Eyelid Surgery Chelmsford
Our eyelids play a vital role in eye health, protecting our eyes against dust, pollens, and other foreign elements.
An eyelid disorder can be painful, resulting in extreme discomfort and affecting your vision and appearance. The way your eyes look mainly depends upon the appearance of your eyelids. Eyelid problems are common, and in cases where eyelids are abnormal, ophthalmologists can help by performing eyelid surgery.
What Are the Different Types of Eyelid Surgery?
There are different types of eyelid surgeries suited for various eyelid anomalies. There was a significant rise in the number of eyelid surgeries in the UK during 2015.
Blepharoplasty, brow lift, and ptosis repair surgeries are the most common. However, blepharoplasty is the most frequently performed eyelid surgery.
Blepharoplasty is the most common form of eyelid surgery.
What Is Blepharoplasty?
Blepharoplasty is a type of eyelid surgery that is performed for aesthetic and functional purposes. It is one of the most common aesthetic procedures performed in modern times to treat blepharitis, which refers to inflamed eyelids. The surgical procedure can be done on the upper and lower eyelids.
It involves the surgical removal of excess fat and skin from the eyelids, which may hinder normal vision and appear unpleasant. In upper eyelid blepharoplasty, eye surgeons remove fat pads and extra skin from the eyelid to enhance function and appearance.
In the lower eyelid blepharoplasty, extra skin and fat in the lower eyelid are removed to reduce fat bulges and wrinkles. In newer techniques, orbital fat is precisely removed and repositioned to enhance appearance.
The main aim of a lower lid blepharoplasty is to treat the redundant eye skin and correct the orbital fat malposition. After excision, the surgeon may use fat grafts or dermal fillers to manipulate the orbital fat pads.
Who Is a Candidate for Blepharoplasty?
Individuals with the following conditions make an ideal candidate for blepharoplasty.
Also known as dermatochalasis, sagging eyelids are common in old age. The prevalence of dermatochalasis in adults above 45 years is about 16%. The loose and redundant skin of the eyelid changes the natural contour of the eye and can impair vision.
Visual impairment due to sagging eyelids can even reduce the patients’ driving safety. Thus, dermatochalasis patients should get a blepharoplasty procedure done to improve function.
The drooping of the upper eyelids is known as ptosis. The condition can partially or completely block your normal vision, leading to a reduced quality of life. Ptosis can be present at birth or acquired later in life. It arises due to muscle weakness in the eyelid and is a common indication of blepharoplasty.
Bags Under Eyes
People with bags under their eyes may find them displeasing. Aging eyelids lead to prominent bags under the eyes, which can be corrected via blepharoplasty.
A lower eyelid blepharoplasty (lift) can effectively reduce puffiness around the eyelids. Individuals dissatisfied by the puffiness and fat deposits in the eyelids can be selected for blepharoplasty.
Wrinkles in the Lower Eyelid
Having fine wrinkles in the lower eyelid makes you a candidate for blepharoplasty. Surgeons frequently use lower lid blepharoplasty to reposition malpositioned fat in the lower eyelid. This reduces the extra skin and wrinkles.
What Are the Benefits of Blepharoplasty?
Blepharoplasty improves visual quality in patients with dermatochalasis. The procedure imparts a fresher and younger look to the patients by enhancing the eye contour and reducing wrinkles. Patients can get rid of dark circles under the eyes.
Research suggests that blepharoplasty has significant benefits in increasing the visual field as well. The eyelid surgery improves the quality of life and decreases vision-related headaches. Lower lid blepharoplasty also improves the muscle tone of the lower eyelid.
How Much Does Blepharoplasty Cost?
Blepharoplasty cost varies between healthcare facilities. On average, blepharoplasty may cost you between $3,000-$5,000. Unilateral (one eye) blepharoplasty costs may differ slightly from bilateral blepharoplasty costs, but depending on your unique situation, it may be significantly more expensive than average.
Ptosis Repair Surgery
Ptosis Repair is another type of eye surgery.
What Is a Ptosis Repair Surgery?
Drooping of the upper eyelid (ptosis) is common in children and adults. The prevalence of congenital ptosis (at birth) was found to be 7.9 per 1,00,000 patients. Ptosis repair surgery is adopted to correct droopy eyelids. The procedure is carried out under local anesthesia and usually requires only minor alterations to the lifting muscles of the eyelid (upper).
Surgeons can choose between internal and external approaches for the surgery. In the internal approach, the surgeon shortens the lid lifting muscles, whereas the muscles are repositioned in the external approach.
These procedures are recommended in ptosis patients who have strong levator muscles. The external approach to ptosis repair is made in local anesthesia, while the internal approach requires general anesthesia.
In the case of weak muscles, the eye surgeon surgically attaches the eyelid (upper) to the frontalis muscle (forehead muscles) in a process known as frontalis sling fixation. Research suggests that frontalis sling operation effectively improves the contour of the upper eyelid. It can effectively correct severe ptosis too.
Who Is a Candidate for Ptosis Repair Surgery?
Children born with abnormal drooping of the upper eyelid (congenital ptosis) make ideal candidates for ptosis repair. That is because the eye condition has significant psychosocial and functional impacts on the kid’s life.
