Eyelid surgery in Iran

Eyelid surgery in Iran – Blepharoplasty

Blepharoplasty or eyelid surgery is the second most common cosmetic surgery in our country, after nose job, especially in Tehran, and many women are looking for the best eyelid surgeon in Tehran to achieve their desired results or they ask about the cost of eyelid surgery. With eyelid cosmetic surgery within one to three hours, tired, bloated and fallen eyes can become attractive, lively and youthful eyes. In addition, blepharoplasty has therapeutic application and can improve the scope by removing severe eyelid droplets. Some also undergo surgery in the hope of cat eyes or Egyptian eyes, unaware that surgery in this unnecessary situations can be accompanied by complications such as eyelid retention and permanent drainage. This surgery is performed in a variety of ways, one of the most popular ones being laser eyelid surgery. If you are unhappy with the look of your eyelids and you are considering surgery, learn about the types of eyelid surgery, its advantages and disadvantages.

Types of Eyelid Cosmetic Surgery
Cosmetic eyelid surgery is often used for puffy upper eyelid surgery and may be performed for two upper eyelids, two lower eyelids, or one surgery for all four eyelids. These surgeries are called lower eyelid blepharoplasty, upper eyelid blepharoplasty, and both upper and lower eyelid blepharoplasty, and each has its own unique and complex techniques, so the type of technique can be the basis for segmenting different types of eyelid surgery. In the case of the lower eyelid, for example, incision may be made through the conjunctiva (a thin, translucent mucous membrane covering the inner surface of the eyelids) or through the skin. The lower eyelid blepharoplasty is thus divided into two types with and without skin cut.

Especially for Asian eyes

Asian eyes, also called Mongolian eyes in Iran, do not have their upper eyelids curled above the eyelashes and this causes puffy eyes. These people have an extra fold in the inner corner of their upper and lower eyelids called the third eyelid. In addition, the outer corners of their eyes are usually higher than normal eyes. Some of these people want to change the look of their eyelids to European or non-Asian eyelids, which is possible by surgery. In fact, by removing the third eyelid in the inner part of the eye and the upper eyelid, and also creating a groove in the upper eyelid, we can transform their eyes into non-Asian eyes. Another issue that is common in Asian eyes is the upper bony edge of eye being lower than usual, which causes puffiness in the upper eyelids. In cases where the condition is severe, it can be corrected by cutting the bone around the upper edge of the eye. The lower eyelids of Asian eyes and their associated surgeries are not much different from non-Asian eyes.

Age doesn’t matter in Eyelid surgery in Iran
The appropriate age for blepharoplasty depends on the type of surgery. In the first category, surgery is performed at a young age, in the second group at middle age and in the third group in old age, so depending on the type of problem, surgery can be performed even from the ages under 20 up to above 80. In general, for congenital problems, surgery is performed at a younger age, and for problems with skin aging, surgery is performed at an older age.

Quit smoking six months before surgery
Before surgery, you should avoid taking aspirin and similar medicines, such as ibuprofen for 10 days, because they can cause blood clotting causing bleeding under the eyelid and bruising after surgery. The patient should take a shower the night before and wipe all their makeup. It is also advisable to quit smoking if you are a smoker at least 6 months before surgery. In addition, prior to surgery, a patient’s history of seasonal allergies, dry eye and thyroid disorders should be questioned in order to exercise caution during surgery.

General anesthesia or local anesthesia?

Plastic eyelid surgery is performed with either general anesthesia or local anesthesia. In fact, the decision depends on the type of surgery and the patient’s condition. People who need longer surgery on all four eyelids or other face surgeries should be given general anesthesia because the patient is more comfortable and will feel no pain the whole time. The procedure’s time also varies from one to three hours depending on the type and extent of surgery. These surgeries should be performed in a well-equipped and sterile operating room, so they can be operated in hospitals or equipped surgical clinics.Eyelid surgery in Iran

How is this surgery performed?

In upper eyelid surgery, the incision will be in the natural fold of the upper eyelid so that it is not recognizable. Then a portion of the eyelid skin is removed and then the subcutaneous tissues, and if necessary, the fat tissues, are removed with special care. Lower eyelid surgery may be performed with or without skin incision. If it will be performed with an incision, the cut line will be just below the eyelashes. In the no skin incision procedure, a small incision is made at the inner surface of the eyelid, removing the lower eyelid’s extra fat. It should be noted that the surgeon chooses the type of surgery based on the patient’s condition and the type of eyelid shapes. In general, in new methods, there is a greater tendency for lower eyelid surgery without skin incision, and also in new techniques, instead of removing fat, they move fat and place it in areas where there is a deficiency of fat, like the circle below the eyes. This minimizes removal of tissue.

How long is the recovering period?

