Eyelid Surgery

Eyelid surgery is a procedure performed usually to correct problems that have been inherited or arise simply out of the areing process. It is normally only carried out on adults.

Eyes are central to your appearance, and so concerns about your eyes can affect your overall look. This can have an adverse effect on the way we feel about ourselves and in the long term affect our self confidence. If your eyelids or the areas around the eyes look old, you will look old.

The skin around your eye lids through wrinkling can become excessive and redundant. This skin can sag and will ultimately hang from the eye lid obscuring your vision. The heaviness upon the eyelids makes it more difficult to open and can create a feeling of tiredness.

To improve the appearance the fat found behind the muscles can be removed which will reverse what is a natural ageing process.

Aesthetic eyelid surgery can usually correct these problems, though other treatments can be used.

If the upper eyelid condition is accompanied by a sagging of the eyebrows, then a forehead lift may be the preferred treatment. Crow's feet can be smoothed by chemical peeling, anti wrinkle injections or laser resurfacing procedures. Dark bags or circles beneath the eye can be improved with a bleaching solution. Ptosis of the upper eyelid due to muscle weakness can also be corrected simultaneously.

The lower eyelid bags can also be corrected either separately or at the same time as the upper lids, this procedure carries more potential risks and complications.

Preparation

Consider all of the aspects of your eyes that you wish to improve. By clearly defining what your requirements are, this will help us to understand what your true expectation is of any treatment we recommend.

List all the benefits of your proposed surgery and the risks you feel are involved and then take this list with you when you come to visit the McLean Academy.

Make sure you have with you your fulll medical history, high blood pressure, thyroid problems and diabetes are some of the conditions which may increase the risks associated with eyelid surgery. Other conditions such as dry eye can affect the treatment proposed by the surgeon, so it is important to cover all aspects of your eyes during the intitial consultation phase.

The McLean Academy will help guide you through this process, assessing all options available to you and providing you with the correct advice on which to base your decision.

If you smoke, you will be asked to stop in advance of surgery. Aspirins and other anti-inflammatory drugs thin the blood and therefore increase the risk of bleeding. You must avoid taking these medications for a period of time before surgery.

Aesthetic eyelid surgery is usually performed on an in-patient basis. Ensure someone is present with you for support during your stay and to ensure you can get home safely the following morning.

The Procedure

Upper eyelid surgery:

An incision is made within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laughter lines or other existing creases. This has the effect of hiding the incision. Excess skin and tissue is removed. Because the incision follows the natural lines and creases of the upper eyelid, it will be well hidden once it has healed. Any enlarged fat bags will also be removed at the same time.

Lower eyelid surgery:

An incision again is made and is usually hidden below the lower eyelashes. As with upper eye lid surgery, excess skin, muscle and fat are removed. The incision is well hidden within the eyes natural creases. Please note that there are more potential risks and complications of this operation.

After the operation

Your surgeon will not be able to say what results will be achieved, individual factors affect the results of the surgery and in turn will affect the nature of the surgery.

There is little pain and discomfort after the surgery, although your vision may be blurred slightly from the ointment applied to your eye during surgery and the swelling that naturally follows.

It is normal to feel a tight sensation around the eye, mild discomfort may accompany this but it can usually be controlled with oral medication.

During the early days following surgery, varying degrees of swelling and bruising can be experienced. The bruising disappears usually within seven to ten days. Stitches are usually taken out within a week of your surgery. Vision can continue to be blurry for a few days, your eyes may be temporarily sensitive to light, and you may experience excessive dryness.

Eye drops can help to relieve any burning or itching.

Dark sunglasses can be worn for a few weeks to help protect the eyes from wind and sun irritation.

General Complications

Significant complications from aesthetic eyelid surgery are infrequent.

Potential complications that may be experienced as a result of eyelid surgery include haematoma, infections, reaction to anaesthesia, dryness or irritation in the eye that requires treatment. A temporary lack of sensation to the eyelid skin or impaired eyelid function, that sometimes may need to be corrected by additional surgery.

By nature, all medical procedures carry an element of risk. While the majority of patients do not experience any complication with our eyelid procedures, before embarking on any medical procedure it is advisable to consult fully with the McLean Academy so that our qualified staff can suitably discuss any risk or concerns that your procedure may pose.

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Contact Information

The McLean Academy

Neil R. McLean ( MD FRCS )

Telephone: 0191 284 3719

Email: reception@mcleanacademy.com

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