As skin ages, it gradually loses its suppleness. A lack of elasticity plus the constant pull from gravity causes excessive skin to collect on the upper and lower eyelids. Surplus skin on the lower eyelid cause bulges. On the upper eyelids, an additional fold of skin can suspend over the eyelashes and get in the way of seeing
The fat that cushions the eyeball from the skull can also cause bulges in the upper and lower eye. The thin covering that holds the fat in place weakens with age, letting the fat come forward into the lids.Skin redundancy and muscle laxity involving the eyelids can blight vision. Ptosis occurs when the eyelid droops more than is considered normal, potentially impairing vision.The person should follow the doctor's pre-operative instructions carefully and thoroughly review the post-operative instructions in a better way.
We use the extra fine point skin marker by ScanlanTM as it has an ultra fine tip and allows precise marking. This maneuver is repeated along the length of the eyelid crease incision, and the better extent of the incision is marked with a pen at each location as a general extra guide. The advanced equipment we employ is Talbot Moiré interferometry to determine a wide range of problems or powers in eye that ranges from high myopia to low myopia. This measurement is performed in the operating room and enhances the accuracy of your vision. After performing all these tests we will go for LASIK surgery.
The Lasik eye surgery can be performed on the upper eyelid, lower eyelid, or both. The surgery is performed for either cosmetic or functional reasons. Sometimes excess upper eyelid tissue obstructs the upper visual field or can weigh down the eyelid and create tired-feeling eyes. Most often, people choose Lasik surgery to improve their look by making the area around their eyes firmer. When this surgery is performed to improve vision, rather than for cosmetic reasons only, it may be covered by assurance.
The central preaponeurotic fat compartment is bluntly teased into view. This fat is yellow and generally contains few vessels. The extra fat can be sculpted with tenotomy scissors. We have found that clamping the fat before excision is not required and bleeding vessels are meticulously cauterized. Sculpting of fat should always be forward to the orbital rim. The fat is generally trimmed to a level just outside the orbital rim. Caution must be exercised to not over sculpt which will yield a displeasing aged appearing eyelid. The medial fat pocket is more extensive than the central pocket. It can be discerned from the medial compartment by its whiter coloration. Hemostasis is particularly important in this region because the medial fat pad contains terminal branches of the ophthalmic artery and multiple large-caliber veins. Bleeding from these vessels can be important and insufficiently controlled.