Maturity, heredity, and sun exposure contribute to the changing tone and structure of our eyelid skin. This can result in a droopy eyelid appearance and affect our field of vision.
Blepharoplasty is eyelid surgery that removes excess skin, fat, and muscle from the upper or lower eyelids. When the upper eyelids hinder peripheral vision, eyelid surgery can remove the impediment to restore the visual field.
- Upper Lid Blepharoplasty: Upper lid blepharoplasty removes extra skin and fat through a hidden incision at the natural eyelid crease and is then closed with tiny sutures.
- Lower Lid Blepharoplasty: Lower lid blepharoplasty removes or repositions fat to smooth out the transition between the lower lid and cheek. This can minimize the puffiness of the lower lids and add rejuvenation to the periocular area. These two procedures can be performed at the same time, if desired.
Ptosis is characterized by a reduction in the field of vision due to the upper eyelid margin obstructing the pupil. Those who suffer from ptosis find it difficult to keep their eyelids open and will often arch their eyebrows lift their eyelids. Eyelid surgery to address the eyelid position by addressing the levator muscle function will allow an improvement in eyelid position and vision.
When the edges of the eyelid do not meet correctly, the eye is left unprotected. Resulting from lax tissue, facial nerve paralysis, or previous surgeries, the lower eyelid sags away and exposes the eye to dryness. If left untreated, ectropion can cause irritation, pain, discharge, and/or chronic tearing. When repaired, symptoms resolve almost immediately.
When the eyelid rolls inward toward the eye, it can result in painful irritation and lead to abrasions of the cornea. Surgery can repair the inward-turned lid and resolves the symptoms almost immediately.
Periocular Skin Cancer
Skin cancer is primarily caused by overexposure to the sun but may also be hereditary. Types of periocular skin cancers include basal cell carcinoma, squamous cell carcinoma, melanomas, and sebaceous gland carcinoma.
Immediate and thorough removal of periocular skin cancer is the most effective way to reduce the spread of cancer. Surgical excision includes removal of the cancerous cells and reconstruction of the eyelid. Removing the lesion in layers under microscopic control is a procedure called Mohs surgery. After Mohs surgery, your oculoplastic surgeon will repair the area with sutures, flaps, or skin grafts.