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Aesthetic Procedures: Eyelids

Dermatochalasis Removal

Excess skin on the upper eyelid is known as dermatochalasis. Depending on the extent of laxity, there are several ways that this can be addressed. Mild skin laxity is amenable to non-invasive procedures such as laser treatments or radiofrequency. For moderate to large amounts, especially with lateral hooding or drooping, surgical excision is required. This can be done via the upper eyelid crease, or by a sub-brow/infra-brow blepharoplasty.

If only skin needs to be addressed and in large amounts, the sub-brow/infra-brow approach just below the eyebrow will enable skin removal while maintaining the natural upper eyelid crease and fold. The scar, if sutured and managed well, is usually not obvious at all.

However, if concurrent procedures such as muscle tightening need to be addressed, the upper eyelid crease incisional blepharoplasty approach provides the best access. The only issue is that if large amounts of skin are removed through this approach, the fold may appear unnatural due to the overhang of the thicker superior skin over the thinner inferior skin. Have a discussion with your plastic surgeon and explore the various options before deciding on the management plan together.
 

PATIENT STORIES

Post Massive Weight Loss Body Contouring

A 40-year-old lady consulted with Dr Pek with the desire to correct large amounts of excess skin and soft tissue. She had undergone Bariatric Surgery (Sleeve Gastrectomy) 2 years prior to her presentation and had successfully lost almost 30kg of weight. With ... Read more

Treating Gynecomastia – Correct Male Breasts through minimally invasive techniques

A 38-year-old male engineer presented to Dr Pek with symptomatic growth of his chest/breast area. Since puberty, he complained of unusually prominent chest tissue around his nipple and areolar region. This had worsened gradually over the years, with the left ... Read more

Upper eyelid lift and eyebags rejuvenation

63 years old Chinese female with hypertension and hyperlipidemia presented to Dr Pek with significant droopiness of her upper eyelids on both sides, affecting the upper portion of her visual field. She would constantly feel that her upper eyelids were heavy, ... Read more

Bilateral breast reconstruction using abdominal free flaps

A 45-year-old mother of 2 children was diagnosed with left breast cancer, for which a skin-sparing mastectomy (total removal of breast tissue leaving behind the skin envelope) was recommended. Read more

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