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Eyelid Aesthetics Turkey

Opr. Dr. Hasan Duygulu

Eyelid Aesthetics is one of the most frequently performed plastic surgeries in Turkey as well as in the world. Eyelid Aesthetics is a functional operation as it opens the nasal canals and can also provide cosmetic benefits, also called aesthetic surgery. Opr. Dr. Hasan Duygulu aims to provide happiness and satisfaction to his patients with his team that takes care to provide the highest level of service in his private clinic.

Dr. Hasan Duygulu has successfully performed more than 4 thousand Eyelid Aesthetics in the last 12 years.

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Eyelid Aesthetics

Although it is not as popular as rhinoplasty, we can mention that eyelid aesthetics has become a need for many people in recent years. Eyelid aesthetics is also known as blepharoplasty. It draws attention as a procedure applied to the upper and lower eyelids. It aims to eliminate sagging skin and remove extra muscle tissue. It is also applied for purposes such as stretching the tissues around the eyes.

There are many factors that make eyelid aesthetics necessary. First of all, sagging of the skin occurs with the effect of gravity due to aging. Again, as a natural consequence of aging, some bagging is observed on the eyelids. Findings such as loosening, loosening, wrinkles and discoloration of the skin cause people to decide for eyelid aesthetics. In addition, deterioration around the eyelids may also occur due to environmental and personal factors. Exposure to harmful sun rays, sleep irregularity, air pollution, alcohol and smoking are among the factors that accelerate the aging process of the skin.

Why is Eyelid Aesthetics Needed?

Eyelid aesthetics is considered necessary to eliminate the negative effects of the signs of aging on the eyelid. The fact that the skin has an elastic structure is a reason that causes all these problems. Because the elasticity of the skin decreases due to aging. Therefore, the aging effect first appears on the eyelids. Due to the changes in the eyelids, many people have a dull, tired and old appearance on their faces. At this point, eyelid aesthetics are among the symptoms that make it compulsory;

  • Discoloration under the eyes
  • Occurrence of bagging under the eyes
  • Sagging of the eyelid and formation of some wrinkles
  • The formation of lines called crow’s feet in the corners of the eyes
  • As mentioned above, a tired facial expression

 

The problem of upper eyelid drooping occurs due to the abundance of skin on the eyelids. This situation; In some cases, it reaches a level that prevents people from seeing. Therefore, people apply for eyelid aesthetics in order to treat this condition. In addition, the problem of droopy eyelids also occurs due to droopy eyebrows and forehead. As a result, only upper eyelid or lower eyelid aesthetics can be performed according to the demands of those who want to apply for this operation for loss of function or aesthetic reasons. In addition, those who wish can have aesthetic surgery for both upper and lower eyelids.

When Should Eyelid Aesthetics Be Performed?

Eyelid aesthetics; As can be guessed, it is preferred by people aged 35 and over. The reason for this is that the signs of aging on the eyelids occur especially after this age. Thanks to eyelid aesthetics, it is possible to delay aging in this area by seven or eight years at most.

What Should Be Considered For Eyelid Aesthetics?

As in rhinoplasty, aspirin or other antibiotic drugs should be stopped at least 15 days before the procedure due to the risk of increasing bleeding tendency. In addition, smoking and alcohol use should be suspended for a while.

Lower Eyelid Aesthetic Surgery How is it done?

Lower eyelid aesthetics is usually a surgery to eliminate prominent eye bags and remove sagging, wrinkled excess skin under the eyes and stretching the remaining skin muscle tissue. It is performed for facial rejuvenation. An incision is made under the eye, but in some cases this incision remains inside the eyelid.

How is Upper Eyelid Aesthetic Surgery Performed?

It is the process of removing excess skin and muscle tissue in the area. In some cases, some of the fat tissue is also removed. It gives good results if it is applied together with brow lift and forehead lift operation.

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Frequently Asked Questions

How many years does eyelid surgery last?

Eyelid surgery can be thought of as a facelift surgery. It is the process of hanging the sagging skin, subcutaneous muscle tissue and fat tissues back into place and removing some skin. Sometimes some of the fat is removed and sometimes it is detransferred and used in augmentation. Therefore, it has a rejuvenation effect in patients. Aging does not stop, it continues from where it left off, but it creates an effect that will set the patient back a few years. However, the aging process will continue. The newly formed tighter skin and subcutaneous tissue may sag again over time, but this process slows down even more. Eyelid surgery is a short aesthetic procedure that can be performed under local anesthesia, but has a great effect. The incision scars are hidden by bringing them under the eyelashes on the lower eyelid instead of the fold on the upper eyelid.

