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Blepheroplasty / Eyelid Surgery

Eyelid surgery, also known as blepharoplasty, is a cosmetic surgical procedure that is performed to improve the appearance of the eyelids. It can be done for both functional and aesthetic reasons. There are two main types of eyelid surgery:

1. Upper Eyelid Surgery: Upper eyelid surgery focuses on the upper eyelids. It is often done to address sagging skin that can obstruct vision or create a tired appearance. During this procedure, excess skin and sometimes fat are removed, and the eyelid muscles may be tightened if necessary. This can result in a more youthful and refreshed look.

2. Lower Eyelid Surgery: Lower eyelid surgery is typically performed to reduce puffiness and remove excess fat or skin from the lower eyelids. It can help reduce the appearance of under-eye bags and improve the overall contour of the lower eyelids. In some cases, lower eyelid surgery can also involve repositioning or tightening the lower eyelid muscles.


Here are some key points to consider if you are thinking about eyelid surgery:

  1.  Consultation: Before undergoing eyelid surgery, it's essential to have a consultation with a board-certified plastic surgeon or ophthalmologist who specializes in oculoplastic surgery. They will assess your specific concerns, discuss your goals, and determine if you are a suitable candidate for the procedure.

  2. Recovery: Recovery time varies depending on the individual, but it generally involves swelling and bruising around the eyes for a week or two. Most patients can return to normal activities within a couple of weeks.

  3. Risks: Like any surgical procedure, there are risks associated with eyelid surgery. These may include infection, scarring, asymmetry, dry eyes, and changes in eyelid position. Your surgeon should discuss these risks with you during the consultation.

  4. Results: Eyelid surgery can provide long-lasting results. However, the aging process will continue, and some patients may choose to have additional procedures in the future.

  5. Cost: The cost of eyelid surgery varies depending on the surgeon's experience, geographic location, and the extent of the procedure. It's important to obtain a comprehensive quote that includes all associated fees.


It's crucial to do thorough research, choose a qualified and experienced Plastic surgeon, and have realistic expectations regarding the outcome of eyelid surgery. This procedure is generally safe and effective when performed by a skilled Plastic / Oculoplastic surgeon, but it's important to discuss your individual circumstances and goals with a qualified surgeon to determine if it is the right option for you.

Image by Andriyko Podilnyk

Eyelid injuries

Eyelid injuries can occur as a result of various accidents, trauma, or other factors. These injuries can range from minor cuts and bruises to more severe and potentially vision-threatening conditions. Here are some common types of eyelid injuries and how they are typically managed:


1. Contusions (Black Eye): Contusions, commonly referred to as "black eyes," are bruises that result from blunt trauma to the eyelid.

Treatment involves applying ice to reduce swelling, over-the-counter pain relievers for discomfort, and allowing time for the bruise to heal. Severe contusions may require medical evaluation.


2. Lacerations: Eyelid lacerations are cuts to the eyelid skin or the margins (edges) of the eyelid. They can vary in severity. Superficial lacerations may be cleaned and closed with sutures, while deeper lacerations may require surgical repair by a Plastic Surgeon.


3. Avulsion Injuries: An avulsion injury involves the tearing away of a portion of the eyelid. This can be a serious injury and may lead to complications.
Immediate medical attention is essential, and reconstructive surgery may be necessary to repair the damage.


4. Chemical Burns: Chemical burns to the eyelids can occur due to exposure to harmful substances such as acids, alkalis, or other irritants.
It is crucial to flush the affected eye and eyelid with copious amounts of water immediately. Seek medical attention promptly.

5. Thermal Burns:
   - Thermal burns to the eyelids can result from exposure to hot liquids, steam, or flames.
   - The affected area should be cooled with water, and medical evaluation is necessary. Severe burns may require specialized treatment.


6. Foreign Bodies: Foreign objects can become embedded in the eyelid skin or the conjunctiva (the clear membrane covering the eye).

If a foreign body is on the eyelid or superficial, it can often be removed with clean, sterile tools. If it has penetrated deeper into the eye, seek immediate medical attention.


7. Fractures: In cases of severe facial trauma, eyelid fractures can occur. These may involve fractures of the bones surrounding the eye.
Management includes stabilization of fractures and surgery, if necessary, to repair any damaged structures.


In all cases of eyelid injury, it's essential to seek medical attention if there is any concern about the injury's severity or the possibility of associated eye injuries. Prompt and appropriate care can help prevent complications and minimize long-term consequences. Additionally, it's crucial to protect your eyes and eyelids from potential injuries by wearing safety glasses or goggles during activities that pose a risk of eye trauma.

A girl with make-up

Double Eyelids / Asian eyelids

"Double eyelids" refer to an anatomical feature of the eyelids, and it's a term often used in the context of Asian eyelid anatomy. It's important to understand that not all individuals have double eyelids, and the presence or absence of double eyelids is a natural variation in eyelid anatomy. Here's an explanation of what double eyelids are and some common variations:

1. Single Eyelids (Monolids):
   - Single eyelids, also known as monolids, are characterized by a lack of a distinct crease or fold in the upper eyelid. The skin on the upper eyelid covers the eyelid margin, giving a smooth appearance without a crease.

2. Double Eyelids:
   - Double eyelids have a crease or fold in the upper eyelid, creating two distinct layers of skin and tissue. This crease can vary in terms of its depth, position, and shape. Double eyelids are more common among people of non-Asian descent but can also be found in some individuals of Asian heritage.

