Under Eye Light Filler

“You don’t get a second chance to make a first impression!” This is one of the opening lines that personal development experts like to use when starting their speeches. Of course, your attire and body language are all important when creating a first impression, but before we enter into social communication and start talking, eye contact comes into play. We try to understand the feelings of the person we are talking to by looking at their eyes. For this reason, the eye area of ​​the person we are talking to is an important body part that can affect our thoughts about them.

The face is not just about the eyes, lips, eyebrows or cheeks, it should be evaluated as a whole; however, facial aging first begins to show itself around the eyes. Skin sagging, swelling, wrinkles and bags on the upper and lower eyelids cause an old, sleepy and tired appearance. Although the upper and lower eyelids have almost the same structure, they may not deform at the same speed, so the lower and upper eyelids can be evaluated separately.

The downward displacement of the forehead and eyebrows due to gravity begins around the age of thirty-five. Loosening of the upper eyelid skin becomes more apparent with sagging on the outer side of the eyebrows. Around the age of fifty, the muscles and skin on the upper eyelid, like the muscles and skin on the entire face, become thinner and sagging increases further. Due to the loosening of the connective tissue and fibers around the eyes, the fat pads in the eye socket herniate outward and the appearance called under-eye bags occurs. Depending on genetic characteristics, sagging and/or bags can sometimes be seen in the eyelids at an early age. Aesthetic eyelid surgery, or blepharoplasty, can give the person a younger and more vigorous appearance. Since the eye area has a very complex and sensitive anatomical structure, the preoperative examination should be done very carefully and an intervention plan should be made for the problem.

There are usually two problems in the upper eyelid, which are excess skin and herniation of fat pads. If there is excess skin, only the skin needs to be removed, and if excess skin is accompanied by excess fat, some of the fat needs to be removed as well. Sometimes, the sagging skin in the upper eyelid is so much that it can even narrow your field of vision and prevent you from seeing. The swelling on the outer side of the upper eyelid may not be due to excess fat, but rather to the tear gland shifting downwards. Fixing the tear gland towards the bone can solve this problem. In the lower eyelid, the fatty tissue under the eyeball usually bags forward due to loosening of the connective tissue. If this fat is more than necessary, it can be removed, or it can be shifted in the direction of the decreased fatty tissue to compensate for the tissue deficiency in the tear trough located in the lower eyelid-cheek separation. The groove in the lower eyelid-cheek separation (tear trough) can also be temporarily corrected with fillers without surgery.

Upper eyelid operations can mostly be performed with local anesthesia, since the lower eyelid is operated on slightly deeper tissues, sedation should be added to the local anesthesia. The upper eyelid surgery alone is completed in half an hour, but the lower eyelid surgery takes about 1 hour. Patients who wish can also receive full general anesthesia. If the surgery is performed with local anesthesia or sedation, the patient can be discharged on the same day. Depending on personal characteristics, there may be bruising and swelling around the eyes that last for 7-10 days. It takes 1-2 months to get the full results from the surgery. The eyelid skin is the easiest and most beautiful healing skin in the body, so there are no visible scars.

Eyelids age along with other facial organs. For someone with sagging eyebrow edges and crow’s feet, performing eyelid surgery alone will provide partial benefit to the patient’s tired or old expression, and will not make the patient happy enough. Therefore, a detailed examination of the patient by a plastic surgeon should be performed; and it should be analyzed whether additional procedures such as eyebrow lift, face lift, filler, or botox are needed.

As with any surgery, some unwanted situations called complications may develop in eyelid surgeries. In the early period, there may be risks related to general anesthesia, bleeding, infection or wound healing problems that can be encountered in any surgery. Since the area around the eyes is being worked on, irritation or dryness of the eyes may be observed in the early period and you may need to receive treatment for this. The swelling and bruising that occur around the eyes after this surgery may last longer if you are exposed to sunlight for a long time. The amount of skin to be removed from the upper and lower eyelids is very important. If more skin is removed than necessary, your eyes will remain open and dry out, paving the way for keratitis. Since it is much more difficult to compensate for excess tissue removal, good planning should be done before the surgery. Although the eyelid skin is the thinnest and easiest skin in the body, it should not be ignored that each individual’s wound healing process is different.