Eye Lift While Wide Awake – Would You Do it?

Posted September 22, 2021
Eye lift while patient is wide awake

As a person ages, the appearance of eye bags can give a permanently tired look thanks to droopy skin and a puffy appearance to the bags under the eyes. Eye rejuvenation surgery, which is also known as an eye lift, blepharoplasty and eye bag surgery, removes fatty tissue and excess skin from under the eyes in order to give a person a more youthful and rejuvenated look to the eyes. There is a new method of performing eye lift surgery that can address saggy eyelids and bags under the eyes. However, it requires the patient to be wide awake during the surgery!

Eye Lift when a Patient is Wide Awake - Why it is Growing in Popularity

The decision to address the issue of bags under the eyes while staying awake for the surgery is certainly ideal for someone that is not faint of heart. The overall results are achieved by the performance of three minimally invasive procedures that each last about two hours. 

Unlike a normal under-eye lift surgery that is performed through the creation of incisions below the lower eyelid, and the removal of tissue that bulges beneath the skin, this latest technique only requires three tiny cuts that are made close to the eyelashes. 

The performance of surgery related to the fat pads of the cheeks usually means patients need to be put to sleep due to a danger of damage to the nerves if the patient flinches during the procedure. This new technique avoids any excessive touching in the treated area, so the patient is able to stay awake during the surgery.

One of the reasons surgeons like the "wide awake" technique is because keeping patients lucid during the procedure gives the doctor a better idea of the appearance of the eye when they are finished. It also helps them to avoid stretching the skin so much that it gains an unnatural or uncomfortable look.

Blepharoplasty - Why it is Performed

Thousands of people undergo an eye lift, AKA blepharoplasty, each year in order to remove and/or lift the appearance of skin that sags around the eyes. Patients can have upper blepharoplasty which removes droopy skin around the upper eyelid. Lower blepharoplasty is performed to address the issue of bags under the eyes. 

The appearance of puffiness and droopy skin under the eyelid is a normal part of the aging process since the muscle that supports the eyes grows weaker as time passes. In addition, the skin can start to become less elastic as a person ages. The relaxing of the muscle also creates a puffy appearance as the fat tissues from the eye socket can slip down into the space located underneath the eyelid.

Wide Awake Eye Lift - Procedure Details

The first step in the treatment process is a 20-minute non-invasive procedure that is performed to tighten the facial muscles and improve the overall firmness of the skin. A numbing cream is applied before a hand-held device, containing tiny, heated needles, is used to trigger the production of collagen in the skin so it is elastic and healthy. The device also tightens the muscles so the gap between the fat and the muscles closes over time and the skin becomes tighter and firmer in appearance.

While the above treatment is sometimes enough for some patients, there is a second step that many patients undergo, and it is an upper blepharoplasty procedure. A local anesthetic is injected into the upper eyelid area so an incision can be made in the upper eyelid fold. The surgeon will then cut away any excess skin so the remaining skin can be pulled tightly before being stitched back together. There are usually no visible scars after the surgery because the incision is hidden in the crease of the eyelid.

Once the recovery process is over from the upper blepharoplasty surgery, the patient can then have lower blepharoplasty to finish the process. A local anesthetic is applied to the lower eyelid and cheek before two 1-cm incisions are made by the surgeon. One incision is created inside the lower eyelash lid while the other is made in the outer corner of the eye. The surgeon will then reshape the tissue under the eye that is loose without having to disturb the deep tissues that are located under the cheek. Tiny stitches are used to close the incisions while barely leaving a scar. 

The under-eye area will be red and swollen for a number of months after the series of procedures, but these conditions will resolve on their own. While the results are considered to be long-lasting, it is important for patients to follow a healthy lifestyle and take care of their skin in order to maintain the results. The improved appearance of the eyes can result in a better self-image and increased confidence on the part of the patient. 

- MA


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