Surgery Notes

Blepharoplasty is a surgery that aims to rejuvenate the facial appearance through the intervention of párpados.La operation in the lower eyelid is almost always done for cosmetic reasons, to improve the “pockets” of the lower eyelids and reduce the wrinkling of the skin. Often when people reach the age of 40 lids from falling down the excess skin on them.

The problem affects the lower eyelids the hereditary aspect, sometimes at age 30 already have pockets.
You must differentiate between bags and dark circles. In the circles the problem is the collapse and the color a bit darker skin. It has nothing to do with not sleeping well or taking unhealthy living, as previously thought. These are treated by injecting a person’s own fat.

In the case of bags, you must remove the fat that is. In the intervention becomes a lens to protect the eyeball and under local anesthesia, an incision is very small and removed the three sacks of fat. The incision will heal itself and does not require stitches. The eye is swollen a semana.La patient’s expression does not change but younger.

Yes the bags are not congenital never reappear, but the bags are the result of the passage of time, may need a touch up after about 10 years.

In a very common operation in men, although there is a majority of women and age is between 30 and 50 years.

Blepharoplasty is complete on both eyelids, and sometimes also removed the upper eyelid skin.

The post-operative period is very cumbersome because it can appear purple, which usually last between 3 and 7 days.

Retinal detachment, as its name indicates, is the separation of light-sensitive membrane located at the back of the eye, ie the retina. If caught early are very likely to bring solution although in some cases you can not do anything to save the patient’s vision. Dr. Sergio Bonafonate, an expert in retinal and Vitria, eye surgeon and director of Medical Center Ophthalmology BONAFONT explains what this condition and can be done to put solution.

What is the Retina
The retina, as already indicated, is a sensitive membrane that covers the entire eyeball inside her. Its mission is to capture images of light entering the eye and transform them into nervous stimuli to the true vision is formed on the back wall of the brain, ie the visual cut.

Causes of Detachment
There are many causes that may be the driver of a detached retina, but in certain occasions the experts do not quite determine which is the reason. Retinal detachment occurs because a liquid that fills the eyeball area eventually collapse and cause the retina to break. This phenomenon can occur at any age, even at the time of birth. In most cases occur in people aged 60 years, although it is true that previous surgery such as cataract, may be inducing a retinal detachment.

Symptoms of Retinal Detachment
The person who has been detached retina in his field notes that appear like flies or visual floaters. Sometimes even perceive flashes of light in a zig zag, as if it were lightning. You may also be that the person perceived as if a dark curtain will fall and the visual field. Retinal detachment is not a phenomenon that occurs gradually so the symptoms appear abruptly.

Diagnostics
For diagnosis is simply to review the back of the eye and the inside of the eyeball. With that there will be enough to see if the retina has detached from the area. At one time it requires to perform an ultrasound but this happens rarely.

Treatments
If retinal detachment has occurred in a localized manner may be treated with laser, but when the retina detaches completely because of fluid build-up surgery is the only option. The evolution is correct forecast of 90-95%, and the patient retains a more or less good, if not complete. But there is 5% of patients who for various reasons end in blindness and the eye pressure rises or because they do not get re-apply the retina.

Can it be Prevented?
Retinal detachment can be prevented in cases that have a family history of pathology, when there are degenerative changes in the same area and when detected lesions reticular encourage detachment. If diagnosed early can prevent the release through laser treatment.

Blepharoplasty is designed individually, according to the needs and particularities of the patient. It can be done in isolation, only in the lower or upper eyelids, or both. Can also be combined with other surgical procedures on eyes, face, eyebrows or nose.

Correction of upper eyelid -
* To fix the upper eyelid, draw a zone of skin corresponding to the quantity remaining. The marking is done with the / the patient standing, raising his eyebrows. Keep in mind that drooping eyebrows can only be improved through a forehead lift. –
* After removing the excess skin is removed from the bag of fat. –
* Through the same incision can also remove the muscles responsible for frown lines and used to fill wrinkles .
* The scar is right in the crease, so it is not visible.

Correction of lower eyelid -
For the correction of lower eyelid there are several possibilities .-
* The classic technique involves making an incision just below the tabs, so that the scar is hidden. Here are pockets of fat removed, without removing a lot of skin. This will prevent the skin from this area, very fine, retract, exposing the white of the eye .-
* The transconjunctival technique, the most common and most do, is to remove pockets of fat making a small incision inside the eyelid. Thus there remains no external mark, not the orbicularis muscle is injured, responsible for eyelid closure. Please spare some skin, it can be removed through the classical technique using the laser. –
* Loeb’s technique is applied in cases where there is a marked orbital sulcus (which gives a blue appearance to the eyecup). When this happens, instead of removing the fat, it is placed in front of the orbital rim to fill it. This will mask the dark circles. –

Canthopexy.
Applies when the edge of the eyelid is moved one or two millimeters above procedure. To correct it, can be a point and raising the lower eyelid (canthopexy) or reinsetar lower eyelid to create this effect (canthoplasty external). This procedure allows for a more youthful eyelid and maintain tension to retract and not conducive to “round eye” or scleral show.

Anesthesia and postoperative
* Blepharoplasty can be performed under local anesthesia, local anesthesia plus sedation or general anesthesia. –
* The hematoma resulting from the intervention is greatly reduced if applied after surgery ice over your eyes for a couple of hours. –
* After four or five days are removed starting points and massages to help reduce swelling and provide elasticity to the skin. –
* If there are bruises, they disappear in about two weeks .-