3. Epicanthal Fold:
   - An epicanthal fold is a skin fold that covers the inner corner of the eye, and it's more common in some Asian individuals. It may or may not be associated with a double eyelid. Some individuals with an epicanthal fold may have a single eyelid, while others may have a double eyelid.

It's important to note that the presence or absence of a double eyelid crease is primarily determined by the underlying anatomy of the eyelid. Some people may naturally have double eyelids, while others have single eyelids or variations in between. The type of eyelid an individual has is a matter of personal genetics and anatomy.

In some cases, people choose to undergo cosmetic surgery, known as double eyelid surgery or Asian blepharoplasty, to create a double eyelid crease or modify the appearance of their eyelids. This elective procedure is common in some Asian countries and is done for various reasons, including cultural beauty standards and personal preferences. Double eyelid surgery typically involves creating or enhancing the upper eyelid crease.

It's essential to remember that there is no single "ideal" eyelid type, and the beauty of one's eyes is highly subjective. Some people embrace and celebrate their natural eyelid features, while others may choose to enhance or modify them through surgery if they desire. The decision to undergo such procedures is a personal one and should be made carefully after consultation with a qualified plastic surgeon.

Image by National Cancer Institute

Eyelid tumors

An eyelid tumor refers to the presence of abnormal growth or mass on the eyelid. Eyelid tumors can be benign (non-cancerous) or malignant (cancerous). It's essential to have any eyelid growth or mass examined by a medical professional, such as an ophthalmologist or an oculoplastic surgeon, to determine its nature and the appropriate course of action. Here are some common types of eyelid tumors:


1. Benign Eyelid Tumors:
   -Chalazion: A chalazion is a common benign eyelid lump caused by the obstruction of an oil gland. It typically presents as a painless, small, round bump on the eyelid.
   -(Hordeolum): A stye is another benign eyelid bump that results from the infection of an eyelash follicle or an oil gland. It is typically painful and may be red or swollen.

2. Malignant Eyelid Tumors:
   -Basal Cell Carcinoma: This is the most common type of skin cancer, and it can occur on the eyelids. It often presents as a pearly nodule or a red, scaly patch.
   -Squamous Cell Carcinoma: Squamous cell carcinoma is another type of skin cancer that can affect the eyelids. It may appear as a red, scaly patch or an ulcerated nodule.
   - Melanoma: Melanoma can develop in the pigmented cells of the eyelid and can be a serious form of skin cancer. It may appear as a dark or changing mole on the eyelid.
   -Sebaceous Gland Carcinoma: This is a rare but aggressive form of eyelid cancer that originates in the sebaceous glands. It may appear as a lump or thickening on the eyelid.

If you notice any changes in the appearance of your eyelids, such as new lumps, growths, or changes in color, it's important to seek medical attention. A plastic surgeon will typically perform a physical examination and may recommend further tests or a biopsy to determine the nature of the eyelid tumor.

The treatment for eyelid tumors depends on the type of tumor and whether it is benign or malignant. Benign tumors may be treated with medications, warm compresses, or minor surgical procedures, while malignant tumors may require more extensive surgical excision, radiation therapy, or other treatments. Early detection and prompt medical intervention are crucial in managing eyelid tumors, particularly malignant ones, to prevent their spread and complications.

Eyelid Jewels


Xanthelasma (or xanthelasma palpebrarum) is a skin condition characterized by the development of yellowish or orange-colored plaques or deposits of cholesterol underneath the skin, typically around the eyelids. Xanthelasma is considered a type of xanthoma, which is a collection of cholesterol deposits in the skin. It is usually benign and not painful, but it can be cosmetically distressing to some individuals.


Key characteristics of xanthelasma include:

1. Appearance: Xanthelasma presents as soft, flat, and often slightly raised yellowish plaques on or around the eyelids. These plaques can vary in size and shape and may occur on one or both eyelids.

2. Cause: Xanthelasma is typically associated with elevated cholesterol levels, but it can also occur in people with normal cholesterol levels. It may be related to lipid metabolism and genetic factors.

3. Symptoms: Xanthelasma is usually asymptomatic, meaning it doesn't cause discomfort or pain. However, it can be a cosmetic concern for some individuals.

4. Diagnosis: A diagnosis is often made through a visual examination of the eyelid plaques. In some cases, a biopsy or blood tests to assess cholesterol levels may be recommended.


5. Treatment: The main reason to treat xanthelasma is usually cosmetic. There are various treatment options, including:
   -Surgical Removal: A Plastic or oculoplastic surgeon can surgically remove the xanthelasma plaques. This is typically done under local anesthesia.
   -Laser Therapy: Laser therapy is an alternative method for removing xanthelasma. It may result in less scarring compared to traditional surgical removal.
  -Topical Medications: Some topical treatments may be used to reduce the appearance of xanthelasma. However, these treatments may not be as effective as surgical options.


It's important to consult with a plastic surgeon if you suspect you have xanthelasma or if you're concerned about its appearance. Additionally, managing underlying lipid disorders and maintaining a healthy lifestyle with a balanced diet, regular exercise, and medication if necessary can be important for long-term health.

Keep in mind that xanthelasma can sometimes be associated with underlying health conditions like high cholesterol, which may need to be managed to reduce the risk of cardiovascular diseases. If you have xanthelasma, your doctor may also recommend evaluating your lipid profile and considering lifestyle changes or medication to manage your cholesterol levels.

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