Laser Eyelid Surgery
Although your eyes are frequently referred to as the “windows to the soul,” they can become obscured and difficult to see through when your eyelid skin begins to droop or your under-eye bags grow larger. Additionally, bulging bags or sagging lids can age your face and give you a tired or older appearance than you actually are.
Malar Mounds and Festoons
However, many people also have saggy skin on the cheekbone right below the eyelid, which can also be improved by a blepharoplasty. A “festoon” or “malar mound” is what this is. It cannot be fixed with a facelift or blepharoplasty. The festoons may appear worse and be more obvious after a lower eyelid blepharoplasty. The festoon is accentuated and prone to becoming more noticeable after the fullness of the lower eyelid above it is gone.
Festoons, or malar mounds, are a particularly challenging aesthetic issue to address. Festoons may grow large enough to obscure a person’s lower visual field. Festoons are most frequently an issue after lower eyelid blepharoplasty, which removes bags from the lower lids. Patients frequently notice their festoons for the first time and feel that their lower eyelid and associated festoons look worse. Festoons can be treated with large incisional surgeries that don’t work well, by removing the festoons directly, which doesn’t leave a good scar, or with medicine that doesn’t work well.
You will be asked specific questions about your vision, tear production, contact lens use, medication use, and personal expectations. This information will help you and your surgeon reach a conclusion that you both agree on, along with other considerations including age, skin type, and ethnic background. There will be a discussion of the surgical approach, scope of the operation, and type of anesthesia to be employed. In order to help him plan his treatment options, measurements and “before” images will also be taken. You’ll see before and after images of previous patients who have undergone the surgery. You will also see an educational movie that covers the procedure(s) and provides various clarifications.
By minimizing or removing puffy or sagging skin around the eyes, laser eyelid surgery can make the eyelids look more youthful and active. The top and lower eyelids can be painted together or separately. However, the majority of patients discover that when both regions are treated simultaneously, they achieve more dramatic results and a more symmetrical appearance. The surgery center completes this outpatient treatment under local anesthesia in about an hour. You are permitted to go home right away after surgery.
The conventional approach of making an incision using conventional surgical techniques is being replaced with laser eyelid surgery. small incision created by the laser beam, occasionally from within the eyelid. In contrast to traditional eyelid surgery, laser eyelid surgery actually cauterizes (seals) blood vessels with reduced bruising, bleeding, discoloration, swelling, and a quicker recovery. Tiny sutures are used to close the wounds after the fatty deposits have been removed. It takes about 10 days to remove the sutures. You can get laser skin resurfacing on your lower eyelids at the same time as your laser blepharoplasty to get rid of wrinkles caused by years of sun exposure and make festoons or malar mounds look better.
How about rehabilitation?
Your post-operative discomfort should be at a minimum. Because the laser blocks off blood vessels and nerve endings, you should suffer far less pain or bruising following surgery. Tylenol can be used to lessen discomfort. After surgery, you can anticipate your eyelids being swollen and puffy for a few days. For the first 48 hours, applying cold compresses can reduce edema. The tiny stitches will be removed in 7 to 10 days.
In about 3 to 7 days, you may normally resume your routine activities. The resulting scars are very small and blend in with the upper eyelid’s natural crease. Many procedures on the lower eyelids don’t leave any kind of noticeable scars behind. Our patients’ faces appear more vibrant and awake following eyelid surgery. Many people seem to have more energy after seeing their younger selves in the mirror. The removal of eyelid festoons, crow’s feet, or wrinkles cannot be accomplished with laser eyelid surgery alone. To treat wrinkles, crow’s feet, and festoons, other procedures like laser skin resurfacing and BOTOX cosmetic injections can be combined. Many patients find that their faces look even better after combining these procedures with eyelid surgery.
For more information about having Eyelid Surgery in Portland Oregon – contact board certified facial plastic surgeon Dr William Portuese with offices in Hillsboro Oregon – close to Portland Oregon and a plastic surgery office in Seattle WA.