cysts, papillomas) or malignant (skin cancers like basal cell carcinoma, squamous cell carcinoma, or melanoma). Sometimes the only way to differentiate between the two is to perform a biopsy. If a lesion is cancerous it can require complex excision and eyelid reconstruction to reduce the risk of re-occurrence and achieve a good cosmetic result. It is best to have these things done by an oculoplastic surgeon, like Dr. Hartel to achieve a good result.