Adults facing the following issues due to drooping of eyelids need a ptosis repair surgery:
Ptosis can lead to vision changes and impairment. A lazy eye (amblyopia) is a condition where there is poor visual development in one or both eyes. According to a study, almost 18% of children with mild to moderate congenital ptosis suffer from lazy eyes.
Due to ptosis, adults usually experience decreased peripheral (side) and central vision. You are a likely candidate for ptosis repair surgery if your ability to distinguish shapes and identify objects from a given distance (visual acuity) is impaired due to ptosis.
Some patients opt for surgery due to extreme reading difficulties.
Eye Strain and Headache
Patients with ptosis put extra effort into keeping their eyes open. Many individuals achieve a chin-up position in an attempt to raise their eyebrows. The continuous extra pressure on the forehead muscles increases the tension leading to eye strain and headaches.
As per studies, tension-type headache is associated with ptosis and is a clear indication for ptosis repair surgery.
Several individuals approach an ophthalmologist for ptosis repair surgery because they find droopy eyelids unaesthetic.
What Are the Benefits of Ptosis Repair Surgery?
A successful surgery changes the way your eyes appear. Correction of the upper eyelid symmetry and contour improves vision. Patients are capable of seeing better.
Congenital ptosis, patients when treated timely, can prevent the development of amblyopia. A ptosis repair procedure relieves the extra pressure on the frontalis muscles and allows patients to regain the normal head position.
Patients note significant improvements in visual acuity and peripheral vision after surgery.
How Much Does Ptosis Repair Surgery Cost?
On average, unilateral ptosis repair surgery costs around $3,000. Ptosis repair cost for both eyes (bilateral) ranges up to and exceeding $5,000.
A brow lift may be another option for you to consider.
What Is a Brow Lift?
Also known as forehead lift/rejuvenation, a brow lift is a surgical procedure to improve aesthetics. This cosmetic surgery efficiently enhances the appearance of your eyebrows and forehead. An eye surgeon brings changes to the appearance by raising the forehead and brow skin.
Modern-day surgeons use endoscopes and a minimal invasion approach to get superb results. The combination has been pretty beneficial in the outcomes of forehead rejuvenation.
Who Is a Candidate for a Brow Lift?
As it is a cosmetic procedure, there are rarely any functional indications. Most cases are old-age patients who are unhappy with their eyebrow position. That is because a low eyebrow can impart a sad, angry or tired look.
However, sometimes, sagging eyebrows (upper) can contribute to eyelids. An eye surgeon can make endoscopic (camera-guided) or coronal incisions (above the ear level) to reposition the muscles of the eyebrows.
The procedure is delicate and requires the skills and experience of the performing surgeon.
What Are the Benefits of a Brow Lift?
The most significant benefit of this eyelid surgery (brow lift) is that it imparts a fresher look to the patient. You can also notice a more youthful appearance on the face.
According to a 2020 study, the brow lift surgery procedure effectively reduces glabella wrinkles (upper facial wrinkles) on the skin. The surgical procedure relieves the forehead and allows easier lifting of the eyebrows.
Endoscopic brow lift safely corrects brow ptosis and does not cause any forehead elongation.
How Much Does a Brow Lift Cost?
Depending upon the healthcare provider, the average brow lift cost in the US averages $3,900.
The following are some frequently asked questions related to eyelid surgeries we encounter daily.
What is the success rate of cosmetic eyelid surgery?
As per an authentic study, the success rate of cosmetic eyelid surgery increases after multiple attempts. The success rate after the second surgery was 35%, while it went up to 44% after the third surgery.
Can eyelid surgery remove the wrinkles around the eyes (crow’s feet)?
A blepharoplasty procedure can help lessen the wrinkles around your eyes, but cannot remove them. That is because eyelid surgery (blepharoplasty) improves the appearance of eyelids but does not extend beyond this region.
Can eyelid surgery elevate droopy eyebrows?
Yes, a brow lift (forehead lift) surgery can successfully elevate droopy and saggy eyebrows. Brow ptosis is effectively corrected by endoscopic brow lift surgery. It also takes away the drowsy or tired look of the patients.
Can eyelid surgery take away dark circles under the lower eyelids?
Most of the time, dark circles result from fat pockets under the lower eyelids. A lower lid blepharoplasty procedure removes the fat pads and pockets in the lower lid. A blepharoplasty procedure can take away the dark circles under your lower eyelids by correcting the baggy lids.
How do I get rid of dark circles under my eyes?
A blepharoplasty (eyelid surgery) is the permanent solution to get rid of your dark circles. However, you can adopt the following home remedies to lessen them:
- Pay attention to your sleep
- Drink lots of water
- Apply cold compresses or soak the dark circles with tea bags
- You can also try eye creams and concealers
How do I decide whether I need an upper eyelid lift or a brow lift?
The need for surgery is mostly a personal choice. If the drooping/sagging eyelid hinders your vision (and acuity) and is causing headaches and eye strain, then surgery can be an option.
You can test the need for surgery by placing your index fingers along your brows. That is followed by raising them to a favorable position. If you can feel the excess tissue on your upper eyelids, it may indicate that you should have eye surgery.
However, if most excess skin is raised along the upper eyelid, a brow lift surgery may be sufficient.
Why do people need eyelid surgery years before they need a facelift?
There are different reasons for getting eyelid surgery before a facelift procedure. Firstly, it helps achieve a balanced appearance. Secondly, the combination of the procedures leads to superior results.