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Ocular Plastic Surgery: Rejuvenate Your Look

Aplicación Toxina Botulínica, Clínica Carriazo, Barranquilla, Colombia

As we age, the skin around our eyes can show signs of sagging and aging, affecting our appearance and, in some cases, our visual function. Ocular plastic surgery, also known as oculoplasty, offers various benefits:

  • Aesthetic rejuvenation: Blepharoplasty is a common procedure that removes excess skin and fat around the eyes, providing a younger and more alert appearance.
  • Improvement of vision: Correcting eyelid ptosis or drooping can improve peripheral and central vision, especially in cases of droopy eyelids.
  • Resolution of functional problems: Surgeries such as blepharoplasty not only improve aesthetics but can also address functional issues like visual obstruction caused by droopy eyelids, lacrimal duct probing, orbital tumors, conjunctival and orbital surface, pterygium and chalazion surgeries.

We will now explore the benefits of this intervention, the different types of ocular surgery available, as well as the cutting-edge technology used at Clínica Carriazo.

Types of eye surgery

Ocular plastic surgery or eye surgery is an advanced and effective option for improving eye health and addressing aesthetic problems associated with aging. These are the main procedures we perform:

What is blepharoptosis?

The upper eyelid is lifted by the contraction of the levator muscle; when it is insufficient in function, either completely or partially, it causes a deformity ranging from a slight drooping of the upper eyelid to partial or total inability to lift the eyelid. This is called eyelid ptosis or blepharoptosis.

It can commonly be congenital, neurogenic, traumatic, or senile and can present unilaterally. In children, if the drooping eyelid covers the pupil, it must be corrected quickly to prevent amblyopia; surgery is necessary to correct it.

What is eyelid ptosis?

Ptosis palpebral or drooping of the upper eyelid is an aesthetic condition that usually arises from dysfunction of the elevating muscle, due to degenerative or congenital causes.

Ptosis cannot be prevented but can be easily detected in the early stages. It is even possible to take action before the visual field is affected and before the significant aesthetic effect it causes becomes pronounced.

There are different symptoms associated with ptosis:

The upper eyelid drops and partially or completely covers the eye.

The visual field is reduced.

The need to tilt the head backwards or even lift the eyelid with a finger in order to see.

The treatment for ptosis is surgical. The goal of the surgery is to repair the elevating muscle of the eyelid or, if it is not functioning and completely immobile, to use the forehead as an accessory mechanism, seeking an anchoring point in the muscle located above the eyebrows to take advantage of its mobility.

What is dermatochalasis?

The eyelids fulfill an important function in protecting the eye as well as enhancing its beauty.

Unfortunately, factors such as the passage of time, sun exposure, diet, neglect in skincare, or hereditary tendencies can cause the upper and/or lower eyelids to droop, bulge, or wrinkle as the skin stretches, muscles weaken, and the fat in the area becomes prominent.

The appearance of the eyes and consequently the rest of the face appears «tired» or aged. Functionally, some cases can cause a decrease in the visual field or tearing and difficulty in wearing glasses, mainly when the involvement is in the lower eyelid.

What is entropion?

Entropion is the inversion or abnormal position of the eyelid inward, causing constant rubbing of the eyelashes on the cornea, which produces discomfort for the patient, such as ulcers or corneal erosions. It can be caused by scarring, mechanical causes, or age, as the skin becomes very lax.

Corrective eyelid surgery is required for treatment, which will prevent severe damage to the cornea from the constant rubbing of the eyelashes on the cornea.

 

What is a stye?

A sty is a localized inflammation on the edge of the eyelid caused by the obstruction of a sebaceous gland of an eyelash. Affected individuals have a painful swelling of the eyelid margin that is red or violet in color. In some cases, it can become infected, and the inflammation can spread to the rest of the eyelid or even to the eyeball.

How is it treated?

Generally, it requires the application of local heat with moist compresses, removal of the affected eyelash, cleaning of the eyelids, and antibiotics depending on the degree of inflammation and infection present. If the lesion is large, a small incision is required to drain it, which will close spontaneously, resulting in rapid recovery.

What is a pterygium?

The conjunctiva is a thin membrane that covers the eyelid and the eyeball. Pterygium, popularly known as «carnosidad,» refers to a wedge-shaped extension of the conjunctiva over the cornea.

How does it manifest itself?

Redness of the conjunctiva.
Irritation and burning.
Itchy sensation.
Tearing.
What causes it?

Its occurrence is more common in people living in tropical areas, exposed for prolonged periods to ultraviolet light and with chronic irritation resulting from exposure to dust, wind, or adverse weather conditions.

What is a chalazion?

A chalazion is a fairly common inflammation caused by the obstruction of a sebaceous gland located inside the eyelid, responsible for producing the oily component of the tear film. The obstruction results in the retention of fat within the gland and inflammation of the eyelid.

 

There is no definitive cause, but there is a certain predisposition in people with seborrhea, dryness in the eyes, chronic inflammation of the eyelid, and acne.

 

Usually, it is not painful, but it causes slight discomfort in its initial formation phase. It grows in size until it puts pressure on the eye and causes discomfort in vision.

What is a pinguecula?

A pinguecula is a raised mass that appears on the conjunctiva on any of the lateral areas of the eyes. It has a yellow or white color and contains benign material, which can be fatty or degenerated tissue. It is caused by environmental factors.

Unlike a pterygium, it does not grow over the cornea or interfere with vision.

How does it manifest itself?

Generally, it does not present symptoms, but there may be a burning or itching sensation in the eyes. It may become red and irritated due to smoke, dust, or wind.

How is it corrected?

Normally, it does not require surgical treatment, which is decided when the cosmetic appearance of the patient is affected. If it becomes inflamed, the doctor may prescribe local treatment to reduce symptoms. When the discomfort is constant and does not improve with medical management, surgical resection should be considered.

Our specialists in ocular plastic surgery: rejuvenate your look

If you have more doubts or questions, contact us to resolve all your concerns. At Clínica Carriazo, you will find the technology, warmth, and quality to make your procedure an incredible experience.

DR. FRANCISCO MONTOYA OFTALMÓLOGO, ESP. EN OCULOPLASTIA

Dr. Francisco montoya

OPHT SPECIALIST IN OCULOPLASTY

Graduated from Barraquer Clinic, supra specialist in ocular plastic surgery from University of Oxford, England. Specialist in orbital surgery from University of Naples and Santiago de Compostela.

DRA. CLEOFE VILLA OFTALMÓLOGA, ESP. EN OCULOPLASTIA

Dr. Cleofe Villa

OPHT SPECIALIST IN OCULOPLASTY

Specialist in ocular plastic surgery, orbit, and lacrimal duct with 9 years of experience in performing both surgical and cosmetic eye and facial. Graduated from FOSCAL Bucaramanga.

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