Eyelid Surgery in Chicago
Blepharoplasty is a procedure to correct the changes that occur in the area of the eyelids over time: the puffiness, the bulging fat and wrinkling of the skin.
The upper eyelids have a different anatomy than the lower eyelids, therefore, their correction is going to be different.
For upper eyelid blepharoplasty making the incisions accurately is the most important step. Dr. Makhlouf designs the incisions in the area very carefully, and estimates the amount of skin and fat that need to be removed from each side. It is very important to make sure enough skin is left on the eyelids to allow proper eye closure, particularly at night. Skin and fat are resected one side at a time in the same way. Particular attention is given to the fat pocket present in the part of the eyelid towards the nose. Symmetry of the eyelids is checked and the incisions are closed.
For the lower eyelid blepharoplasty, the major problem is the bulging of the fat. Dr. Makhlouf frequently performs the fat resection through the inside of the eyelid (transconjunctival incision). This avoids an external and visible incision, and avoids cutting the eyelid muscles to reach the fat.
If there are significant wrinkles, the eyelid can be resurfaced using either a chemical peel or with a laser. At times an external incision is needed and skin is removed.
The groove between the lower eyelid and cheek can be filled with either fat or hyaluronic acid.
One of the biggest fears patient have is post operative pain. I am pleased to say that patients rarely take pain medication after the first day.