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COSMETIC EYELID SURGERY/BLEPHAROPLASTY

Our eyes are our most intriguing and revealing feature-they draw attention and convey expression. Through them we not only see others but others see us as well. Our interest or how we feel emotionally and physically is reflected in our eyes. Unfortunately hereditary factors and the signs of ageing can greatly impact the appearance of our eyes, so that what they reflect is not really how we feel.

If you are bothered by upper eyelids with excess, drooping skin that makes you appear sad or angry, or by eyes that loom tired due to puffiness or bags, cosmetic eyelid surgery may be right for you. In general eyelid surgery corrects the excess skin, tissue and fat that contribute to puffiness and bags in both the upper and lower eyelids, revealing a more youthful and energetic appearance.

What is Eyelid Surgery?
It is a surgical procedure to improve the appearance of the upper or lower eyelids or both. Specifically eyelid surgery can treat:
• Loose or sagging skin that creates folds or hides the natural contour of the upper eyelids
• Excess skin that hangs down from the upper eyelid, sometimes impairing vision
• Excess fatty deposits that appear as puffiness in the upper eyelids
• Bags under the eyes
• Droopiness of the lower eyelids, showing white below the iris
• Excess skin and fine wrinkles of the lower eyelid

These conditions typically appear as part of the natural aging process, or due to hereditary. Where they are the result of hereditary, individuals as young as their 20’s and 30’s may achieve a marked improvement in the appearance of their eyes through eyelid surgery. Eyelid surgery removes excess skin, eliminates bags and restores firmness to the area surrounding the eye, making you look more rested and alert.

In general, eyelid surgery is performed on adult men and women who have healthy facial tissues and muscles and have realistic goals for improvement.

Am I a good candidate for Cosmetic Eyelid Surgery?

• A healthy individual, who does not have a life-threatening illness or medical conditions that can impair healing
• Non-smokers
• Individuals with a positive outlook, who has realistic goals for improvement in mind

In addition, the following medical conditions are essential to disclose if you are considering eyelid surgery:
• Eye disease such as glaucoma, dry eye, or a detached retina
• Thyroid disorders such as Graves’ disease and under or active thyroid
• Cardio-vascular disease, high blood pressure or other circulatory disorders or diabetes

My Eyelid Surgery
Like any cosmetic procedure, eyelid surgery requires an individualized approach

The technical side of it
• Eyelid surgery corrects conditions of the upper eyelid where the hooding is not associated with low placing of the eyebrows. An incision within the natural crease of the upper eyelid allows repositioning of fat deposits, tightening of muscles and tissues, and/or removal of excess skin to create a firmer upper eyelid contour

• Conditions of the lower eyelid may be corrected using a transconjunctival incision, one hidden inside the lower eyelid. Through this incision, fat is redistributed or some fat may be removed, and sagging muscles are tightened. An incision just below the lower lash line is an alternate technique allowing excess skin in the lower lid to be removed with improvement of lower eyelid

• The incision lines from eyelid surgery are well concealed within the natural structures of the eyelid region. Results appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.

What are the risks?
Risks associated with eyelid surgery, include:
• Poor healing or infection at the incision site
• Temporarily blurred or impaired vision and dry eye
• Difficulty closing your eyes is also possible, and usually only temporary
• Ectropion, a pulling down of the lower eyelid may occur in a small number of cases and is often temporary

What to expect
Eyelid surgery can be performed as an outpatient basis or in a hospital setting, under local anesthesia. The decision for anesthesia will be based on the requirements of your specific procedure and consideration of you and Dr. Lovric’s preference.

Progress and healing?
Initial healing may include some swelling, bruising, irritation or dry eye and discomfort that can be controlled with medication, cold compressors and ointment. It’s recommended that you keep your head elevated at all times until initial swelling has subsided and to wear sunglasses to protect your eyes from bright light, sun and wind.

Healing of incisions may take 5-10 days at which times any sutures will be removed if necessary. You will be ready to return to work and normal activity at this time, and to resume wearing contact lenses. Diligent use of sunscreen and consistent use of sunglasses is essential.

Final results
Your final results will appear over time, generally within several weeks. It may take up to a year for incision lines to fully refine. While eyelid surgery can be expected to correct certain conditions permanently, you will continue to age naturally. Lifelong sun protection including the use of sunscreen and sunglasses will help maintain your results.

The benefits of your surgery should reveal a smooth, firm contour of the upper and or lower eyelids. What matters more is the appearance of your eyes matches the way you feel inside-youthful, vital and alert.

 

Cost
The cost for eyelid surgery is about R14, 000.00. This cost includes the surgeon’s fee, the anaesthetist and clinic fee.

 

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