![]() This is an inherited characteristic and there is a limit to how much can be modified. In some cases the depth of our eyelid crease is determined by the amount of cartilage in the eyelid area. Little can be done to alter bone structure of this area. Some people have a very prominent superior orbital rim which affects the shape of the periorbital area. The appearance of our eyes is an individual characteristic and is due in part to the shape of the bony cavity (the orbit). This would be the traditional blepharoplasty or eyelid tuck. However, if the condition has persisted too long or the skin laxity has markedly increased, then both skin and fatty tissue need to be removed. ![]() The fatty tissue is removed and the skin redrapes into its normal position. This is called a transconjunctival blepharoplasty. If the condition is detected early, the fatty tissue can be removed simply by using a laser on the interior part of the lower eyelid and removing the fat without any external incision. ![]() The fatty tissue attracts this fluid which results in an increase in bulging in this area. Both of these conditions result in an increased fluid retention by the body. The condition may be worsened during a woman’s menstrual cycle, or when one is eating or drinking an increased sodium intake. “Ancillary Procedures Commonly Performed In Conjunction With Blepharoplasty“ Ice compresses on eyes, and eye rest, for first 48 hours after surgery Most people can be out wearing dark sunglasses by 3 days post-surgery and most can resume normal activities in 7 days Laser used to vaporize excess fatty tissue, in most cases without any external incisions Incisions hidden in upper lid skin crease and fold Removes excess fatty tissue pads in lower eyelid and allows skin to contract and redrape Removes excess skin and fat pad in upper eyelid
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