<<

Eye has a great visual impact

BY CARLOS WOLF, M.D. leave the muscle. ance. After ensuring that all bleed- Now for the twist: Over the surgery is ing has stopped, the incisions past several years, many sur- one of my favorite are closed with sutures. In geons are choosing to not cosmetic some cases, glue is used to remove the fat, but rather to to perform close the incisions. The sur- transfer it into areas of the eye because of the dra- gery is usually performed that are deficient, and stitch it matic impact it has using local and into place. After treating the on facial appearance. Prior to intravenous sedation (twilight fat, excess skin and sometimes having eye surgery, a patient sleep). Upper surgery muscle are removed and the should consult with his or her may be performed alone or incision is closed using the to determine goals. together with lower eyelid sur- suture technique preferred by The physician will then evalu- gery. Both of these procedures the doctor. ate and assess the patient’s can be performed at the same Eye surgery may be done by facial features to determine time as other facial or body transconjunctival approach – whether the brow (forehead) is surgeries. where an incision is made drooping or the are the Lower eyelid surgery may inside of the eyelid so as not to problem. If the eyelid is the also be done in various differ- have an external incision. This cause of concern, here’s how ent ways. The traditional sur- method is done when skin that problem can be resolved: gery involves making an inci- removal is not needed. The Eyelid surgery can be per- sion through the skin and mus- excess fat or fat deficiency is formed several different ways. cle to remove the excess fat treated the same way as in the Upper eyelid surgery is done that causes the bulging effect. open approach. by removing the excess skin Usually, there are three com- Although eye surgery treats a that is drooping or hanging partments of fat that need to be small area of the face, it pro- over. In many cases, there is an removed – just right! Too duces big results! Stay tuned area in the middle of the upper much fat removal and the eye for the next article, which will lid that contains excess fat. will look sunken in; too little discuss brow lifting. This is also removed – very and the patient will need more carefully! Some surgeons surgery! So, the goal is to Dr. Wolf’s office is located at remove a small part of the remove just the right amount 8940 N. Kendall Dr., Suite 903E. muscle, while others choose to of fat so that the eye has a He may be reached at 305-595- pleasant, well-rested appear- 2969 or at