Terça-feira, 5 de Março de 2013

Eyelid Cosmetic Surgery (Blepharopplasty)/ Cirurgia Estetica das Palpebras(Blefaroplastia)

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Your eyes are the focal point of your face and puffy bags and excess skin under them could make you look tired and worn. Today, however, there is a surgical technique designed specifically for the removal of that "tired" look that can change your physical appearance by playing a vital positive role in facial harmony and your emotional perspective. Dr. Francisco de Melo Consulting Plastic Surgeon at Aesthetica Clinic conducts eye lid surgery, also known as blepharoplasty, to rejuvenate patients' upper eyelids, lower eyelids or both.

 

Blepharoplasty can remove some of the excess fat and skin that accumulates around the eye, giving you a younger, fresher, more "awake" look. The procedure seeks to obtain a smooth contour around the eyes that will create a brighter eye and a more rested, younger appearance. Removing the excess skin and fat, or by repositioning the anatomical structures responsible for an aged and tired look. Eye lid surgery also can improve functional problems resulting from aging like ectropion (outward turning of the lower eyelid), entropion (inward turning) and eyelid ptosis (drooping upper eyelid). We can distinguish between upper and lower eyelid surgery as they address different problems and are, in reality, two different and independent procedures.

 

Upper eyelid surgery usually focuses on the treatment of excess skin, that fold upon itself erasing the upper eyelid crease. It is caused by loss of elasticity, skin laxity and descent of the eyebrow. This can also be followed by some fat protrusion, creating a bigger bulge on the eyelid that should be addressed if it is present. Usually it is an outpatient procedure, performed under local anesthesia and virtually pain free. The recovery period is well tolerated. There will be swelling and bruising that usually resolves in 7 to 10 days. If it is combined with other procedures like a brow lift or eyelid ptosis correction, the recovery period can be increased. However it does not interfere with the normal daily activities, except driving (first two days) and exercise.

 

Lower eyelid surgery is mainly focused on the treatment of the under eye bags due to fat protrusion and excessive skin. The surgery is also conducted under local anesthesia in an outpatient regime (depending on the patient health and medication), and can be combined with upper blepharoplasty, face lift or other cosmetic procedures. It can be done through an external approach in which the incision is placed immediately under the eyelashes, or trough and incision placed in the inner side of the eyelid ( transconjunctival approach). In both cases the fat is removed or repositioned and the skin redraped in order to obtain a smother contour of the eyelid and in continuity with the cheek.

Regarding the lower eyelid surgery, the correction of the laxity of the eyelid margin is of the outmost importance to treat or prevent the outward rotation of the eyelid and exposure of the conjuctiva ( ectropion). This will bring chronic inflammation and a dry eye, being more exposed to trauma (cornea ulcers) and infection. Unless it is intentional decision the eye shape is not changed.

 

 

The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a firmer, smoother, better-defined eyelid and surrounding region. The appearance of fine lines and wrinkles is dramatically improved. There is no need to search for the perfect cream that attempts to make empty promises of erasing the effects of sun and aging. Blepharoplasty is a safe, effective, and proven method that not only leaves you better looking, but feeling better about yourself.

publicado por Francisco Falcão de Melo às 04:50
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Dr Francisco Falcão Melo

Licenciado em Medicina pela Faculdade de Ciências Médicas de Lisboa, fez o Internato Complementar em Cirurgia Plástica e Reconstrutiva nos Hospitais Cívis de Lisboa. Actualmente é Assistente Graduado sendo o responsável pelo Serviço de Cirurgia Plástica e Reconstrutiva do Hospital Militar Principal. Membro da Sociedade Portuguesa de Cirurgia Plástica Reconstrutiva e Estética, da Sociedade Portuguesa de Cirurgia da Mão e da Sociedade Portuguesa de Queimaduras.Exerce a sua actividade privada em Lisboa e em Leiria.

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E-mail: franciscofmelo@sapo.pt

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