Blepharoplasty, eyelid surgery, eyelid ptosis correction, eyebrow surgery, eyelid reconstruction in Delhi, India
at Dr. Prabhash's Blepharoplasty , Eyelid surgery Clinic.
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
similarly Lower lid Blepharoplasty tightens Musculo-Cuteneous apron and redistributes fat.
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. Minimally invasive lower eyelid Blepharoplasty - in patients with no excess
skin and eyelid bagginess due to shallow orbit, no need of skin excision. We
have developed new technique of lower lid Blepharoplasty through a small puncture
to redistribute fat and create smooth under eye.
Canthoplasty & Epicanthoplasty
Eyelid Canthoplasty & Medial Epicanthoplasty :- 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. Medial Epicanthoplasty : Medial
epicanthus nomally points straight inwards, in asian popoulation (normally) and
some congenital deformities it points downwards with creation of epicanthal
fold , which covers inner corner of eye. Epiacnthoplasty a small surgery
moves medial canthus in normal position. See 2nd Picture Below
picture forehead depressed linear scar eyebrow correction and eyelid canthoplasty
( for detached medial canthus)
Before After Epicnathoplasty - Medial
epicanthus pointing downwards, common in asian eyelid made straight like normal eyelid
Ptosis or Droopy Eyelid 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
Eyelid Reconstruction :
Eyelid Reconstruction usually required after
loss of eyelid partial or total in truma, after tumor or cancer resection.
Post cancer resection eyelid reconstruction
before and after pictures