Dr.Mahklouf in the Chicago area explains his knowledge on bedroom eyes.
What are bedroom eyes you asked?
“Bedroom eyes” are when the upper eyelid droops down and begins to cover the colored part of the eye (iris). There can also be asymmetry between the two eyes which some people find undesirable. While this can be due to a medical condition called eyelid ptosis. It is defined as a weakness of the mechanism that elevates the upper eyelid. It is often simply due to the way our eyelids were made or the accumulation of excess skin as we age.
In “bedroom eyes”, the eyelid covers the top part of the Limbus (see image). There is a deep groove in the upper eyelid, and the distance between the eyebrow and edge of the upper eyelid is increased.
This mechanism has multiple components:
1. The cartilage (the Tarsus) is responsible for providing support, structure and shape of the eyelid.
2. The muscle system made of two muscles. One under conscious control (Levator), and one under autonomic control (Mueller muscle).
3. The attachment between the muscles and the cartilage (Levator aponeurosis).
4. The nervous system that activates muscle contraction.
5. The brain that coordinates the right and left eyelid mechanisms.
Once we name the actors involved in the mechanism, it becomes evident that a large number of variables can affect the position of the eyelids. Many people have various levels of asymmetries between the eyelids. Some are the result of anatomic features and some secondary to medical conditions.
A large portion of Oculoplastic surgeons have to deal with the diagnosis and treatment of eyelid ptosis, and this is why I do not attempt to correct this condition.
However, for many patients who were never aware of the asymmetry, correcting the skin redundancy and the fat protrusion is all what they need. A standard classic blepharoplasty (eyelid surgery) that has stood the test of time has seemed to satisfy their aesthetic goals.
A simple and effective way to restore the youthful look of wide-open eyes is by removing the excess skin and fat over the eyelid known as a blepharoplasty. This procedure can typically be done with minimal anesthesia and recovery typically takes up to 14 days. A blepharoplasty can also help correct asymmetry between the eyelids.
For upper eyelid blepharoplasty, placing the incisions accurately is the most important step to make sure that the scar is invisible and the patient can close their eyes after surgery. Plastic surgeon Dr. Makhlouf designs the incisions in the area very carefully and estimates the amount of skin and fat that needs to be removed from each side. It is very important to make sure enough skin is left on the eyelids to allow proper eye closure, particularly at night. Skin and fat are resected one side at a time in the same way. Particular attention is given to the fat pocket present in the part of the eyelid towards the nose. The symmetry of the eyelids is checked and the incisions are closed.
For the lower eyelid blepharoplasty, the major problem is the bulging of the fat. Chicago plastic surgeon Dr. Makhlouf frequently performs the fat resection through the inside of the eyelid (transconjunctival incision). This avoids an external and visible incision and avoids cutting the eyelid muscles to reach the fat.
If there are significant wrinkles, the eyelid can be resurfaced using either a chemical peel or with a laser. At times an external incision is needed to fix the redundant skin.
The groove between the lower eyelid and cheek can be filled with either fat or hyaluronic acid should you and Dr. Makhlouf deem it beneficial.
If eyes are windows to the soul, don’t let your eyelids cover you up! A blepharoplasty can restore your confidence and unlock the beauty your eyes possess.
Everything you need to feel healthy and beautiful