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Eyelid surgery (Blepharoplasty) corrects drooping upper eyelid skin, tired puffy eyelids and puffy bags below your eyes - features that make you look old and worn out, and may even interfere with your vision. Many people seek this type of eyelid surgery as early as in their 20's, 30's and 40's to give them a brighter, more youthful appearance.
Eyelid surgery attacks the excess skin and the subcutaneous fat deposits - the sources of the tired haggard look. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a Facelift, Forehead Lift or Dr. Chugay's Crow's Feet Removal Procedure to remove those stubborn wrinkles around your eyes.
In an attempt to somehow deal with the unsightly Crow's Feet, most surgeons extend the incision in the lower lid beyond the outer edge of the eye, which can produce noticeable scarring. Dr. Chugay stops the incision at the outer edge of the eye. For those patients who need to reduce wrinkles around the eyes, Dr. Chugay utilizes his unique technique of Crow's Feet Removal. The ugly scars are thus prevented, and the wrinkles are dealt with.
The traditional Blepharoplasty technique emphasizes extensive removal of fat in the lower lid in order to assure complete removal of the puffy bags. However, this overcorrection often results in hollow or even cadaverous-looking eyes. Dr. Chugay removes fat conservatively and only from certain layers, thus producing excellent results without the hollow-eye look.
Dr. Chugay insists that skin excision on average should be minimal especially on older patients whose muscles are weak and a round-eye appearance can be produced (rather than the normal elliptical shape.)
Dr. Chugay teaches his post-graduate medical fellows to remove some fat in the middle and medial (close to the nose) areas to get a crisper, less puffy upper lid appearance. Presently only about 15% of all surgeons utilize this technique.
Dr. Chugay teaches that after the procedure the skin should be closed with fast-absorbing gut sutures which fall out on their own within a week's time. There is no need to remove sutures post-operatively. This is a very new technique. Majority of surgeons still use nylon sutures.
To produce a complete rejuvenation in the eye area, Dr. Chugay recommends Crow's Feet Removal in conjunction with Blepharoplasty. A well-administered Chemical peel can later remove the remaining fine lines and wrinkles.
Blepharoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations
Discuss your health in detail with Dr. Chugay to make sure you do not have any additional risk factors.
Eyelid surgery will be performed in our fully accredited surgical facility on an outpatient basis. No inpatient stay is required.
Dr. Chugay utilizes a combination of local anesthesia and IV sedation. You will be asleep and comfortable during the procedure. The risky general anesthesia is not used.
An incision is usually made in the natural skin fold on the upper eyelid. The excess skin is removed and the skin is repaired with very fine absorbing sutures. The lower eyelid incision is made directly under the eyelash line. The excess skin and some muscle are removed from the region of the lower lids. If there is some fat in the region of the lower lids, that fat is also removed. The skin is closed with fine dissolving sutures.
Eyelid surgery remains one of the most popular cosmetic surgery procedures. Very rare cases of scarring may occur because the skin is quite thin in the eyelid region. Infection may happen, and antibiotics are given prior to surgery. Bleeding may occur. A condition called ectropion (pulling of the skin) may happen in the region of the lower lids if an excessive amount of skin is removed. However, the risks are infrequent, and can often be avoided if you follow Dr. Chugay's instructions carefully.
Following the eyelid surgery, the eyes may be swollen and tender. Antibiotics will be prescribed for a week's time. Stitches are removed within several days postoperatively if they have not fallen out on their own already. Most patients within a week's time return back to their normal activity. Please, follow all post-operative instructions for optimal and fastest healing and recovery.
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