Eyelid anatomy is beautiful and incredibly intricate.
Procedures to enhance or restore eyelid anatomy have improved over time from a pinch-and-remove-skin technique to more delicate dissection and precision in restoring the normal anatomic relationships and contours. The term blepharoplasty is derived from Greek and means “restore form” (normal anatomy) to the eyelid.
Pre-operative photo (left)
Consider the anatomy in this photograph… what is wrong? The eyelid has no crease following a repair in the emergency room after trauma. Consequently the skin drapes over the eyelashes and lid margin. Further repair to achieve normal anatomy requires attention to the lid crease, lid margin contour, eyelash position, and three-dimensional contours. In addition, the septum, levator and tarsus interrelationships must be maintained for normal appearance and function.
After Blepharoplasty to revise lid anatomy
In the post-operative photograph, one sees improved 3-D contours. The patient has a well-established eyelid crease, good eyelash position and eyelid margin contour. Symmetry has been restored by intra-operative attention to details. Trauma revisions and elective cosmetic blepharoplasty require the surgeon to be familiar with intricate anatomy of the eyelids. Only a surgeon adept with eyelid microanatomy achieves optimal and beautiful results.
Circumstances of trauma may not permit a choice of surgeon. However, elective blepharoplasty by definition, allows the consumer to look at the credentials of the surgeon, request before-after photographs, and seek multiple opinions.
…spend one to two years studying under world class mentors, and have intense clinical training in all aspects of eyelid, orbital, lacrimal, reconstructive, and facial aesthetic surgery. Their background is ophthalmology which includes use of lasers for their work, study of microanatomy, ocular pathology, and microsurgical techniques. If one has ocular problems prior to eyelid or facial surgery, the ophthalmology background allows the oculoplastic surgeon to treat complications. Likewise, oculoplastic surgeons handle ocular complications related to eyelid or facial surgery. You might ask, “Wouldn’t it be better to have a general plastic surgeon perform cosmetic surgery on my eyelids?” Some general plastic surgeons do have experience in the periocular area and good judgment where the eye is concerned, but some do not. Board certification – and education – for that matter, do not always confer skill and expertise on a surgeon.
Fortunately, consumers are in the information technology age, and therefore, have phenomenal access to forums, journals, medical specialty organization websites, and RealSelf reviews. Many other avenues exist for us to seek out the information we need. The eyelids protect a most precious sensory organ – the eye, therefore, when selecting a surgeon for the eyelids don’t settle for easy and convenient. Do your research!