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Sanjiv R. Kumar, M.D. Blepharoplasty Written by: Sanjiv R. Kumar, M.D.
Issue: February 2009 | NSIDE Medical
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Cosmetic eye–lid surgery for a more youthful appearance

The cliché that eyesare windows to the soulis definitely true. Duringconversation we focus onthe other person’s eyes.Although we may not beaware of it, one thing wepay much attention to is theeyelid skin surrounding aperson’s eyes. The eyelidscan convey an inappropriatemessage of tiredness orsadness. In some cases,eyelid drooping can besignificant enough to blockvision. Is it any surprisethen that annually 100,000men and women chooseblepharoplasty to improvethe eyellids appearance?Blepharoplasty correctsthese problems and canremove puffiness and bagsunder the eyes.

What causes bags underthe eyes? Sun damage isone pathologic process.Genetic factors may also bea contributing factor. Theorbital septum and eyelidmuscles are responsible forholding back the orbital fat.As they become weak, theorbital fat protrudes dueto gravity. Blepharoplastyremoves the excess eyelidskin, and dependent on thecase, also the orbital fat. Thishas the effect of tighteningthe periorbital structuresto give one a more youthfulappearance. The procedureis performed under localanesthetic as an outpatientor office procedure usingmodern radiosurgery orlaser techniques.

How is blepharoplastyperformed? For the upperlids, the surgeon first marksthe individual lines andcreases of the lids in orderto keep the scars as invisibleas possible. The incision ismade and excess fat, muscle,and loose skin are removed.Fine sutures are used toclose the incisions and hideany scar within the uppereyelid crease. For the lowerlids, the surgeon makes anincision along the lashlineor hides it completely with atrans–conjunctival approach.In either case, excessfatty material is removed.Under normal conditions,blepharoplasty can take oneto two hours.

Eyelid surgery is themost common invasivecosmetic surgical procedureof the face. This surgeryis routinely performedby a variety of specialistsincluding ophthalmologists,plastic surgeons,dermatologists, generalsurgeons, and basically anyphysician with a medicalspa. Ophthalmologistsare by definition of theirspeciality, the best–trainedgroup to perform cosmeticeyelid surgery.

Patients come in forsurgery to look better,but they expect to stillhave normal visionand eyelids that workwell. Ophthalmologistsacknowledge that cosmeticsurgery of the eyelidsis very different thanplastic surgery on the restof the body. There is agreater requirement forattention to fine detail andmicrosurgery. Patientsneed a good functionaloutcome for the long–termhealth of their eyes.

Sonterra Laser Med Spaoffers the best treatmentsand all of our patients arepersonally seen by boardcertified ophthalmologist,Sanjiv R. Kumar M.D. For allyour cosmetic needs, lookno further than SonterraLaser Med Spa.

Medical Director andphysician of SonterraLaser Med Spa, Sanjiv R.Kumar M.D., is an honorsgraduate of John HopkinsUniversity. He earnedhis medical degree fromHarvard Medical School. Hecompleted his ophthalmologyresidency at USC MedicalCenter in Los Angeles. Dr.Kumar is a board certifiedophthalmologist and hasbeen in practice in SouthTexas for over 13 years.

For more information:contact Sonterra Laser medSpa (210)545–3327 orinfo@sonterralaser.com orwww.sonterralaser.com.

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