The key to surgery of the eyelids and around the eyes is a thorough knowledge of the anatomy in this complex region. Surgical rearrangement of the anatomy of the eyelids influences their form, function and appearance. Surgeons must understand the areas of surgical correction as well as those that may be secondarily affected by surgical manipulation or complications to ensure that these procedures are performed safely with optimal results.
As with cosmetic eyelid surgery, these reconstructive procedures can be done under local anesthesia or sedation and are most often outpatient procedures. A ptosis repair is performed through an incision in the natural upper eyelid crease and involves tightening of the muscle that lifts the eyelids. For lower lid procedures, the lids are typically elevated and tightened with a canthopexy/canthoplasty to re-suspend them and reduce symptoms of redness and irritation from corneal exposure. Because of the delicate nature of the surrounding tissues, there will often be bruising and swelling present for 1-2 weeks following surgery. Ice, pain medications and lubricants are important components of the post operative care regimen. Sutures are usually removed 7 days after the surgery.