Blepharoplasty, Duhan Plastic Surgery - Upper and Lower Eyelids

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1. Upper Eyelid Surgery Guide

What are the indications for upper eyelid blepharoplasty?

① When the eyelids droop so much that they feel heavy and tired

② When the eyelid sags and covers the pupil, causing visual obstruction

③ When drooping eyelids make you look older

What is upper eyelid blepharoplasty?

It is a surgery that improves the appearance of the upper eyelid, which droops downward with age, while also relieving eye fatigue and vision problems and helping the eyes look younger.

What is the surgical process for upper eyelid blepharoplasty (drooping upper eyelids)?

① Before surgery, the width of skin to be removed is determined.

At this time, the amount of remaining skin is measured by pinching it, and the upper eyelid skin is marked with special ink before anesthesia.

If the outer part of the eye is more sagging, the design includes an additional 5 mm to 10 mm beyond the outer canthus.

② Local anesthesia is administered along the planned design line.

Because the local anesthesia is performed under sedation, there is no pain at all during the anesthesia.

③ After anesthesia, an incision is made in the skin along the design line.

④ After the incision, the skin tissue inside the incision line is removed.

Sometimes the muscle layer is removed as well.

⑤ If there is a lot of fat, orbital fat is removed.

If a double eyelid is desired after fat removal, a three-point suture to create the double eyelid may also be performed in about three places.

⑥ Finally, the skin is sutured.

To minimize scarring, the stitches are placed closely at 1 mm intervals.

After suturing is complete, the area is disinfected and you can go home.

The stitches are removed after 4 to 5 days.

Postoperative care after upper eyelid blepharoplasty

① For 3 days after surgery, apply cold compresses with the cool pack provided by the hospital. Use it for 2 hours a day for 3 days. The cold compresses can be applied continuously for 2 hours or divided into 20 to 30 minutes at a time. It is usually convenient to do this before going to sleep.
② Visit the clinic 1 to 2 days after surgery to have the surgical area disinfected.
③ Visit the clinic on day 4 or 5 after surgery to have the stitches removed from the surgical area.
④ After the stitches are removed, you may wash your face and apply makeup, and you may also shower or use a sauna or jjimjilbang.
⑤ Swelling after surgery varies by person, and it will subside to some extent in about 7 to 14 days.
⑥ Avoid alcohol and smoking for about a week after surgery.
⑦ Return to the clinic one month after surgery for a follow-up visit.

Examples of upper eyelid blepharoplasty applications

▶ If the eyelids are drooping, upper eyelid blepharoplasty should be performed to remove a certain amount of eyelid skin.

An incision is made in the skin, an appropriate amount of skin is removed along the designed line, and then the area is sutured.

Upper eyelid blepharoplasty has a broad meaning that includes double eyelid surgery.

If there is an existing double-eyelid crease, the crease is preserved and the sagging skin above the crease is removed during surgery.

If you want to change the double-eyelid line, that is also possible.

For people who do not have a double-eyelid crease at all, a natural-looking line is created.

2. Lower Eyelid Surgery Guide

What is lower eyelid blepharoplasty (under-eye wrinkle removal)?

It is a surgery intended to straighten the lower eyelid, which droops downward with age, or to improve the appearance of dark circles, making the under-eye area look brighter and more youthful and giving a better overall impression.

What are the indications for lower eyelid blepharoplasty (under-eye wrinkle removal)?

① When there are many wrinkles on the lower eyelid

② When the skin looks saggy because of wrinkles

③ When wrinkles make you look much older

④ When there are dark circles

What is the surgical process for lower eyelid blepharoplasty (under-eye wrinkle removal)?

① Before anesthesia, the area is marked with special ink 바로 under the eyelashes, and local anesthesia is administered under sedation.

② After local anesthesia, an incision is made with a scalpel along the design line.

③ Adequate dissection is performed between the muscle layer and the fat layer down to below the wrinkle line, and the muscle and skin are lifted.

If there is a lot of fat, the fat is pulled downward to fill the hollow area, and fat repositioning is performed with fixation sutures to smooth the area.

Fat repositioning can be applied only when there is a lot of fat; it cannot be applied when there is little fat or when the eye area is hollow instead.

④ Using forceps, the skin is pulled outward and upward to smooth the wrinkles, and the remaining skin is measured.

The amount to be removed is determined by designing according to the amount of remaining skin.

To prevent the skin from sagging again, it is fixed to the outer canthal periosteum.

This is called lateral canthopexy.

⑤ The skin is removed precisely according to the design line, neither too much nor too little.

⑥ After the skin is removed, the skin is carefully sutured with fine thread.

After suturing is complete, the area is disinfected, a thin skin-colored bandage is applied, and you can go home.

The stitches are removed after 4 to 5 days.

Postoperative care after lower eyelid blepharoplasty (under-eye wrinkle removal)

① For 3 days after surgery, apply cold compresses with the cool pack provided by the hospital. Use it for 2 hours a day for 3 days. The cold compresses can be applied continuously for 2 hours or divided into 20 to 30 minutes at a time. It is usually convenient to do this before going to sleep.
② Visit the clinic 1 to 2 days after surgery to have the surgical area disinfected.
③ Visit the clinic on day 4 or 5 after surgery to have the stitches removed from the surgical area.
④ After the stitches are removed, you may wash your face and apply makeup, and you may also shower or use a sauna or jjimjilbang.
⑤ Swelling after surgery varies by person, and it will subside to some extent in about 7 to 14 days.
⑥ Avoid alcohol and smoking for about a week after surgery.
⑦ Return to the clinic one month after surgery for a follow-up visit.

Examples of lower eyelid blepharoplasty (under-eye wrinkle removal) applications

▶ If the eyelids are drooping, lower eyelid blepharoplasty should be performed to remove a certain amount of eyelid skin.

You cannot simply leave the drooping eyelids as they are and proceed with surgery.

An incision is made in the skin, an appropriate amount of skin is removed along the designed line, and the skin is sutured.

During surgery, fat may also be removed or repositioned to correct hollow areas at the same time.

It should not be done.

To avoid side effects, the rule is not to have surgery performed by a non-specialist plastic surgeon.

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