Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision.
The upper eyelid drapes over the eye to protect and help keep the surface moist. Closed, the eye may be protected but you cannot see very much through the eyelid. To see you must lift the upper lid out of the way. The elevator muscle performs most of the work to get the upper eyelid out of the way for vision. Photosis of the eyelid means that it droops too low and cannot get out of the way enough for the eye to see. Elevation may be just enough for gaze towards the lower visual fields (towards the feet). Looking straight ahead, the lid may obstruct vision. In this first case (congenital simple photosis), the upper lid covers half of the pupil. The patient compensated by lifting her eyebrow (frontalis muscle) to help with vision when looking up.
For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed.
The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.
Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long term smoking. Smoking also has a long term adverse effect on the skin and ageing process.
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