Written by Dr. Cross
The eyes and the area around the eyes are the focal point of the face when in conversation. It is also an area that, in many people, shows signs of aging beyond that of the rest of the face or body. Eyelid procedures are used to remove excess or overhanging skin of the upper and/or lower eyelids, improve the appearance of fine lines and wrinkles of the lids, and to remove the “bags” and shadows that often occur between the eyes, cheeks, and nose.
The incision for the upper eyelid procedure typically falls within the natural crease of the eyelid. This hides the incision, making it essentially imperceptible once the healing process is complete. Often, rejuvenative procedures of the lower lids can be performed through an incision that is placed on the inside of the eyelid, with no external incision or scar. When external incisions are used, however, they are hidden in a natural position just under the eyelashes, making their appearance unnoticeable.
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These procedures can be performed under either a “twilight” anesthesia, or a deeper anesthesia, and our anesthesiologists now use a technique called “TIVA” that is very effective in preventing any nausea or vomiting. Swelling and bruising can be significant after an eyelid procedure, but there is very little pain associated with this surgery. All of the sutures are absorbable, and generally within two weeks of the procedure, patients can go out in public without noticeable evidence of having had a procedure.