Full eyelid surgery involves surgically making an incision in the upper eyelid and removing excess skin and fatty tissue to secure the eyelid skin to the desired height of the lid to form a blepharoplasty. Full blepharoplasty is the most common, effective and reliable of all blepharoplasties.
Double Eyelid
Double eyelids are the common name for heavy eyelids, or in ophthalmic terminology, the upper eyelid crease. Aesthetically, the shape of the upper eyelid with heavy lids makes the eyes more expressive and revealing. Single eyelids often give the impression of being monotonous, bloated and lacking in vitality, and in order to change this lack, surgery to form heavy eyelids was born.
Suitable candidates
1. Anyone who has upper eyelid skin that hangs over the lid margin, covering not only the eyelashes but also part of the eye, resulting in a narrow eyelid fissure that does not fully open to reveal the bright eye, giving the impression that the eyes are dull, sluggish, and foolish can have their eyes widened by blepharoplasty.
2. One eye has single eyelid and the other eye has double eyelid.
3. Asymmetrical eyelids on both eyes.
4. Narrow eyelids that require widening.
5.The upper eyelid is sagging, sagging, triangle eyes, eight-eyed eyes, or inverted eyelashes.
6.People who are not satisfied with blepharoplasty and can consider redoing blepharoplasty.
Principle
Full eyelid surgery is performed by making an incision in the upper eyelid, removing excess skin and fatty tissue, and then fixing the eyelid skin to the desired height of the lid to form a heavy eyelid. The incisional blepharoplasty is the most effective, stable and reliable of all blepharoplasty procedures. It is also the most demanding procedure and is the one often used in regular aesthetic hospitals.
Applicable Groups
1. The full cut method is suitable for any type of single eyelid at any age, and is particularly suitable for those with lax upper eyelid skin and upper lid bloating.
2. Those with shallow heavy lid folds, or multi-layered folds, or those who do not show when opening their eyes (hidden double).
3. Asymmetrical eyelids, or one single eyelid and one double eyelid.
4, Mild upper eyelid entropion.
5. Failed eyelid surgery by wire or buried wire method.
Pre-operative design
Pre-operative design is a crucial part of successful blepharoplasty. The preoperative design of blepharoplasty should follow the principles of harmony and bilateral symmetry, and should be based on the age, personality, occupation, facial shape, eye shape, and individual facial organs of the candidate to design a specific, coordinated blepharoplasty shape.
Shape
There are a variety of eyelid shapes and methods of classifying them, but the more accepted is the three-type classification, namely: parallel, broad-tailed, and crescent-shaped.
1. Parallel: This refers to a double eyelid crease that is parallel to the upper eyelid margin, especially for those with short lid fissures;
2. Wide-tailed: This is a double eyelid crease that is narrow inside and wide outside, and is suitable for most single-lid patients;
3, Crescent type: refers to the double eyelid crease in the middle part of the wider, such in double eyelid surgery rarely used.
Width
The width of the eyelid is the distance between the eyelid line and the upper lid margin, which can be classified as wider, moderate and narrower.
1.Wider double eyelid: It means the width is more than 8mm, this design is suitable for rectangular face shape, strong character and few dancers and comedians.
2.Moderate double eyelid: It means the width is 6-8mm, and this design is suitable for most of the patients.
3. Narrower eyelids: This design is suitable for people who have a small eyelid and do not want to be noticed as having a blepharoplasty.
The actual design also takes into account the length of the lid fissure, the distance between the eyebrows and eyes, and the function of the levator muscle.
Technique
1. The eyelid line is drawn according to the design principles.
2. Local anesthesia is applied under the skin at the incision site.
3.Cut the skin and remove the excess skin if the upper lid skin is lax.
4.Remove part of the orbicularis oculi muscle and excess orbital fat.
5. The skin incision edge is sutured with the lid to form the eyelid line.
Advantages and Disadvantages
Advantages
1. The incision method gives good results with deep creases and a three-dimensional appearance.
2. The eyelids formed are reliable, stable and can be maintained for a long time.
3. It can regulate and change the tissue structure of the upper eyelid at all levels, and can solve many complex problems of the eyelid, such as upper eyelid skin laxity, eyelash entropion, upper eyelid bloating, orbital fat sagging, orbital septum laxity, and outer superior orbital rim bulge.
Disadvantages
1, The surgery is more traumatic, with heavy postoperative swelling and long recovery time.
2. The incision leaves a linear scar.
3, If the surgery fails, it is more likely to be remedied.