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Upper Eyelid Surgery

Upper Eyelid Surgery

Upper Eyelid Surgery | Dallas | Austin | Plano, TexasAs you age over the years, you may begin to notice that your upper lids feel somewhat “heavy.” This may occur due to the loss of elasticity in the upper eyelid or eyebrow or both. Blepharoplasty, or eyelid lift surgery may have to be performed to correct this condition. Sometimes an eyelid lift and brow lift may be performed in combination.  

Upper blepharoplasty refers to the procedure that involves resection of redundant skin and/or musculature of the upper eyelid. Khan Eyelid and Facial Aesthetics, led by board certified ophthalmologist Dr. Tanya Khan, provides safe and proven eye care procedures to patients in Austin, Dallas, Texas, and surrounding locations.

Aging of the Upper Eyelid/Brow Complex

In many cases, the reason for choosing an upper blepharoplasty may be purely cosmetic (to reduce the aging effects). But sometimes functional issues, such as obstruction of vision by the skin that overhangs may also necessitate this surgery. 

Functional upper blepharoplasty refers to the reduction of the upper eyelid to correct visual obstruction caused by redundant lid tissue. Patients may seek upper eyelid lift to correct overhanging skin, which may be compromising their youthful facial appearance. 

Management and clinical evaluation of both the cosmetic and functional concerns is essential. In addition, any ptosis of the upper eyelid (if the margin of the eyelid sits too low and covers the pupil) should also be taken into account. 

Basics of Upper Blepharoplasty

This surgical procedure may be undertaken with local or general anesthesia. The surgery begins with the placement of a small incision in the crease on the upper eyelid to remove the excess fat and tissue, and preserve enough skin to permit closure of the normal eyelid. At times, only a small amount of the orbicularis oculi (the muscle that closes the eyelid) may be removed. 

Fat is typically kept in the center of the eyelid, but careful removal may improve aesthetic contour of the upper face. On the completion of the surgery, fine sutures are used to close the incisions. The cut should be made in the crease of the eyelid to make the scar less noticeable after healing.

Recovery

Generally, patients may experience mild swelling or bruising around the eyes for around one to two weeks. Some surgeons may ask the patient to avoid eye makeup for at least two to three weeks. They may wear glasses immediately after the surgery, but may be instructed to avoid wearing contact lenses for a few weeks.

How Long Will the Results Last?

The results from upper eyelid surgery should last for a long time. For the most part, removal of upper eyelid skin and hooding is a surgical procedure that is undertaken only once. As you continue to age, your brow may drop or descend, leading to the reappearance of excess skin on the upper eyelid, but the solution in in such cases will be to go for a brow lift, and not a second upper blepharoplasty.

When to Consider Upper Eyelid Surgery

  • If you have extra, hanging skin covering the natural fold of the upper eyelids
  • If you have loose skin hanging down from the upper eyelids over your eyelashes
  • If your upper and lower eyelids appear puffy, making your eyes look aged and tired
  • If you have deep grooves under your eyes

What will My Eyelid Surgery Scars be Like?

Your surgeon will mark the creases of your lids and natural lines and try to hide your scars as much as possible along these natural folds. Fine sutures will be used to close the incisions, thereby minimizing visibility of the scar.

Oculoplastic and reconstructive surgeon Dr. Tanya Khan receives patients from Austin, Dallas, Texas, and nearby areas for advanced eye care treatments. 

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Offices in Dallas and Austin, Texas.

Types of Surgery For Eye Cancer

Types of Surgery For Eye Cancer | Dallas | Austin | Plano, TexasEye cancer is a term that refers to various types of tumors that can begin in different parts of the eye. It occurs when healthy cells in or around the eye change and develop uncontrollably, creating a mass called a tumor. Surgery can be used to treat some types of melanomas of the eye.

Khan Eyelid and Facial Aesthetics, led by board certified ophthalmologist Dr. Tanya Khan, provides safe and proven eye care procedures to patients in Austin, Dallas, Texas, and surrounding communities. 

Types of Surgery for Eye Cancer

The type of surgery that needs to be undertaken depends largely on the size and location of the tumor, the extent to which it has spread, and the overall health of the patient. 

All these surgeries are conducted with the patient under general anesthesia (in a deep sleep) and may require a stay of one to two days in the hospital. Some of the surgical procedures used to treat patients with eye melanoma are as follows:

Iridectomy 

This refers to the removal of part of the iris (the colored part of the eye). This surgery may be a suitable option for iris melanomas that are very small. 

Iridotrabeculectomy 

This surgery refers to the removal of part of the iris, along with a small piece of the outer part of the eyeball. This might also be a good option to treat small iris melanomas.

Iridocyclectomy

It involves the removal of a fraction of the iris and the ciliary body. This surgical procedure is also appropriate for small iris melanomas.

Transscleral Resection 

It refers to the surgical removal of only the melanoma of the ciliary body or choroid. This kind of surgery should only be undertaken by surgeons who have several years of experience in the treatment of eye melanomas because it is difficult to take out the tumor without causing damage to the rest of the eye. If complications arise during or after surgery, it could cause serious problems of the vision.

Enucleation 

This involves the removal of the whole eyeball. It is suitable for treating larger melanomas. However, the procedure might also be undertaken for some smaller melanomas, if there is no vision in the eye, or in cases where other options of treatment could damage the useful vision in the eye anyway. 

As part of the same surgery, an orbital implant is generally put in to take the place of the eyeball. The implant is made out of silicone or hydroxyapatite (a substance similar to bone). 

The implant is attached to the muscles that moved the eye, so it should move the same way as the original eye would have. Within a few weeks of the surgical procedure, you need to visit an ocularist (a specialist in eye prostheses) to be fixed with an artificial eye, a thin shell that can fit over the orbital implant and beneath the eyelids. 

The artificial eye matches the color and size of the eye that is remaining. Once it is in fitted, it will be difficult to tell the difference from the real eye.

Orbital Exenteration 

It refers to the removal of the eyeball and some adjacent structures such as parts of the eyelid and muscles, other tissues and nerves inside the eye socket. This surgical procedure is not common, but it might be undertaken sometimes for melanomas that have grown outside the eyeball into the surrounding structures. As with enucleation, the surgeon may place an artificial eye in the socket after surgery.

Possible Risks and Side Effects

All surgeries carry an inherent risk, including the chances of bleeding, pain, blood clots, complications from anesthesia and infections. Therefore, you should choose an experienced eye surgeon to achieve safe and predictable outcomes. 

Oculoplastic and reconstructive surgeon Dr. Tanya Khan receives patients from Austin, Dallas, Texas, and nearby areas for advanced eye care treatments.  

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Offices in Dallas and Austin, Texas.

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