Jan 14

7 Misunderstandings

7 Misunderstandings about eyelid and eye bag surgery
eyebag1. Everyone can do laser eye bag surgery.
Even laser eye bag surgery (the procedure that eye bag will be removed from inner side of lower eyelid with laser surgery) is a best procedure to remove the under eye bag, it cannot be performed for every case. Eye bag without definitely excessive skin is only a good candidate for this procedure.
2. Lower eyelid surgery always causes the ectropion complication and obvious scar.
Lower eyelid surgery likes other cosmetic procedure; the complication depends on the surgeon’s experience. Intraoperative evaluation and judgment is the most important factors to prevent this morbidity. With meticulous closing wound technique and tiny sub dermal dissolvable suture will prevent the ugly scar and the scar will fade away in short time.
3. Lower eyelid surgery can totally smooth the under eye hollowness.
Even some excess skin will be removed and the rest of eyelid skin will be tightened, it cannot totally correct the hollowness. The hollowness is not caused by only skin laxity but also periorbital bony resorption. If lower eyelid skin is removed too much in order to correct the hollowness, you will get the ectropion complication instead. Microfat transfer or filler injection should be an additional procedure for this condition.
4. Puffy upper eyes are always improved by fatty bag removal.
Puffy eyes are caused by many factors like as big fatty bags; thicken eyelid skin, low eye brow position or protruding eyes. Then fattier bag removal is helpful only in some cases. To less the puffy eye, sometime need more than one procedure like as endoscopic brow lifting.
5. All of fatty bags should be removed during upper eyelid surgery.
It’s a misconception to remove all fatty bags from the upper eye socket. This will cause the tired hollow eye, not younger looking one, especially for Asian. Hollowness will appear naturally in elderly then partial preserved fatty bag should be considered during upper eyelid surgery.
6. Upper eyelid surgery will correct brow drooping.
Most people misunderstood about the result of upper eyelid surgery. They believed that lateral brow will be lift up after this surgery like pulling the temporal skin. Then disappointments often occur after upper eyelid surgery. More upper eyelid skin are removed, more brow hooding will happen. To correct the dropping brow, brow lifting like as endoscopic brow lift is an advised procedure.
7. Lower lid fold is possible in sunken or deep set eye.
Hollow or deep set eye is not possible to be fixed to low double lid fold .They always are high or ambiguous fold if double eye lid surgery are performed. Microfat transfer should be done to volumize sunken eye firstly and then double eyelid surgery could be done later.

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