Eyelid reconstruction is becoming an increasingly common procedure. Aside from their obvious functional importance for vision, the eyes are the hallmark of an attractive face. The eyes take a central role in the way a casual observer studies the face and therefore easily notices aesthetic imperfections.
In addition, the eyelids are crucial in protecting the eye. The reasons a patient may require reconstructive surgery for the eyelids are multifold and include trauma, previous eyelid surgery (such as blepharoplasty), skin cancer or other medical and congenital conditions.
Although the upper eyelids may also be affected, the lower eyelids are most susceptible to problems after lid surgery. This knowledge makes the wary plastic surgeon especially cautious and diligent in performing blepharoplasty surgery.
A thorough understanding of the complex eyelid anatomy and function is a prerequisite to make eyelid surgery successful and to prevent postoperative deformities.
The previous eyelid procedure may leave the various complex and delicate lid structures of weakened, which may result in a hanging and round lid position with sad-looking eyes.
The lid margin can also turn outwards resulting in a so-called ectropion. In a condition called entropion the eyelids are turned inwards and the lashes can severely harm the cornea, the eyes translucent area necessary for vision.
These problems result in irritation, light sensitivity, excessive tearing, and compromised eye protection especially at night. For the facial reconstructive surgeon, a close working relationship with the patient’s ophthalmologist is important.
In the upper eyelids, the inability to close the eyes completely, also called lagophthalmos, is the most common post-surgical trouble.
Dr. Fechner uses various techniques and procedures to address the different issues a patient may encounter after eyelid surgery. The foundation for success is a thorough examination of the eyelids in order to diagnose precisely the underlying anatomical problem.
If reconstructive surgery becomes necessary, procedures are performed with utmost finesse and skill. These interventions may range from small interventions (such as the release of scar tissue), placement of grafts, tightening of the eyelids or midface lift surgery.
This wide range of procedures reflects the eyelids’ functional relationship with the remainder of the face. Reconstructive surgery of the eyelids is performed on an outpatient basis with emphasis placed on well-defined preparation and close follow-up after the procedure. Skin Cancer of the Eyelid.
The overall increase of the incidence of facial skin cancers raises the occurrence of cancer involving the delicate eyelids. After a complete removal of the cancer has been ensured, the reconstructive efforts center on the safe reestablishment of a well-functioning eyelid.
Dr. Fechner applies a wide variety of reconstructive eyelid procedures to fit the special needs of the patient. Small flaps from around the eye and grafts from hidden area of the face or unaffected lids are most commonly used for an optimal reconstructive outcome.
Sometimes, direct careful repair or even allowing the natural healing response of the body may lead to a superior result for the patient under Dr. Fechner’s close supervision. The precise defect determines the reconstructive needs for the eyelid and Dr. Fechner performs these reconstructions on an outpatient basis.
As a facial plastic surgeon in Boston, Dr. Fechner provides eyelid reconstruction services to patients who come from Worcester, Framingham, Natick, Boston, Newton, and areas throughout Massachusetts. Contact the clinic to set up a consultation.