Sunday, September 15, 2019

Lower Eyelid Surgery - The Pinch and Peel Technique

Aging begins on the face around the eyes first. Often the lower eyelids are larger than the upper ones. It starts with the development of some loose skin and wrinkles around the crow's feet. As it progresses, more wrinkles appear and lower bags may start to grow as fat herniates outward. The progression of this aging is fine in the late 30s and early 40s and is more prominent in the late 40s and early 50s.
Lower eyelid tuck or blepharoplasty is a common plastic surgery procedure to improve the appearance of this facial area. To the fullest, skin and muscles are lifted and trimmed and fat is removed. However, lower blepharoplasty surgery can be tailored to the amount of aging available. Early eyelid aging usually does not require full blepharoplasty surgery
The lower blepharoplasty procedure is suitable for younger patients. In the operation of the 'mini' eyelid surgery like this, several millimeters of the lower lid are cut with special instruments rather than making splashes and corrections extended under the skin to the orbital rim. The damaged skin is simply cut off and the blood supply to the lower eyelid is not affected. This then enables the removal of medium depth chemical peels using 25% or 35% of TCA (trichloroacetic acid) solution. A combination of some skin removals and skin tightening helps to lower the lid and reduce wrinkles. Because it is a lower-cost procedure, recovery (looking good without any obvious signs of having surgery) is usually complete within a week.
When herniated fats are also present, they can be removed by slicing the inside of the lower lid (transconjunctival).
The eyelid technique and the lower eyelid technique can be done in several variations as well. How much skin is contaminated, whether fat is released, and the strength of chemical skin solutions are all variables that can be changed and mixed and matched. At the office, a pinch of the skin and chemical peels can be performed under local anesthesia. When fat removal is required, then this requires an anesthetic trip to the operating room.





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