Oculoplastics

Oculoplastics

OCULOPLASTICS

EYELID SURGERY AND AESTHETIC MEDICINE (OCULOPLASTIC UNIT)

What is oculoplastics?

It is a subspecialty of ophthalmology dedicated to the medical-surgical treatment of diseases of the eyelids, lacrimal ducts and orbit, both for functional and aesthetic purposes.

BLEPHAROPLASTY

What is blepharoplasty?
It is the most common cosmetic eyelid surgery. It is performed to correct and remove excess skin (drooping eyelids) or unwanted bags.
Who can perform this intervention?
It is important that it is performed by an ophthalmologist specialized in ocular plastic surgery, in order to achieve an optimal result and also minimize post-surgical risks. At PRESBIT we have specialists with extensive experience in this type of surgery.
What type of anesthesia is used for blepharoplasty?
The vast majority of interventions are performed under local anesthesia and sedation, the latter being deeper at the time of infiltration of the anesthetic and more superficial when the area has already been anesthetized. At PRESBIT we perform all interventions in a hospital environment with a team of nurses and anesthesiologists so that possible anxiety and pain are controlled.
What is the postoperative period like?
This is an intervention that does not usually produce too much discomfort in the postoperative period. Occasionally bruising, local swelling and some tightness in the area may appear, but in any case will disappear during the first days.
CANTHOPEXY
What is canthopexy?

Canthopexy is a surgical technique by which we give upward tension to the lateral canthus of the eye (external region of the eye)..

It is most often performed as an adjunct to blepharoplasty surgery, to improve eyelid tension and prevent eyelid malposition in the postoperative period.

How is canthopexy performed?
A minimal incision is made in the upper eyelid. A suture is then inserted through the lateral canthal tendon (the tendon that fixes the eyelid in its lateral region) and tightened by anchoring the suture to the rim of the orbit.
CANTHOPLASTY
What is canthoplasty?
Canthoplasty is a surgical technique by which we elevate the lateral canthus of the eye (outer corner of the eye). With it we can improve eyes with a sad and rounded appearance, giving them a more rounded appearance. We can also provide tension to the lower eyelid, improving malposition problems. Canthoplasty is a surgical technique by which we elevate the lateral canthus of the eye (outer corner of the eye). With it we can improve eyes with a sad and rounded appearance, giving them a more rounded appearance. We can also provide tension to the lower eyelid, improving malposition problems.
What is the difference between canthoplasty and canthopexy?
Canthopexy is a technique by which we only tighten the canthus of the eye. With canthoplasty we go a step further, as we not only tighten the canthus but also reposition it.
EYEBROW PTOSIS OR DROOPING EYEBROWS
What is eyebrow ptosis?
Eyebrow ptosis occurs when the eyebrow is lowered from its original or natural position.
Why does it occur?
Age is one of the main factors that produce this decrease of the eyebrows. There are also hereditary factors and on other occasions it may be due to a winterization deficit, as occurs with facial paralysis.
How is it corrected?

Eyebrow ptosis can be treated with botulinum toxin (in mild cases) or with surgery. In the case of surgery there are two approaches:

  • Direct approach or direct browplasty: it elevates the eyebrow by removing skin, fat and muscle. Usually this approach is performed just above the eyebrow.
  • Indirect approach or indirect brow lift: allows the elevation of the eyebrows through small incisions at the scalp and the use, in most cases, of an endoscope.
What type of anesthesia is used to correct eyebrow ptosis?
  • In the case of direct eyebrow surgery what we generally perform is local anesthesia and sedation, the latter being deeper at the time of infiltration of the anesthetic.
  • In the case of indirect browplasty, general anesthesia or sedation with local anesthesia can be performed depending on each patient and their preferences.

At PRESBIT we perform all interventions in a hospital environment with a team of nurses and anesthesiologists so that possible anxiety and pain are controlled..

What is the postoperative period like?

Recovery is usually rapid, allowing the incorporation to work around 4-7 days. It is normal the appearance of swelling and bruising, which can last about two weeks. The stitches are usually removed after a week.

Frequently Asked Questions

The vast majority of operations are performed under local anesthesia and sedation, the latter being deeper at the time of infiltration of the anesthetic and more superficial when the area has already been anesthetized.

At PRESBIT we perform all interventions in a hospital environment with a team of nurses and anesthesiologists, so that possible anxiety and pain are controlled.

  • After surgery, an ocular occlusion is performed for the first 24 hours, although we always try to leave one eye uncovered..
  • It is recommended to apply local cold during the first 48 hours.
  • Bruising and local swelling may occur, but these symptoms will gradually disappear.
  • Generally, hematomas usually disappear within 7-12 days in the case of upper blepharoplasty, and may take longer in the case of lower blepharoplasty.

Blepharoplasty is an operation that must be performed meticulously, taking care of all the anatomical structures of the eyelids. Although it is a very small area, it is quite complex. For this reason it is very important that this intervention is performed by an ophthalmologist specialized in eyelid plastic surgery or oculoplastic surgeon, thus minimizing postoperative problems.

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