Blepharoplasty

Upper Eyelids Blepharoplasty

The upper eyelids will need surgery due to the appearance of excessive skin and fat.

Procedure:

• The incision is done in a natural skin crease, excess skin and fat are removed, wound closed with intradermal stitches.
• The stitches are pulled out in 4-5 days, and the scar is usually hardly noticeable in a few weeks.
• The operation is usually done under local anaesthesia and takes 30-40 minutes to perform.
• Bruises tend to fade in about 10-14 days.

Lower Eyelids Blepharoplasty

Puffiness in the lower eyelids is due to the bulging of intraorbital fat.

That usually shows during middle age due to weakness in the orbital septum.

It could also happen at an early age and that is usually inherited.

Procedure:

• If the primary problem is bulging fat, it could be removed through an incision inside the eyelids without external wound (Trans - Conjunctival).
• If there is excess skin and muscle, an incision is made externally just under the eye lashes and extra skin and muscle are removed. Some sort of tightening of the lower eyelids is usually needed (Canthopexy).
• Sometimes the fat in the lower eyelids is not removed but is redistributed to fill the depression on the lower orbital margin.
• The operation is done under general anaesthesia or under local anaesthesia with I.V. sedation.
• The operation takes around one hour.
• Sutures are removed in 4-5 days.
• Bruising will last 10-14 days.
• The patient can shower the following day.

Genioplasty (Chin Augmentation) 

Chin Augmentation is done to correct a small chin which gives better harmony to the face and enhances the patient's profile. It can be customized to each patient's needs.

Dr. Halaseh performs the procedure through a small incision in the skin crease underneath the chin. The soft silicone implant is inserted over the bone of the chin. This gives a permanent result.

It takes 45 minutes to perform the procedure. The patient is instructed to eat a normal diet and to shower the following day.

Patients reluctant to have surgery can have filler injected in the same area, but this is a temporary procedure and it has to be repeated every 1 - 1.5 years.

Otoplasty (Ear Surgery) 

Otoplasty corrects protruding ears. 

• It can be done at the age of 4-5 years.
• The procedure takes 1-1.5 hours.
• The incision is made behind the ear, the cartilage is set back and the antihelical fold is recreated.
• A bandage is placed for 2-3 days, then the patient can shower after that.