Modalities Of Eyelid Surgery

Introduction

Methods of carrying out Eyelid Surgery Melbourne can be grouped as invasive and noninvasive techniques. While the invasive modalities involve an incision, the noninvasive do not. Each of the two is aimed at achieving the ultimate goal of well resurfaced eyelids. These methods include: electrical surgery, laser blepharoplasty as well as the traditional blepharoplasty. Let us look at each at a time:

Electrical Eyelid Surgery

With the current advancement in technology, doctors have come with innovations to increase the efficacy of surgical procedures. This is where electrical eye lid surgery comes in. The good news is that electrical cautery can be used for both upper and lower eyelids. The main advantage of this modality over the rest is that it doesn’t lead to any bleeding at all.

Modalities Of Eyelid Surgery

Steps of electrical eye lid surgery

  1. The patient is subjected a sedation or a general anesthesia. This is to make them comfortable throughout the electrical surgery.
  2. The eye ball is shielded with a metal shield to prevent the electric beams of light from causing blindness.
  3. The next step is a trans-conjunctival surgery which is normally common for the lower eyelid. The electrical cautery machine is inserted in the inner layer below the lash line. It slowly removes fat and skin deposit and repositions it in a way that a well distributed eye lid results.
  4. Tissue glue is then applied over the operated area below or above the lash line for resealing purposes. No bleeding, inflammation or scars result.
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Laser Eyelid Surgery

In lasersurgery, there is a super minimal incision that hardly causes bleeding like traditional blepharoplasty.

The Steps Involved Include:

  1. It begins by marking of creases along the eye lash line. For the upper eyelid, it should be 7-9 mm mark for men and 8-10 mm in women.
  2. The elliptical skin is to be excised. This is done using a pair of forceps making sure not to open the eyelid. A space of at least 20 mm should be left between the thicker brow skin and eyelid margin.
  3. The patient is given sedation drugs or anesthesia medication to give them a pain free operational session.
  4. A small incision is done carefully along the marks made making sure not to exceed the marks.
  5. The excess fat deposits and skin layers are removed carefully and repositioned leaving behind a normal eyelid and an advanced look.
  6. Tissue glue is applied to reseal the operated area leaving no stitches behind.
  1. Traditional eyelid surgery
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This was the initial surgical procedure before the more advanced ones were introduced.

Steps Involved

  1. A local sedation or a general anesthesia is carried out. This ensures a pain free surgical operation to the patient.
  2. An incision is made along the marked lines below the lashes.
  3. The excess fat deposits are removed and repositioned and thick skin is resized. For the upper eyelid, a trans-conjunctival incision is made for removal of fat and thick skin.
  4. Stitches are made along the excised eye region which should be removed after a span of 6-9 weeks after recovery.
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Conclusion

Each of the above named modalities has worked well in eyelid surgical operations. However, the success of surgery is dependent on the level of skill and expertise of the dermatologist or surgeon.

Christina M