Of course, eyelid surgery has risks, just like any other surgery. There is no life-threatening risk. These risks are different in the upper eyelid and lower eyelid. The most feared risk of upper eyelid surgery is the development of bleeding during fat removal, but when done carefully, the risk is very, very small. I have never encountered it in my own practice. Another important risk is that the eyes do not close, which we call “lagophthalmus” due to excess skin removal. This may be mild and normal in the first 24 hours of surgery and then the eye can be closed immediately. However, if it does not, be sure to consult your doctor again. Other risks include insufficient skin removal, infection, shrinkage in the upper eyelid.

The risks of lower eyelid surgery are slightly different. What we fear the most here is that the lower eyelid is displaced in the lower direction and the white part of the eye becomes more visible. We call this retraction. Sometimes it can be severe enough to turn the lower eyelid outward, which we call ectropion. This retraction has different causes such as excessive skin removal, adhesions in deep tissues, excessive removal of muscle tissue. Another risk is damage to the muscle that allows the eye to look downwards, which is very rare and not very common in practice, when it occurs, problems such as double vision and strabismus occur. Other risks include infection, bleeding, hematoma (blood accumulation).

Eyelid aesthetic surgery is usually performed under local anesthesia and sometimes under general anesthesia. They do not stay in the hospital after the surgery and can return home on the same day. In case of upper eyelid surgery, patients are discharged from the hospital or clinic with a dressing applied using tapes covering the upper eyelids. After lower eyelid surgery, patients are discharged with a dressing applied to the incision mark at the edges of the lower eye. Edema and bruises occur around the eyes in the first 2 days. It is very normal for blood to leak from the dressing on the first day. Patients are advised not to drink blood thinners, stay away from herbal teas, or use herbal products 1 week before and 3 days after the surgery. These products increase bleeding during and after surgery. It is recommended that they keep their blood pressure under control, and if they are using blood pressure medications, they should use these medications regularly. After 1 day, eye patches can be removed and a bath can be taken. It is not a problem if water or foam touches the incision area. There is usually no pain after the surgery, but I give all my patients an antibiotic to use for a few days when they are discharged and a painkiller to use when there is pain. On the 3rd day, the swelling is at its maximum size and begins to decrease, descending to the lower parts of the face. Patients are not recommended to drive for the first 3 days. If they are using contact lenses, they can start using lenses again after 14 days.1. At the end of the week, the swelling has decreased and the bruises around the eyes have turned yellow. They can be camouflaged with make-up and you can return to social/business life. After 2 weeks, only a redness remains at the incision site. After 3 months, the incision scar becomes almost invisible, most of it is already hidden in the eye crease.

Patients cannot wear contact lenses for 2 weeks after eyelid surgery. During this period, patients are recommended to wear glasses. After 2 weeks, patients are recommended to start wearing contact lenses using the lower eyelid without straining.

The purpose of upper eyelid surgery is not only to remove skin. If there is excess muscle and fat tissue, muscle and fat tissue are also removed, if the eye fold is deep and high, the eye fold is created where it should be, if there is an inverted appearance of the eyeball, which we call “sunken eyes”, fat injections are made under the muscle tissue and under the skin to provide a fuller appearance to the eyes. While doing these, the incision is generally made in the eye fold if the patient’s eye fold is in its normal place, if the eye fold is not in its normal place, it is 8-10 mm above the eyelashes in women and 6-8 mm above the eyelashes in men, and the patient’s new eye fold is created here. Therefore, the incision always remains within the eye fold and there is no visible scar from the outside, the scar is hidden. Upper eyelid surgery is a 45-minute procedure performed under local anesthesia. There is no pain during the procedure, patients can return to their social life immediately, but it should be shared with the patient in advance that there will be bruising on the upper eyelid for the first 1 week.

There is no age limit for eyelid surgery. However, it is not a common surgical method at an early age. Since it is usually performed due to age-related upper eyelid sagging or lower eyelid sagging and eye bags, such problems are not encountered at an early age. In middle ages, the problems are still mild and patients usually try to eliminate their problems with non-surgical methods. However, eyelid surgery is rarely performed at a young age for patients with eyelid asymmetry or marked eyelid hypertrophy due to genetic or structural reasons.

After eyelid aesthetic surgery, water touching the incision sites on the eyelid does not pose a problem. I have almost never encountered an infection in this area. We give patients an antibiotic pomade and a prophylactic antibiotic to be used for a few days at discharge. Therefore, bathing after surgery is not a problem. However, I still recommend our patients to wash places other than the eye area for the first 5 days if possible. If water or foam touches the eye, there is nothing to worry about. In the first 48 hours, the area around the eye will swell anyway, this has nothing to do with water contact, it should not be considered as an infection.

The duration of eyelid surgery varies. The duration of a standard upper eyelid surgery is approximately 45 minutes. However, if fat injection, ptosis (droopy eyelid) surgery will be added to this, this period may extend up to 2 hours. A standard lower eyelid surgery is a procedure that takes about 1.5 hours.

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