More than any other facial feature, the appearance of the eyes is responsible for giving an awake, vibrant, and youthful look. Eyelid surgery is a common plastic surgery procedure designed to improve the cosmetic appearance of the eyelids or to repair any functional problems. Patients in Cumberland, MD chose eyelid surgery for many reasons.
Patients who desire cosmetic improvement generally feel that they look angry, sleepy, or tired because of hooded, wrinkled eyelids, wrinkles around the eyes, drooping eyebrows, and frown lines. Patients often report that they are surprised when they see a mirror or photograph because they don’t feel as tired as they look.
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The appearance of the upper eyelid is highly dependent on the position of the eyebrow. One of the earliest changes that occurs with aging or with weight loss is a lowering of the eyebrow, which allows excess skin and fat to fall into in the upper lid, giving the eyes a dark or hooded appearance. In the lower lids, loss of muscle tone and loss of fatty tissue can lead to wrinkling, bulging, and dark circles. Cosmetic interventions include brow elevation to reposition the eyebrow, structural fat grafting to replace tissue in the thinning eyelids to improve dark circles and wrinkling., Botox, and excision of excess bulging fat pads and excess drooping skin. Any or all of these interventions may be appropriate in any given patient depending on the appearance of the eyelids.
The functional impairments of irregular or drooping eyelids are common:
“Visual field obstruction” is a condition in which drooping upper eyelids obscure a patient’s vision. It can be caused by excess skin hanging over the eyelashes or by a weakening of the muscle that lifts the lid. Many insurance plans cover surgical repair of the eyelids that impair the field of vision.
“Ectropion” is a condition in which the ligaments holding the eyelid relax, causing a drooping of the lower eyelid. The eyelid hangs out away from the eye, exposing the eye to air, which can cause eye dryness and irritation.
“Entropion” is a condition in which the lid rolls inward, brushing the lower lashes up against the cornea and causing irritation.
In Cumberland, Hagerstown, and Morgantown, patients can experience a new aesthetic appearance to their eyes.