People undergo eyelid surgery for several different reasons. We commonly hear about the cosmetic benefits of eyelid rejuvenation on the upper or lower eyelids. While blepharoplasty is one of the most popular cosmetic procedures, eyelid surgery may also be necessary for functional reasons, such as to reduce symptoms related to an inward- or outward-turned eyelid. Eyelid trauma and skin cancer are additional reasons eyelid surgery may be performed.
When a surgical procedure is needed or wanted, it is vital that the operating surgeon has a depth of understanding of the complex eyelid structure. The eyelids have particular functional mechanisms, such as closing over the entire ocular surface in blinking and spreading the tear film across the eye. The lower eyelids are also involved in dryness prevention by holding tears in the eye until they naturally drain from tiny tubes in the lower area of the eye. Conducting surgery on either the upper or lower eyelid requires surgical savvy and careful execution.
Eyelids are More than Meets the Eye
The eyelids aren’t just pieces of skin that cover the eyeball, and an operating surgeon must recognize the complexity the lies beneath the surface. Structures that must be considered include:
- Tissue lining. Inside of the eyelid is a smooth, soft lining that supports the lubrication of the eyes.
- Muscle. Beneath the surface of the upper and lower eyelids is muscle tissue that enables the lids to move during blinking.
- Cartilage. It is rigid cartilage tissue that keeps the upper and lower eyelids from drooping away from the eyeball.
Eyelid rejuvenation and reconstruction are procedures that must consider the value of every component of tissue in the eyelid, including how each function and supports the eye. The thickness of the tissue involved, as well as the location and size of the defect to be corrected, dictate the complexity of the procedure being performed. Dr. Fante is an esteemed, double board-certified facial plastic surgeon with years of training and experience performing some of the most complicated reconstructive procedures.
Treatment for cosmetic concerns and eyelid trauma is tailored to the needs of each patient. Prioritizing peace of mind, Dr. Fante conducts a thorough consultation and examination during which all of a patient’s questions can be answered.