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When It’s Appropriate to Perform Laser Resurfacing with Blepharoplasty

When It’s Appropriate to Perform Laser Resurfacing with Blepharoplasty

Laser skin resurfacing and blepharoplasty (a.k.a., eyelid surgery) are both excellent standalone options that address different age-related problems around the eyelid area. Sometimes, the two procedures are performed in tandem to accomplish several anti-aging goals simultaneously. Below, the oculoplastic surgeons at Eyesthetica explain the benefits of this approach and when we generally recommend it to our patients. Blepharoplasty at a Glance Blepharoplasty is an excellent way to address deeper problems with the eyelid tissues, including loose, redundant skin and fat displacement. Upper blepharoplasty is designed to remove lax, saggy eyelid skin that can be heavy and sometimes droop over the lashline, restricting peripheral vision. Upper blepharoplasty can also reposition displaced fat and lift the eyelid skin to create wider, more youthful looking eyes. Lower blepharoplasty is intended to smooth out under-eye bags and puffiness, areas of depression beneath the lower eyelids and excess wrinkles in the lower eyelids. However, the procedure cannot improve the appearance of wrinkles around the corners of the eye, which are known as “crow’s feet.” This is where laser skin resurfacing can be tremendously helpful. Laser Skin Resurfacing at a Glance Laser skin resurfacing is a versatile procedure recommended for many different anti-aging objectives. It is often performed to minimize the appearance of noticeable wrinkles around the corners of the eyes, including crow’s feet. Special lasers are used to remove the outer layer of skin to reveal healthier and fresher skin. At the same time, the heat from the laser stimulates the body’s production of collagen for smoother, firmer skin. Laser skin resurfacing is gentle enough for the delicate skin around the eyes, yet powerful...
Why Are Some People Not Able to Close Their Eyes after Eyelid Surgery?

Why Are Some People Not Able to Close Their Eyes after Eyelid Surgery?

A rare complication after blepharoplasty (eyelid surgery) can rob patients of something that most of us take for granted: the ability to fully close the eyes. Unfortunately this problem, known as lagophthalmos, can make the simplest tasks like sleeping or showering extremely difficult. Lagophthalmos can also increase the risk of conditions like corneal damage. In this post, the eyelid surgery specialists at Eyesthetica take a closer look at why this complication occurs and the steps we take to avoid it entirely. How This Can Happen The eyelid skin is extremely delicate — in fact, it is the thinnest skin on the body. Operating on such delicate skin is complex and requires the skill of an experienced eyelid surgeon. If any of the following happen during the operation, there is a chance that the eyelids may not close completely after surgery: The orbicularis oculi muscle, which is responsible for eyelid closure and a natural blink, is damaged. Too much fat volume is removed and there is no soft tissue support left to maintain the position of the eyelid. There is preoperative eyelid laxity (i.e., looseness) that is not addressed during surgery. Too much eyelid skin is removed. Lack of full eyelid closure after blepharoplasty can be very challenging and physically uncomfortable. Sleeping and bathing can be difficult and the eyes may feel constantly dry and irritated. There is also a heightened risk of corneal irritation due to exposure of the cornea. Avoiding Complications after Eyelid Surgery In many cases, once the eyelid muscles have been damaged by surgery, muscle function cannot be restored. For this reason, it is critically important...
What Can I Do to Get Rid of My Lower Eyelid Bags?

What Can I Do to Get Rid of My Lower Eyelid Bags?

Although they usually aren’t a medical issue, bags under the eyes are a cosmetic concern for many of our Eyesthetica patients, as they can make the face look tired, sad, or sickly. If you are bothered by bags under your eyes, the oculoplastic surgeons at Eyesthetica can help. Read on as we explain what is likely causing your bags and what we can do about it. What Causes Bags Under the Eyes? Several factors can affect the appearance of the area between the lower eyelids and the cheeks: Age: Due to the natural effects of the aging process, the cheeks can lose their youthful volume and fullness over time; this makes the fat underneath the eyes appear more prominent and resemble “bags.” Sun damage: Overexposure to the sun as well as UV damage are particularly damaging to the skin around the eyes, causing changes like wrinkles, pigment changes and contour abnormalities. Genetics: Under-eye bags can run in certain families and develop at an early age (as early as high school). Softening the Appearance of Under-eye Bags Our doctors treat under-eye bags through lower lid blepharoplasty. During the procedure, the fat underneath the eyelids is removed or repositioned to create a better contour and a smoother transition between the under-eye area and the top of the cheeks. Our doctors are careful not to remove too much tissue or fat, as that can produce an unsatisfactory “hollow” result. Our surgeons are also careful to preserve the muscle responsible for giving the eye a natural blink; we don’t want to sacrifice function and comfort for appearance. In some cases, we can use...
When a Drooping Eyelid Is Serious

