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Lid Surgery

Blepharoplasty is a cosmetic eye lid surgery to improve drooping upper eyelids’ skin or the puffiness/bags of lower eyelids. Blepharoplasty for upper eyelids uses an incision along the natural fold of the upper eyelid and can be combined with ptosis surgery (operation to correct droopy eye lids) or with a brow lift. Depending on case and age of patient, i.e. elasticity of skin und tissues, blepharoplasty for lower eyelids can be performed either through a skin incision directly under the lashes to reduce visibility of scars or internally through the conjunctiva without visible scars. Although most blepharoplasty cases can be done as an outpatient, Mr Chamat prefers to perform blepharoplasty for lower eyelids with the patient then staying overnight in the clinic.Blepharoplasty can be performed under local anesthesia, however in order to reduce bruising and discomfort during the operation a general anesthesia or sedation is recommended.

Ptosis surgery. Ptosis is the medical term for drooping eyelids. Ptosis is most commonly acquired with age. Few cases are born and are mostly unilateral. Surgery will differ depending on the cause of ptosis. Age related drooping eyelids are treated with shortening of the muscles responsible for opening/lifting the upper eyelids (levator muscles). Lifting the upper eyelids is performed under local anesthesia. Ptosis surgery can be also combined with upper eyelid blepharoplasty and brow lifts. Congenital/born drooping eyelid caused by underdeveloped levator muscle can be corrected by surgically suspending the muscle to the brow under general anesthesia, resulting in indirect opening of the eyelid through voluntary lifting of the brow.

Removal of eyelid tumors. Various begnin (harmless) or malign (harmful) tumors can affect the eyelids. The most common lid tumor is basal cell carcinoma which although is malignant it usually does not spread through the whole body; i.e. no metastases. Depending on size and type, the eyelid tumor is removed in one or more than one operations and reconstruction using neighboring or distant tissues is subsequently performed.

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