Upper eyelid surgery

Surgical Procedure
The upper eyelid incision is made in the natural skin fold. Excess skin and fatty tissue is removed, the muscles and orbital septum (a thin connective tissue membrane) may be tightened, and the incisions are carefully closed. The external incisions are hidden within the natural fold of the upper eyelids. Much of the operation is done with a very fine electrocautery, which controls any bleeding. The skin is then closed with very fine sutures.

Duration of Operation
40 minutes

Risks and Complications
When eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including , bleeding, infection or a reaction to the anesthesia. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.

The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle.

Following surgery, some patients may have difficulty closing their eyes when they sleep; in rare cases this condition may be permanent. Another very rare complication is ectropion, a pulling down of the lower lids. In this case, further surgery may be required.

After Care
After surgery, the surgeon will probably lubricate your eyes with ointment and may apply a bandage. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your surgeon. If you feel any severe pain, call your surgeon immediately.

Your surgeon will instruct you to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. (Bruising varies forn person to person: it reaches its peak during the first week, and generally lasts anywhere from two weeks to a month.) You'll be shown how to clean your eyes, which may be gummy for a week or so. Many doctors recommend eyedrops, since your eyelids may feel dry at first and your eyes may burn or itch. For the first few weeks you may also experience excessive tearing, sensitivity to light,

Your surgeon will follow your progress very closely for the first week or two. The stitches will be removed two days to a week after surgery. Once they're out, the swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel much better.

Recovery
At first the incisions will probably be red and somewhat bumpy. Eventually, the resulting scar should become flat and inconspicuous. Your sutures (stitches) will be removed sometime within the first week.

The swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel better each day. Swelling and bruising varies considerably from person to person. Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Your vision may continue to be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. You may receive eyedrops to help relieve any burning or itching.

Results
Upper eyelid blepharoplasty can make a remarkable difference in the appearance of the face, alleviating the appearance of tiredness and old age. The eyes appear fresher and more youthful, and these results may last for many years. The degree of improvement varies from patient to patient.

Hospital Admission

Not required

Anesthetic

Local Anesthesia.

Pre Operative Care

Inform us about any allergies, any serious medical condition(s), and all medications you are taking (both prescription and non-prescription). >> Avoid aspirin and aspirin-containing medicines for one weeks prior to surgery.

Post Operative Care

For the first week, you’ll need to avoid activities that dry the eyes, including reading, watching television, wearing contacts, and using a computer. Also avoid excessive blinking, which leads to increased swelling. You should also wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation. The eyes may tire easily for several weeks; frequent naps are helpful.

For the first three or four weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports. Your surgeon will let you know when you are ready for exercise. Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.

Price

38000THB net

Lower eyelid surgery

Nature is often a little unkind: the eyes, our most prominent feature, are the first to show those disconcerting signs of age. Blepharoplasty, one of the most common cosmetic procedures can erase many of the lines, bags and wrinkles that blight the eye

The eyes are the most expressive elements of the face. They can transmit a person’s inner feelings and are a means of silent communication. Blepharoplasty is an operation whose aim is to correct heavy, wrinkled or baggy eyelids and restore a fresher, more youthful look to the eyes. The operation consists of the removal of excess eyelid skin as well as the removal of bags under the eyes when needed, while preserving the natural expression. Results may last for many years.

Baggy eyelids are caused by the protrusion of the normal fat pads around the eyes. This problem may be encountered in patients of comparatively young age if it is familial trait.

For traditional lower lid blepharoplasty: An incision is made just beneath the lash line. Excess fat, muscle and skin are removed.Fine sutures are used to close the incision. Permanent stitches will be removed 3-5 days after the procedure

f you have a pocket of fat beneath your lower eyelids, but do not need to have any loose skin removed, your surgeon may recommend a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with fatty lower eyelids. Transconjunctival blepharoplasty does not tighten the skin, reduces the puffiness in the lower eyelid region.

Duration of Operation
Half hour to one hour.

After Care
The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids. (Avoid any compress heavier than one ounce. A Ziploc bag with a few frozen peas works well.) Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.

Recovery
At first the incisions will probably be red and somewhat bumpy. Eventually, the resulting scar should become flat and inconspicuous. Your sutures (stitches) will be removed sometime within the first week.

The swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel better each day. Swelling and bruising varies considerably from person to person. Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Your vision may continue to be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. You may receive eyedrops to help relieve any burning or itching.

Results
This surgery will make eyes look brighter, larger, and more rested by removing loose skin, stretched muscle, and excess fat. In some people this procedure will improve vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision. Eyes will look more youthful. The surgery of lower lids should smooth out bulges, take away fat bags from under eyes, and make the skin snugger. One will look rested, and people will see your face instead of focusing on your unsightly lower lids. The results tend to be long lasting. It is most common to have this surgery between ages 38 and 70.

Hospital Admission
Not required

Anesthetic
Local Anesthesia.

Pre Operative Care
Inform us about any allergies, any serious medical condition(s), and all medications you are taking (both prescription and non-prescription)

Tell your doctor if you have any serious medical condition(s).

Post Operative Care
For the first week, you’ll need to avoid activities that dry the eyes, including reading, watching television, wearing contacts, and using a computer. Also avoid excessive blinking, which leads to increased swelling. You should also wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation. The eyes may tire easily for several weeks; frequent naps are helpful.

For the first two weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports. Your surgeon will let you know when you are ready for exercise. Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.

Price
48,000THB net