francois j duminy
Plastic & Reconstructive Surgeon
CAPE TOWN PLASTIC SURGEON CV
One of the effects of ageing is sagging of the eyelids. The sagging is further exacerbated by sun damage and also dependant on genetic inheritance as there are families in which eyelid sagging occurs more rapidly than in others.
There are also genetic differences that determine the anatomy of eyelids, Oriental eyelids do not have the same fold as those of Western groups.
Excess Upper Eyelid tissue can lead to impairment of the visual fields.
Many patients sub-consciously raise their eyebrows to prevent excess skinfolds from touching their eyelashes. This leads to increased transverse wrinkling of the forehead.
The operation designed to remove excess skin and soft tissue from the eyelid is called a Blepharoplasty.
The procedure, in our practice, is usually done under Local Anaesthetic and Conscious Sedation.
The tissue is removed in such a way that the scar falls in the line of the eyelid fold.
The patient goes home after the procedure and one of our Nurse Practitioners does home-visit follow-up.
Sutures(stitches) remain in place for approximately 7 days and are then easily removed at the practice.
Swelling and bruising commonly last for 7 to 14 days.
Mild swelling above the upper lid scar usually lasts for about 7 weeks, but it is no more noticaeable than the original eyelid excess.
Dark Glasses can usually be worn to hide most of the swelling and bruising.
The patient can shower from Day 1.
Benefits Experienced by most of our Patients
1. Clearing of the eyelid creating a more youthful appearance
2. Decrease in itchiness due to fungal infections between the touching skin layers.
3. Women find it easier to apply and maintain eye makeup.
4. Decrease in transverse forehead wrinkles.
5. For reasons that are not clear to us, many of our patients report improvement in their short distance (reading) vision.
6. The procedure is easily done at the same time as other procedures.
1. Swelling and Bruising for 7 to 14 days
2. There may, uncommonly, be some irritation/dryness of the eyes requiring natural tearlike eyedrops daily and eyegel at night for a few weeks
3. In Lower Lid Blepharoplasty, swelling and scarring in the lower eyelid can cause the lower lid to be pulled down exposing the white sclera and creating a "hang dog" look. This may require corrective surgery if conservative measures dont work.
4. In a very small number of patients ( much less than 1 in 10 000), where older techniques were used, there have been reports of blindness. Loss of vision was caused by bleeding behind the eyeball causing pressure and stretching of the optic nerve if the pressure is not timeously relieved.
We use techniques that do not involve entering the space behind the eyeball and we therefore, greatly reduce this risk.