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Eyelid
Surgery (Blepharoplasty) usually takes one to two hours, depending on
the extent of the surgery. If you're having all four eyelids done, the
surgeon will probably work on the upper lids first, then the lower ones.
In
a typical procedure, the surgeon makes incisions following the natural
lines of your eyelids: in the creases of your upper lids, and just below
the lashes in the lower lids. The incisions may extend into the crow's
feet or laugh lines at the outer corners of your eyes. Working through
these incisions, the surgeon separates the skin from underlying fatty
tissue and muscle, removes excess fat, and often trims sagging skin and
muscle. The incisions are then closed with very fine sutures.
If
you have a pocket of fat beneath your lower eyelids but don't need to
have any skin removed, your surgeon may perform a transconjuntuival
blepharoplasty. In this procedure, the incision is made inside your
lower eyelid, leaving no visible scar. It is usually performed on younger
patients with thicker, more elastic skin.
Neck
and Facelift (Rhytidectomy), A facelift usually takes several hours --
or somewhat longer if you're having more than one procedure done. For
extensive procedures, some surgeons may schedule two separate sessions.
Incisions
usually begin above the hairline at the temples, extend in a natural line
in front of the ear (or just inside the cartilage at the front of your
ear), and continue behind the earlobe to the lower scalp. If the neck
needs work, a small incision may also be made under the chin.
In general,
the surgeon separates the skin from the fat and muscle below. Fat may
be trimmed or suctioned from around the neck and chin to improve the contour.
The surgeon then tightens the underlying muscle and membrane, pulls the
skin back, and removes the excess. Stitches secure the layers of tissue
and close the incisions; metal clips may be used on the scalp.
Following
surgery, a small, thin tube may be temporary placed under the skin behind
your ear to drain any blood that might collect there. The surgeon may
also wrap your head loosely in bandages to minimize bruising and swelling.
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