Eyelid Surgery, Blepharoplasty
in Bangkok, Thailand
“Eyes” are part of a total facial expression indicating the emotional state. They complete the action of a smile. Most fashionable in women’s eyes is the classic almond shape with longer curved lashes with thinned eyebrows.
Eyelid surgery or Blepharoplasty is a surgical procedure to improve the appearance of the eyelids. The eyes are essential for facial components, and bright eyes bring more charm to one’s face. Having an upper eyelid crease is one way to achieve this result and look more youthful. In general, many Asians have no or partial eyelid crease. It is often that the fat inside the eyelid (orbital fat) makes the crease look less visible, thus reducing the brightness of the eyes. Blepharoplasty is one option to improve a personal image.
Kamol Cosmetic Hospital offers many procedures of eyelid surgery to adjust the shape and size of your eyes to be more attractive and well proportionate. As follows;
1. Double eyelid surgery
This is a popular surgical procedure for Asian people because of small eyes, single eyelids, or double eyelids that are not clear. There is fat in the eyelid. Therefore, they want to make double eyelid surgery. We offer two techniques for double eyelid surgery
1.1 Double eyelid surgery by the open technique: the surgeon makes an incision into the skin along with the marked eyelid crease, remove fat and excess skin to balance. Stitches to create a new eyelid crease as picture 1
Picture 1. Shows the procedure for Double eyelid surgery by open technique.
1.2 Double eyelid surgery by the Suturing technique: the surgeon marks 6 points on the new eyelid crease, then inserts the suture in and out the muscle, then pass through the marked points from the anterior eyelid skin to the posterior. And then embedding the suture under the skin to fixate the double eyelids as picture 2
Picture 2. Shows the procedure for Double eyelid surgery by the Suturing technique.
2. Eye Ptosis Correction
The eye ptosis surgery is a surgical procedure to correct the eye muscle that comes from aging. There are many methods for eye ptosis correction depends on the severity of eye ptosis. If the patient has only mild or moderate eye ptosis, the surgeon can fixate Levator plication. If the patients have severe ptosis, the surgeon will use the frontalis muscle flap from the forehead to fix with the tarsal plate, make the eye more open as the picture 3
Picture 3. Shows the eye ptosis correction procedure.
3. Lower Eyelid Surgery
Sagging skin, baggy, or wrinkles of the under-eye area comes from the aging face, or come from genetic. Lower eyelid surgery is a cosmetic procedure to correct loose skin, excess fat, and wrinkles of the lower eyelid. Make the under-eye smoother and youthful look. There are two methods for lower eyelid surgery.
3.1 Transconjunctival lower eyelid surgery, this procedure is suitable for someone who has an eye bag. However, skin and tissue still have good elasticity. The surgeon will remove the excess fat through the incision at the conjunctiva, and stitches by absorbable suture. The eyes look entirely natural without any visible scar as picture 4
Picture 4. Shows the transconjunctival lower eyelid surgery procedure.
3.2 Transcutaneous lower eyelid surgery, this procedure is available for someone who has sagging skin, baggy, or wrinkles and less elasticity of the lower eyelid. The incision is just below lower eyelash, and then, remove the excess fat, fixate the muscle, remove the excess skin. Skin suture performs. As picture 5
Picture 5. Shows the transcutaneous lower eyelid procedure.
That is a cosmetic procedure to reduce the Mongolian fold or Epicanthic fold of the eyes. The Mongolian fold is the skin of the upper eyelids, which covers the inner corner of the eyes. Epicanthoplasty involves a very small incision on the inner corner of the eyes to get rid of the problems; the result is more expose, brighter eyes. People usually make Epicanthoplasty with double eyelid surgery to shape a more beautiful eye.
Kamol Cosmetic Hospital offers three techniques for Epicanthoplasty are as follows:
4.1 W-Epicanthoplasty, the surgeon makes W-shape line at the inner corner of the eyes. This method is available for someone who has a severe degree of Mongolian fold. The angle and extent of medial canthus dissection can flexibly adjust as picture 6
Picture 6. Shows W- Epicanthoplasty procedure.
4.2 Z -Epicanthoplasty, this method needs to change the direction and point of the inner corner and does not require skin resection. The scar is less visible than W-shape. It is suitable for someone who has a modulate Mongolian fold. As picture 7
Picture 7. Shows Z- Epicantoplasty procedure.
4.3 V-Epicanthoplasty, this method is suitable for a small (Mild) Mongolian fold, It keeps conservative the tip of medial canthus point slightly downward. Therefore, the surgeon must control the degree of the dissection to be natural results. As picture 8
Picture 8. Shows V- Epicanthoplasty procedure.
Canthoplasty is a surgical procedure to improve the lateral Canthus to be balance and natural appearance look. There are many methods for lateral Canthoplasty are as follows:
5.1 Lateral Canthoplasty is a cosmetic surgery to create change in the horizontal dimension of the eye. It can enlarge the outer edge of the eye around 2-3 mm., then cut the excess skin, and sutures. It can perform with double eyelid, and epicanthoplasty makes the eye larger and brighter look. As picture 9
Picture 9. Shows Lateral Canthoplasty procedures.
5.2 Canthopexy (Cat eyes) is a minor surgical procedure that strengthens and stabilizes the lateral canthal tendon and to tighten a drooping lower eyelid or ectropion. This method repositions the outside corner of the eye where the lid meets, restoring a youthful. It can uplift eye around 5 mm. as picture 10
Picture 10. Shows Canthopexy (Cat eye surgery) procedures.
5.3 Lowering Canthoplasty Some of the East Asian people, the Lateral Canthus is too high, looks unnatural. The lower Canthoplasty can move the Canthus downward around 3-5 mm. The incision is the upper and lower eyelid. The Canthal ligament will be repositioned and then adjust the eye shape to balance. The lower eyelid skin is resected, and then the skin stitches.
Picture 11. Shows Lowering Canthoplasty procedures.
Post-operative Care for Blepharoplasty
- Two to four hours after the surgery, a cold pack (or cold towel or gel pack) must be placed over the wound to constrict the blood vessels
- Sleep and rest with head slightly elevated to reduce swelling for a week
- The patient must take extra caution when coughing or sneezing to prevent bleeding after the surgery
- Refrain from smoking, drinking alcoholic beverages and eating salty, spicy, preserved/pickled food for 1-2 weeks
- 24 hours after the surgery, the plaster may remove, and the face can be cleaned with a moist cloth
Risk and complication for Blepharoplasty or eyelid surgery;
Possibility Blepharoplasty or eyelid surgery risk and complication are as follows:
- Swelling and bruising
- Bleeding from the incision line
- Dryness to the eyes
- Sensitivity to the sun or other bright light
- Difficult to close your eyes
- Ectopion from lower eyelid surgery
- A temporary or permanent change in vision but very rare
Recovery for Blepharoplasty or eyelid surgery
During the first week of recovery, you will feel discomfort comes from swelling, bruising, irritation, and dry eyes. That can control by medication, cold compress, and ointment. The result of eyelid surgery will involve a little bit of pain, swelling, and bruising. After surgery ten days, most patients can go back to work. However, it may take a few months to heal completely.