| Q1. I am Romila, 38 yrs
age and I have developed under eye bags, which are making me look older
than what I am. So kindly guide me to over come this problem. -
Mrs. Romila Bhatt |
ANS1. Under aging changes
in facial skin, downward shifting of the brow and fullness of the upper
eyelid skin are the earliest signs of the normal aging process to become
evident. Frequently, swelling of the eyelids, at first present only in
the morning, seems to hang on longer each day, and eye-shadow make-up
becomes smudged at the lid folds. Progressive upper lid fullness over
a long period of time may produce overhanging skin folds that result in
partial visual obstruction. Some conditions leading to rather early aging
changes are repeated swelling due to allergic or related systematic problems,
and a variety of anatomical characteristics that are genetic in origin.
In addition to the wrinkling and sagging of the eyelid skin, so-called
"bagginess" may become evident under the lower eyelids and at the inner
corners of the upper lids. This is the result of protrusion or out-pouching
of the fatty tissue under the lid.
Occasionally, this tendency is strongly familial on
origin, becoming noticeable at a relatively early age, sometimes in the
mid-twenties. More often, however, the fullness is developmental in nature
and appears at thirty-five or forty, becoming even more marked in the
forties and fifties. All of the genetic aspects (dry skin, etc.) also
contribute to early development of this condition. The preference for
early surgical correction applies here as it does to facial surgery in
general. When the condition of the eyelid has progressed to the point
of visual impairment, or to the point where the muscular fibers around
the eyelids have become more difficult. Sagging of the overstretched skin
requires removal of the excess in all directions to achieve maximum benefit.
Long-standing problems therefore require greater surgical change; at the
same time they are less amenable to excessive displacement of the skin
without jeopardizing final results. |
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| Q2. I
am a 54 yrs woman, I would like to know about the rate of success of the
surgery for eye bags. -
Mrs. Sujata Shinde |
ANS2. Fortunately, the
results of early treatment can be highly successful. There may be more
wrinkling or fullness in the skin as years to by; once fatty tissue "
bags" are removed, however, they generally do not return. Correction may
be performed along with the face-lift operation or as an entirely separate
procedure when this area alone is primarily involved. Elevating the eyebrow
also has a secondary effect upon the upper eyelid. This may be accomplished
surgically and employed to advantage under those circumstances where downward
displacement contributes fullness to the upper lid. A separate incision
will be required that leaves a permanent although limited scar. Sometimes
the brow can be elevated in the course of a face-lift procedure without
leaving any visible scars. The following technical details should be noted.
Surgical incisions are so placed that they will hardly
be visible after several months have elapsed. Initially, they may appear
as small red marks just to the side of the eye; as time passes, however,
they fade into the normal lines ordinarily found in this area. The excess
skin and any overstretched muscle fibers are removed from the upper lids
along with the protruding fatty tissue. Similar correction is performed
for the lower eyelids; in this area, however, specific attention is directed
to the elimination of excess skin without undue tension on the lid margin.
During surgery the same meticulous attention is directed toward small
bleeding points as in any other procedure, and repair of incisions is
performed with very fine suture material. |
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| Q3. I am 24 years girl
with fair complexion but I have black circles around my eyes, which makes
me look older. Please tell me how to get rid of this problem? -
Ms Cristy Vaz |
| ANS3. Auto fat Injection
or Lipo transfer is a recent technology of medical science which helps
to balance the unevenness of body for e.g. hollow cheek or depressed nose,
sunken eyes and other body parts, which need shaping and contouring for
perfect anatomy. In this procedure you don't need any general anaesthesia
or hospitalization, one can go back home after a few hours if everything
goes well, some amount of fat being taken out from the hips, thighs, tummy
or body areas of excess fat. The fat after purification is being injected
into the desired areas e.g. hollowness of cheeks this helps in balancing
and uplifting of depressed areas and gives an excellent quality of results.
The minor risks of anaesthesia, bleeding, pain, infection, swelling and
dissatisfaction, which do exist in every operation, are often controllable
with modern medicines in comparison to the past. |
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Q4. I am 46 yrs man and
have bulgy eyes. Could you please tell me whether any procedure in cosmetic
surgery can solve this problem and does the procedure hamper my eyesight?
- Mr. Mangaldas Ballani |
| ANS4. As
noted, this operation involves the eyelid structures and the surroundings
soft tissues alone. Visual impairment following such a procedure is therefore
not realistically a potential problem. While downward displacement of
the lower eyelid is possible as the result of excess tension at the free
margin, early and frequent squeezing exercises can be remedy this difficulty.
Where the soft tissues show absence of good muscular tone before the operation,
as in advanced cases, lower eyelid displacements may be significant enough
to warrant secondary corrections, which may be necessary despite careful
surgical technique. Finally, additional hazards or risks in this operation
involve unfavorable healing-excess scar tissue, surgical wound infection,
or prolonged post-operative swelling and discolouration. The last can
be particularly troublesome when darker pigmentation is present before
surgery. Additional post-operative problems are no more frequent than
in other types of surgical treatment.
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