Stitches in eyelid surgery are usually with absorbable yarn and do not need to be removed. Hospitalization can range from half a day to up to one night. In addition, immediately after surgery, the patient will be able to open his eyes and may only have swelling and bruising for several days, so it is advisable to rest at home for two days. Ice compresses should also be applied immediately after surgery for one day. It is okay to wash your eyes after 48 hours, and you should also be at a 5 degrees angle when lying in bed for the first few days. These procedures are usually painless but if there’s pain, it will be gone within the first 24 to 72 hours. Inflation rates are different in different procedures. Severe swelling and bruising usually resolve within the first two to three weeks. Moderate swelling is also corrected in the eyelid and face area after about three months. The final result of eyelid surgery is usually considered after 1 to 6 months.

The result of the surgery is not permanent but. . .

About the persistence of the results it should be noted that none of the rejuvenation surgical procedures results are permanent, and the condition of the skin is gradually receding with age. For this reason, it is necessary to delay the process of drooping and loosening the skin by observing the tips to prevent skin aging. The most important of these things is avoiding the harmful rays of the sun and smoking cigarettes. In addition, nowadays skin aging can be delayed by various methods such as non-invasive lasers.

What Are The Risks And Cons Of Eyelid surgery in Iran?

Complications of the eyelid surgery include intraocular hemorrhage, inability to close the eyes completely, eyelid recurrence, dry eye, persistence of incision lines, and tears. The most dangerous complication is the intraocular hemorrhage that can lead to blindness by putting pressure on the optic nerve. Inability to close the eyes occurs due to excessive removal of the eyelid skin. For this reason, face plastic surgeons are always advised to do maximum conservatism in eyelid surgery. In fact, removing less is always better than removing too much. If a bit of looseness of the upper eyelid remains, it is much better for the eye to stay open at all times, because leaving the eyes open causes corneal dryness, resulting in ulceration, infection and blurring of the cornea. And this can lead to blindness. Excessive removal of the lower eyelid skin causes the edges of the eyelid to be pulled downward, making more section of the white part of the eye visible, and giving the patient a bad appearance.

If you have dry eyes, be careful!

One of the most common complications of eyelid surgery in Asian eyes is the inadequate formation of upper eyelid and persistence of the incision scar, especially in the inner part to remove the third eyelid. General complications such as bleeding, hematoma, bruising, prolonged swelling or swelling of the conjunctiva can also be present for all eyelid surgeries, and each have their own treatments. It is also possible that damage to the eyelid lifting system or lacrimal glands occur, especially in the case of upper eyelid surgery. The surgery is very delicate and any damage to the nervous system of the eyelids can cause problems. If the lacrimal glands are damaged, the eye may become dry, so people who are prone to dry eye for any reason should be carefully evaluated and give tear tests before surgery. If lacrimal glands are found to be ineffective, upper eyelid surgery should be performed with more accuracy. In some cases, your doctor may refuse to do the procedure.

Who are the candidates for eyelid surgery?
Surgery at a young age
The first category consists of patients who wish to transform the eyelid to make the face more beautiful at a young age. Their condition is familial and hereditary and their eyelids are puffed in a young age. Some of these people also have eyes that look like Japanese people, meaning that they do not have a line on the back of the eyelid, which needs a special type of eyelid surgery called Oriental blepharoplasty. In this type of surgery, with the creation of eyelid folds, the eyes become larger.

Surgery in middle age
The second category is people who see the first signs of aging on their eyelids as they age. In these cases, eyelid plastic surgery is performed to rejuvenate the face and restore the eyes to what they looked like in past. In fact, this type of blepharoplasty is called rejuvenation blepharoplasty and it’s one of seven main types of face rejuvenation surgeries.

Surgery to relieve eyelid disorders
The third category is people who have multiple eyelid problems due to the excessive looseness of the eyelids. Excessive looseness of the upper eyelids causes the eyelid skin to drop on the eyelashes. Excessive looseness of lower eyelids can leave the eyelids open and dry the eyes. In these patients, plastic eyelid surgery is performed to correct eyelid function, which is why it is called functional blepharoplasty.

Choosing the eyelid surgeon
People are always asking whether to choose plastic surgeons, maxillofacial surgeons, or ophthalmologists who have eye plastic surgery fellowship. Blepharoplasty is a very detailed, delicate and specialized procedure so it is advisable to have a surgeon who has a specialist board encyclopedia in the field of plastic surgery, especially in the facie area. Of course, a mere specialty title is not enough, and a combination maximum art, experience, knowledge and skill is needed in a surgeon in order to make the best results. Surgeons with a specialty in the field of face plastic surgery or an eye plastic surgery fellowship are a top priority. However, specialists in other disciplines may be able to gain proficiency in the subject under the supervision of highly qualified professors after intensive courses and a thorough knowledge of the anatomy and physiology of this sensitive area.Eyelid surgery in Iran

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