Blepharoplasty, or “rejuvenation” of the eyelids, is one of the most common cosmetic surgical procedures on the eye.
Although more than 95% of blepharoplasties are conducted for cosmetic reasons only, and due to excessive skin presence on the upper eyelids (dermatochalasis), sometimes this procedure is needed in cases of long term medication usage, which can produce attenuation of the eyelid muscles and their lowering (functional blepharoplasty).
The procedure itself if totally painless for the patient and it is usually done under local, subcutaneous anesthesia. Incisions are made on the natural crests, or below the eyelashes, and it is closed by a continuous sutures that are removed 7-10 days after the surgery. The scar is fully invisible.
Blepharoplasty can also be used in cases when the patient wants to remove the bags below the eyes. These bags are mostly seen in elderly patients, and they differ in size and shape.
Prof. dr Nikica Gabrić, dr med.
Mr sc.Bojan Kozomara dr med.
Ernesta Potkonjak, dr med.
Nebojša Đogatović, dr med.
Sanja Savičić, dr med.
Ana Aničić, dr med.
Miloš Milićević, dr med.
Vladimir Račić, dr med.
Borjana Solomun, dr med.
Dajana Abdulaj, dr med.
Tamara Bojanić Barić, dr med
Ptosis is a medical term which usually represents lowered upper eyelids, or eyelids that are not positioned into their normal natural way. If the ptosis is small and barely seen, then its correction is only esthetic. On the other hand, if the ptosis is significant and covers one third or one half of the eyeball, including pupil, then this ptosis is considered functional.
This condition can occur at any age, even upon birth, when the ptosis is most often traumatic. On the other hand, acquired ptosis develops as a consequence of the injuries or degenerative changes on the eyelid’s muscles and tendons caused by aging.
There is a few different techniques for ptosis surgical correction, so each patient has an individual approach. Regardless if the ptosis is corrected by shortening of the eyelid muscle or its fixation to the forehead muscle, special attention has to be given to the symmetry of the eyelids postoperatively.
All surgeries are done in local anesthesia, except when it comes to children in which cases the anesthesia has to be general.
Recovery time does not take more than 7-10 days, when full surgical effect is seen.
Due to the changes in the tissue structure in aging, and sometimes because of the scaring or damaged innervation of the tissue, disturbed positions of the eyelids can occur. This means that the eyelids can be inverted outside (ectropium) or twisted inside (entropium).
Involution of ectropium causes not only esthetic problems, but also chronic conjunctivitis and keratitis. The reason for all these conditions is that the eyelid cannon be properly closed and constricted, leaving cornea and conjunctiva exposed and without proper lubrication.
When it comes to entropium, the eyelid is twisted inside, which makes patients complain of itching, poor vision, inflammation of the cornea and surrounding tissue.
Surgical intervention in both cases is simple, fast and effective. Eyelid muscles are tightened and the eyelid itself returns into its anatomical position.
Regardless on the surgical technique, all of them are done under local, subcutaneous anesthesia, and the patient can return to his/her normal activities within a few days.