Over time our our bodies change and our eyelids are no exception. The eyelid skin is the thinnest skin we have and tends to age quicky. Excess or redundant upper eyelid skin and droopy lids can be treated with eyelid surgery known as blepharoplasty, which removes and tightens excess lid skin and improves the appearance of the eyelids.This can be done for cosmetic or functional reasons. Drs. Butryn and Ranger are all surgically trained to treat a variety of eyelid conditions.
Cosmetic blepharoplasty helps to rejvenate and restore the youthful appearance of your eyelids. With age the eyelid skin stretches, muscles weaken and fat pockets become more prominent.. This is often hereditary. Cosmetically, such conditions can detract from the overall appearance of your eyes and lead to a tired facial expression.
Functional blepharoplasty is performed for medical reasons and may be a covered medical benefit under certain circumstances. This procedure helps improve your peripheral vision when loose upper lid skin or eyelid droop impairs your line of sight.
Other medical conditions that may require blepharoplasty include:
- Difficulty wearing glasses or contacts from baggy upper eyelids.
- Irritation from excess folds of eyelid skin rubbing together.
- Forehead discomfort from overused muscles that strain to lift sagging skin in the eyelid area.
Ptosis is the medical term for drooping of the upper eyelid margin. It occurs when the edge of the upper eyelid margin falls from its normal position and blocks part of your vision. In most cases, a drooping upper eyelid results from aging of previously normal structures. Typically, the tendon of the muscle responsible for lifting the eyelid stretches and the eyelid falls. Ptosis surgery not only involves removal excess upper lid skin and fat pads but also restores the lid to its normal height. While blepharoplasty alone can elevate the upper eyelid margin with removal of excess upper lid skin, ptosis surgery raises the upper eyelid margin by also tightening the muscle that elevates it.
Cosmetic Lower Lid Surgery
Lower eyelids often show signs of aging with bulging caused by protruding fat pads. These fat pads can easily be removed surgically through an internal approach at the same time upper lids are done. The advantage of an internal approach is that there is no scarring of the lower eyelid.
An eyebrow lift is an oculoplastic surgical procedure performed to correct brow droopiness or sagging. This sagging is usually the result of natural aging changes. Drooping eyebrows can create an aged appearance to the face or facial asymmetry. A sagging eyebrow can also cause one’s vision to be blocked, resulting in the use of forehead muscles to raise the eyebrow. This use of forehead muscles to lift a sagging eyebrow out of the line of sight can result in symptoms of strain and even headache. The eye surgeons at NVEC can perform a variety of oculoplastic surgeries to lift the eyebrow and create a more youthful appearance while minimizing the appearance of surgical scars. Depending on the extent of eyebrow sagginess, insurance may cover the surgery.
Ectropion, Entropion, and Eyelid Laxity
An ectropon is when the lower eyelid does not rest against the surface of the eye. The eyelid is often saggy as a result of losing some of its natural tissue rigidity associated with aging. Also, scars from trauma or previous surgery on the cheek or around the eye can lead to skin tightening which can result in an ectropion. Because the position of the eyelid is vital in maintaining a healthy ocular surface, a patient with an ectropion could experience symptoms of dry eye, including burning, stinging, redness, and irritation.
An entropion is when the eyelid turns in towards the eyeball, also causing the eyelashes to turn in. This can cause significant ocular surface irritiation, including redness, stinging, and feeling like their is something in the eye. The most common cause of an entropion is a progressive weakening of the eyelid’s natural support which occurs with aging. Muscle spasms around the eyelid can also cause the eyelid to turn in.
Eyelid laxity is a progressive weakening of the once more rigid eyelid structure. This can cause the eyelid to sag and create an aged appearance. Additionally, if the eyelid does not closely hug the surface of the eye, it can result in irritating symptoms including feelings of burning, stinging, and redness. The eye surgeons at NVEC can assess the position of the eyelid and perform the correct procedure to help return the eyelid to it’s natural position; most insurance companies usually cover these procedures.
Latisse (Eyelash Growth)
Do you want longer, thicker, and draker eyelashes? We prescribe a medication that promotes this growth for patients, who have hypotrichosis or just inadequate eyelashes (a natural aging tendency).