Blepharoplasty ( eyelid surgery ) in Armenia Yerevan

About Eyelid Surgery 

Expressive and delicate, the eyes often reveal our secrets, but eyelid rejuvenation surgery can help keep age from being one of them. Eyelid rejuvenation in Yerevan Armenia can be performed on the upper or lower eyelids, removing wrinkles, bags, and sagging. This surgery can treat your upper or lower eyelids or both. Depending on your situation, some skin may be removed along with fat and tissue. The results of rejuvenation can be very dramatic - smoother skin in the eye area, less bags and bulges, and a more youthful, energetic facial appearance.

Blepharoplasty surgery in Armenia can be done under general anesthesia, local anesthesia with IV sedation, or local anesthesia. Most patients choose to undergo the surgery under IV sedation on a day case basis. For those patients who live at a distance from the hospital, an overnight stay is advised.

About local anesthesia with IV sedation

Conscious sedation is a type of anesthesia, which is preferred by many patients for most of our eyelid operations. It is a very comfortable and gentle type of anesthesia which is far less invasive than the typical general anesthesia but at the same time highly effective. It is also very good for nervous or anxious patients undergoing quite minor procedures. Typically patients sleep most of the way through their operation and have no or very little recollection of it. You are monitored throughout the procedure by an anesthesiologist.

Upper lid blepharoplasty

An upper lid blepharoplasty is performed for patients who have droopy, overhanging eyelids that cause a visual field problem, cause eye irritation and eye fatigue or create a cosmetic problem. A crescent-shaped piece of skin is removed just above the skin crease. In patients with bulges of fat, particularly in the inner corner of the upper eyelid, some of the fat is also removed. Tiny blue sutures (stitches) are used to close the skin wound. The operation can be combined with ptosis surgery (droopy eyelid surgery) if there is an associated droop of the upper eyelid (ptosis or blepharoptosis). An eyebrow ptosis (a drooping of the eyebrows) often accentuates the problem and this problem may need to be addressed at the same time or separately.

Lower lid blepharoplasty

Transcutaneous lower lid blepharoplasty

For lower transcutaneous (through the skin) blepharoplasty a horizontal incision is made in the skin just below the eyelashes of the lower eyelid and continued along a laughter line at the outer aspect of the eyelid. This approach is used for patients who require the removal of loose folds of skin. An orbicularis muscle suspension is often performed to help to prevent any retraction of the eyelid and to prevent excess skin being removed. This requires a separate incision in the outer aspect of the upper eyelid to gain access to the outer orbital margin where the suspensory sutures are placed and is often performed in conjunction with an upper eyelid blepharoplasty. A very small amount of excess skin is then removed from the outer aspect of the eyelid.

Transconjunctival lower lid blepharoplasty

In some cases the procedure is performed from the inside of the eyelid leaving no visible scar on the skin (a transconjunctival blepharoplasty). This is usually performed on younger patients who do not need any skin to be removed. Any associated skin laxity or wrinkling can be addressed by other methods (by fractional laser resurfacing or with a mild chemical peel to tighten the lower eyelid skin). This approach is associated with a lower risk of postoperative lower eyelid retraction. In patients with very marked fat bulges, the fat will be partially removed or. In others the fat will be repositioned to eliminate puffiness or bulges.

Aesthetic surgery can usually correct all abovementioned problems, though other treatments may also need to be considered. For example, if the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may require laser resurfacing or chemical peeling procedures. Circles beneath the eyes caused by dark pigmentation may be treated with a bleaching solution or chemical peel. Patients who have a drooping midface with a loss of the youthful cheek prominence and nasolabial folds may benefit from a midface lift. This can be performed using the same lower eyelid incision as for a transcutaneous lower eyelid blepharoplasty but in some patients an additional incision in the temple is required. This surgery is more often undertaken under general anesthesia with an overnight stay in hospital because of the extra time that this takes. For some patients a lower lid blepharoplasty can be combined with fat injections (structural fat grafting) to enhance the cheeks or midface where there is hollowing. In this procedure, fat is removed from the outer aspect of the flank, buttock or thigh using very light finger suction with a syringe and blunt cannula to avoid damaging the fat. This can be done under general anesthesia or sedation.

Do you have more questions about Eye lid surgery? Click here to visit our frequently asked questions or contact our office in Yerevan Armenia to schedule a consultation with Dr. Karen Danielyan. In addition to covering other articles about blepharoplasty our site contains numerous resources, including a gallery of before and after photos, to help patients better understand this popular procedure.