DR. CRENGUȚA COMAN

Eyelid Surgery

Blepharoplasty is the surgical procedure that corrects inaesthetic and aged eyelids.

Blepharoplasty is the surgical procedure that corrects anaesthetic and aged eyelids. Skin excess on the eyelids and eye bags are among the first aging signs. An eyelids surgery done at the right time can easily wipe out 10 years from our face.

The procedure itself is minimally invasive and is generally performed under local anaesthesia, but it demands a lot of attention and fineness from the surgeon. Even though it’s a common procedure in the aesthetic surgery field, some surgeons even considering it a simple skin and fat excision, it’s not that easy. To be a good specialist in eyelids surgery, you need to know every single anatomic detail. Due to their functional role, any over resection of the skin or fat can lead to serious complications.

In order to recreate beautiful and youthful eyelids, we remove the skin excess, transpose the fat pads (or minimally excise them) and then lift the lateral corner of the eyelid, if the muscle or the skin is loose.

Usually, upper and lower blepharoplasty should not be performed at the same time. The healing takes 5-7 days for upper eyelids and nearly 3 weeks for lower eyelids.

Upper blepharoplasty

When the skin excess of the upper eyelid is hiding the natural fold of the skin, it means that an upper blepharoplasty is needed. Even if we are not very old, this skin excess makes us look old. The upper blepharoplasty surgery may be purely cosmetic, but it is also functional when the skin excess affects our vision. Furthermore, a blepharoplasty might be needed when we want to correct the horizontal wrinkles of the forehead because, when we relax the frontalis muscle, the skin excess of the upper eyelid increases.

In many cases, not only the skin excess represents a problem, but also the fat pads under the eyelid. When the skin ages, it means that deeper structures of the skin lose volume and the superficial ones become loose, not holding the deeper ones in place anymore. This leads to visible and anaesthetic eye bags. We will not excise fat pads, but transpose them where needed in order to create a beautiful and youthful appearance.

The scars are minimal, hidden in the natural folds, and in time they become invisible.

Lower blepharoplasty

This surgical procedure corrects the “eye bags” of the lower eyelid. They appear due to fat excess or due to the laxity of the superficial structures. If we also need to correct the skin excess, we perform a transcutaneous blepharoplasty, meaning a skin incision at 2 mm from the ciliary border of the eyelid and then we extend few mm laterally. Through this incision we reposition the fat fads from where they are too prominent to the area where there is a hollow (dark circles), we fix the orbicularis oculi muscle for a lifting effect and finally we remove the skin excess.

If only fat pads are responsible for the anaesthetic aspect of the eyelids, we perform a transconjunctival blepharoplasty, meaning an incision in the conjunctiva. Through this incision, we reposition the fat pads in order to create a smooth and youthful appearance.

The lower eyelid has a different anatomy compared to the upper one, having a major role in eye globe protection. That’s why the procedure requires much work and the healing process is also slower. The result will be visible only after 3 weeks, when the bruises and the edema are gone. Scars are also minimal and after a few months, they are almost invisible.

Dr. Coman approaches each case of blepharoplasty with special care and customizes the process according to each patient. If you are interested in this procedure, please book an appointment. In this way, you can get more details about the technique and the results.