In this page -
Eyelid Surgery & Eyebags Surgery, Blepharoplasty, Orbit & Periorbital Surgery, Canthoplasty Forehead and Periorbita :- Wrinkle line becomes more prominent with descent
of Eye brow, giving face a tired look and sense of heaviness around eyes.
Early brow descent is very common in India, especially among males, becomes apparent in early thirties. We
develop a peculiar habit of frequently elevating brow with contraction of forehead muscle (frontalis) to reduce the sense of heaviness. Brow Lift gives forehead a fresh appearance and also reduces sense of heaviness around eyes.
In our population, brow lift should be considered first followed by Blepharoplasty or Eye lid Surgery as in most cases upper eyelid bagginess is
due to brow descent rather than eyelid. Lower eyelid bagginess id due to loose orbital septum and fat prolepses. Crow feet: sun ray type radiating wrinkle line at lateral ( outer
canthus) of eye. Can be corrected with fillers, Botox or Blepharoplasty or Eye Lid Surgery with Lateral
Canthoplasty depending upon the reason behind it like muscle spasm, skin excess or loss of skin tone.
Upper & Lower eyelid bagginess( Blepharoplasty ) :- Upper Eyelid bagginess also develops with age due to loss of proper support to orbital
fat and the later protrudes. In some races the volume of orbit is less so more fat protrudes in upper eyelid.
In blepharoplasty, excess skin and muscle is taken out and fat is redistributed to provide youthful appearance.
again due to loss of support and descent of fat. Most important is redistribution of fat , skin removal done in Blepharoplasty only if there is clear excess.
Asian Blepharoplasty Before After Picture similarly Lower lid Blepharoplasty tightens Musculo-Cuteneous apron and redistributes fat.
Asian Eyelid Blepharoplasty Video & Before After Picture:
Lower lid Bagginess : lower lid bagginess needs blepharoplasty surgery in
similar way. reason of this bagginess is loosening of orbital septum and protrusion of orbital fat at eyelid cheek junction. Fat protrusion rather than being removed
is distributed in eyelid cheek junction area, where a depressed line is created due to bulging eyelid fat above and lack of fat below.
Tear trough deformity is corrected along with blepharoplasty. Eyelid Canthoplasty :- Medial ( Inner ) &
lateral (Outer) Attachments of eyelid to bone are called Canthus. They provide fulcrum for eyelids to move and
also important for Lacrimal pump mechanism. Laxity in eyelid leading to failure of normal lacrimal
pump mechanism & excessive lacrimation may be due to detachment of canthi ( mostly traumatic ) or laxity of
eyelid support (as in old age) or lack of globe support to eyelid (as in sunken eyes - post traumatic Fracture
of orbital floor or loss of fat in orbit (as in Myopic ( people with negative power glasses ) people.
Before after picture forehead depressed linear scar eyebrow correction and eyelid canthoplasty ( for detached medial canthus)
Ptosis Correction : In Ptosis (or droopy eyelid), there is drooping of eyelids, mostly upper. so eye fails to open fully and visual field
is covered. mostly congenital, but it can happen in some paralytic disorders, tumors and traumatic also. lower eyelid ptosis is uaually seen in
older people and is due to loss of muscular support. in congenital ptosis, correction needs tightening of levator muscles or external source of power, in
lower eyelid ptosis , it needs tightening of lower lid muscle tarsus complex.
Ptosis or droopy eyelids, Before & After Correction