Possible Eyelid Surgery Complications and the Right Timing for an Eyelid Specialist Revision скачать в хорошем качестве

Possible Eyelid Surgery Complications and the Right Timing for an Eyelid Specialist Revision

A woman has asymmetry after blepharoplasty. She says that one eye droops and there seems to be ectropion. She wants to know if this needs to corrected ASAP. Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon that specializes in revision surgery for cosmetic eyelid surgery, explains the appropriate timing if a revision is necessary. He has had patients who come from all over the world who have difficulty with eye closure from too much skin from the upper eyelids being removed. More commonly, he also has a lot of patients who have had lower eyelids pulled down, or ectropion where it’s everted and turned away resulting in severe exposure or irritation of the eyelid. Ultimately, they want an aesthetic revision because they don’t like the way their eyelids look and because they don’t feel like they look like themselves. When someone gets rounding of the lower eyelids and used to have an almond shape, they can be very distressed about it and this something that Dr. Prasad does a lot of work with. Dr. Prasad says that it has been 10 days since this woman’s surgery and predicting how her eyelids will resolve is dependent on factors such as: the degree of swelling, the nerves that innervate these muscles, and the absolute amount of the skin for the eyelid to be in proper position. She also has to consider the health and integrity of the eye itself even with conservative management. Conservative management includes topical lubrication, keeping the eyes moist with artificial tears, ointment at night, wearing of goggles or keeping a humidifier in the room. These are ways to keep that eye moist so that the surgeon can time the surgery where the tissue is less swollen is very beneficial. Swelling is like working on a moving target when the surgeon is doing surgery. It distorts the anatomy and makes it challenging to predict consistent results. At 10 days, Dr. Prasad explains that as long as her doctor is advising her about how to keep her eyes lubricated and managed in terms of the procedure itself and of eye health, she has some time before revision surgery. The surgeon can make these decisions based how much scar tissue he thinks can hinder any type of revision surgery. Before a lot of scar tissue forms, it is advisable to revise the surgery and that can be within the first couple of months rather than days. She may wait 6 months to a year to allow for full healing and softening of the scar tissue. As long as things don’t move in the wrong direction or undesirable direction, she has some time. Dr. Prasad suggests doing everything to protect the integrity and quality of the health of the eyes. In addition, she should work with the doctor as far as the management. Sometimes when the lower eyelid is everted slightly, people will often successfully massage the eyelid up and get enough of improvement. If there is skin shortage then usually that doesn't work. These conservative methods are appropriate early in the healing phase. She should continue working with her doctor and hopefully things will resolve as times goes on. For more information, visit our website: http://prasadcosmeticsurgery.com/pras...