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Blepharoplasty

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Extremely effective and non-surgical process that can diminish the toughest of wrinkles and lines.

The first signs of aging appear as wrinkles around the eyes, "crows feet", forehead, cheeks and lips "marionette lines". Although normal, wrinkles can sometimes incorrectly project the appears of anger or weariness.

   BEFORE / AFTER   

BOTOX® injections can be used to restore a youthful appearance.

Ask Dr. Solomon if BOTOX® Cosmetic is right for you.

How does BOTOX® work?

Botulinum toxin (BOTOX®) has been used for the treatment of misaligned eyes and uncontrolled spasms of the face. BOTOX® protein is injected near the nerve ending and blocks the transmission to the muscle.This in turn, has a relaxing effect on muscles, and associated wrinkles are decreased. The blockade lasts on average three months, at which time muscle movement is restored and wrinkles return.

How is BOTOX® administered?

Using a very fine needle, BOTOX® is injected directly into the muscle. Cold compresses or anesthetic can be applied to the skin prior to treatment. Treatments only take a few minutes, and discomfort is minimal and brief.

Results are dramatic and appear within the first week. And unlike surgery, BOTOX® is fast, simple, and minimally invasive. Most people return to work, without restrictions on activity, following treatment.

Who is a good candidate?

People who are physically healthy, without a history of neurotransmitter diseases (such as multiple sclerosis), not pregnant or nursing, and who are eighteen years or older and concerned about the appearance of the wrinkles and lines are the best candidates.

Understanding the Risks, Complications, and Side Effects

BOTOX® is a toxin. Only small concentrations are used to treat wrinkles.

The most common side effects are headaches and temporary redness or bruising of the skin. Bruising appears more commonly in those taking aspirin products or blood thinners. These medicines should be avoided one week before treatment. Occasionally, temporary eye irritation or tearing may occur.

More serious complications are rare but possible. This includes drooping eyelids. Though temporary, the droopy lids may obstruct your ability to see.

Eyelid Surgery

Complete eye health includes healthy eyelids. The most common eyelid problems are excessive eyelid skin, droopy lids or eyelids that turn inward or outward. They all can cause eye discomfort or limit vision, and certainly affect appearance. Fortunately, these eyelid problems are correctable with surgery.

PTOSIS (Eyelid Drooping)

Upper Lid Ptosis can either be apparent at birth (congenital) or develop with age (involutional). A child with congenital ptosis may tilt their head backward to see, so the condition does not always lead to poor vision. Nevertheless, children with ptosis should be examined by an ophthalmologist because they can have other associated eye problems.

Involutional ptosis develops with aging. It may worsen after other types of eye surgery or chronic eyelid swelling. Ptosis may limit your side or even central vision. If ptosis occurs in one eye, it may create an uneven appearance. Surgical shortening of the muscle that opens the eyelid will often lead to better vision and improve appearance.

DERMATOCHALASIS (Excessive Upper Eyelid Skin)

Over time, many people develop excess eyelid skin. Eyelid skin is the thinnest skin of the body, so it tends to stretch.

In the upper eyelid, this stretched skin may limit your side vision. The same problem causes “bags” to form in the lower eyelids.

The excess skin in the upper eyelids can be removed surgically by a procedure called blepharoplasty. It improves side vision and other symptoms. Removal of the excess skin in either the upper of lower eyelids may improve appearance. If excess fatty tissue is present, it may be removed at the same time.

Eyelid Plastic Surgery

Eyelid plastic surgery is almost always performed on an outpatient basis using local anesthesia.

Before surgery, your ophthalmologist will perform an eye examination and make recommendations.

Photographs and side-vision testing are often required by insurance companies before blepharoplasty and ptosis surgery.

If you are planning to have surgery, be sure to tell you ophthalmologist if you are taking ASPIRIN or ASPIRIN-containing drugs, blood thinners, or if you have a bleeding disorder

This surgery is generally safe; however, as with any surgery, there are some risks:

  • The ophthalmic surgeon will attempt to make both eyes look similar, but difference is healing between the eyes may cause some unevenness in appearance following surgery.
  • A black eye is common, but will go away quickly.
  • The eye may fill dry after surgery, because it may be more difficult to close your eyes. Slight over correction is certainly possible and generally temporary as the healing continues.
  • Serious complications are rare. The risk of losing vision is estimated to be less than one in 5000 surgeries. Infections and excessive scarring occur infrequently.

Eyelid cosmetic surgery is a very elegant and intricate procedure that is safely performed in an outpatient setting. The improvement in appearance, vision and comfort is very gratifying.