When a Drooping Eyelid Is Serious

Eyelid ptosis refers to the drooping or sagging of the upper eyelid. In some cases, eyelid drooping is harmless and only creates a cosmetic problem in the form of a tired or older-looking appearance. In other cases, however, ptosis can be a sign of something serious. The Los Angeles oculoplastic surgeons at Eyesthetica explain more in this blog post. When Is Eyelid Drooping Serious? As discussed in one of our previous blog posts, there are several types of eyelid ptosis. Mechanical ptosis occurs when excess skin and tissue weigh down the eyelid. This form of ptosis is only considered to be a medical issue if the excess skin and tissue block the line of sight. Mechanical ptosis typically occurs gradually over time, due to the effects of the natural aging process. Neurogenic ptosis is a result of a problem with the nerve pathways that control eyelid muscle movement. Conditions that can cause neurogenic ptosis include Horner syndrome and myasthenia gravis. Horner syndrome is a neurological disorder that can be caused by an underlying, sometimes more serious condition such as a stroke or brain tumor. Myasthenia gravis is a disorder that affects how the muscles respond to nerves, causing progressive drooping in the eyelids, arms, legs and other body areas. Neurogenic ptosis caused by one of these conditions occurs suddenly, with symptoms worsening in a matter of days or even hours. Patients who experience sudden eyelid drooping should seek medical attention immediately to determine whether the underlying cause is a serious one. Treating Eyelid Drooping Treatment for droopy eyelids depends on the cause and severity of the condition. Mild to...
Will Insurance Cover My Eyelid Surgery?

Will Insurance Cover My Eyelid Surgery?

Eyelid surgery is one of the popular plastic surgery procedures performed in the United States and at the Los Angeles cosmetic eye and facial surgery practice of Eyesthetica. One of the most common questions we hear from our eyelid surgery patients is, “Will insurance cover my surgery?” Here, we answer that question in detail. What Is Functional Eyelid Surgery? Eyelid surgery is commonly performed to enhance the facial appearance. The procedure trims excess skin and fat on the upper eyelids to create a younger-looking appearance. Eyelid surgery can also remove loose skin and tissue on the lower eyelids that create puffy bags under the eyes. When performed solely for cosmetic reasons, eyelid surgery is considered to be elective and therefore cannot be covered by medical insurance. Eyelid surgery can be covered by medical insurance if it is deemed medically necessary. Functional eyelid surgery removes heavy skin that hangs over the eyelash line, interfering with the line of sight. Impaired vision caused by excess, hanging upper eyelid skin can make everyday activities such as driving, reading and sending text messages difficult. Most insurance companies require proof in the form of a visual test in order to determine coverage for eyelid surgery. The vision test needs to be performed by a board-certified eye doctor, such as an oculoplastic surgeon. If the vision test determines there is visual impairment, the surgeon takes pictures of the condition and sends them to the patient’s insurance provider. Whether the insurance company covers all or a part of the cost for eyelid surgery depends on the patient’s specific coverage plan. Learn More about Functional Eyelid Surgery...
Top Things Patients Wish They Knew before Eyelid Surgery

Top Things Patients Wish They Knew before Eyelid Surgery

Are you interested in eyelid surgery in Los Angeles to repair drooping eyelids or puffy undereye bags, but hesitating to move forward with scheduling your surgery? It may help to have a good understanding of what the surgical experience entails. Here is what other eyelid surgery patients told the patient portal RealSelf.com that they wish they knew before surgery. The Success of Surgery Hinges on the Surgeon For the best outcomes possible, it is crucial to find a qualified and experienced surgeon to perform your procedure. Look for an oculofacial plastic surgeon that is a member of the American Society of Ophthalmic Plastic and Reconstructive Surgery — these surgeons have completed extensive training in treating the delicate eye area and are considered to be eyelid experts. The eyelid surgeon’s demeanor is just as important as his or her credentials. Find someone that puts you at ease and instills confidence in you. You can get an idea of a surgeon’s approach to patient care by reading testimonials and online reviews. Setting the Right Expectations Is Key Knowing what eyelid surgery can and cannot achieve is key. Eyelid surgery is designed to freshen and rejuvenate the eyelids, which can brighten up your face and help you look more approachable. Eyelid surgery cannot transform your entire appearance or make you look like someone else. It can help you look like a younger and more attractive version of yourself. Nerves Are Natural It’s common to experience some nerves as you anticipate your surgery. However, the right surgeon and his or her surgical team should make you feel very confident about the procedure. Having...