Question 1: The effects of facial aging can be explained by 3 mechanisms. These; 1- Loss or decrease in the elasticity of the skin; 2- volume loss and 3- sagging.
Around the eyes, the traces of aging can be seen in a wide perspective and clearly. Let’s examine them one by one:
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Atrophy of the bones forming the eyeball (structural shrinkage of the bones): This situation causes an increase in the volume of the eyeball, which we call enophthalmos, and causes the eye to be in an ideal position.
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Loss of volume: It is seen as a decrease in fat tissue especially in the temporal (temporal) region, upper eyelid and middle face (cheek region). Tear trough may appear as temporal and periorbital hollowing.
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Loss of resistance of connective tissue and muscles over time will cause sagging. The traces of this are eyebrow sagging; eyelid drooping or drooping; tear gland sagging.
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Loss of elasticity of the skin will cause an increase in skin laxity, skin sagging, thinning of the skin and wrinkles over time.
Question 2: Of course, there is an ideal eye shape. It is defined as “almond”. The basis of a number of surgical procedures, which have been popularized with different names in recent years, is based on ancient times and these criteria are taken into account in eye contour rejuvenation procedures.
The beautiful eye must first be symmetrical. The balanced distribution of the adipose tissue around the eye and its reduced or not displacedness reflect us as a healthy and youthful look with the transitions being more harmonious. The vigorous and tight skin around the eyes makes it look bright and healthy.
The upper and lower eyelids should have a soft fold and should be able to cover the lower and upper borders of the cornea (limbus). The upper eyelid fold should be 8-10 mm above the ciliated border. In the lower eyelid, this distance is 3-4 mm on the inside and increases towards the outside.
In a young eye, the outer edge of the eye (lateral canthus) should be 2-4 mm higher than the inner edge (medial canthus). This appears at an angle of about 15o. The outer and upward slanting eye is a sign of youth.
The eyebrow reaches its highest point in a vertical line drawn from the outer border of the cornea (lateral limbus). The lower border of the eyebrow is located 10 mm above the bony border (superior orbital rim). A vertical line upwards from the outer edge of the nose wing (nasal ala), the inner border of the eyebrow; A line along the inner and outer border of the brow forms the length of the brow, and a line drawn from the outer edge of the nose to the outer border of the brow forms the hypotenuse of the right-angled triangle. In addition, the distance between the outer edges of both eyebrows should be approximately 2 times the height of the forehead. Although these data may show ethnic differences and are accepted as measures of beauty, the understanding of beauty is too subjective to comply with mathematics or criteria.
Question 3: In my own practice, it would not be right for me to give a clear answer to this in a general way. However, in my own practice, I can say that my non-surgical procedures, especially for the eye area, have increased.
With the use of masks, we can think that only our eyes are open and the other parts of the face are not seen as attracting attention to the eyes and their surroundings. However, the eye is always the focal point that draws attention with what it tells and its movements. Poems, songs and words written about him tell us that the interest in the eye is independent of the mask. Finally, if we end with the beautiful words of Audrey Hepburn, “A woman’s beauty is seen in her eyes, because the eyes are the entrance to the heart where love lives.”
Question 4: Deep wrinkles, droopy eyebrows and eyelids, tear trough deformity are some of the situations that cannot be covered with make-up.
Question 5: Applications such as Botox, filling, mesotherapy, laser are applications that can be performed without surgery.
Question 6: These procedures, which are also called minimally invasive, can be applied to younger and middle-aged people with milder complaints. It can also be applied to people with more severe deformation and advanced age, agreeing that it can be a suboptimal result upon the request of the person.
They are short procedures that can be applied in the examination room in the hospital. Conditions such as redness may occur at the application site, but the person can continue his normal daily life.
Botox applications begin to take effect in 3-5 days and have a lifespan of about 4-6 months. The effect of filling applications can be seen immediately and will take effect between 6-12 months depending on the cross-links and weight of the filling. The effect of mesotherapy applications starts to be seen a few days after the procedure, but in order to be more beneficial, re-sessions will be required at intervals of 7-15 days. Afterwards, reapplications can be made at certain intervals.
The light that Botox prevents wrinkles will reflect directly and the skin around the eyes will look lively and bright. In addition, it will give a more vigorous appearance by preventing eyebrow and eyelid drooping, albeit minimally.
The filler will prevent pitting in the temple area, tear trough deformity, and bone structure due to volume and displacement in the fat tissue, giving a lively and healthy appearance.
Mesotherapy will give the skin a more lively, bright and healthy appearance by providing the vitamin support it needs.
Question 7: The upper eyelid may sag with aging and may affect the visual field directly, that is, it creates a physical obstacle even if the visual function of the eye is not lost. Feature in outward-sides glance. In addition, the complaint we receive more is that it causes a tired image. Eyelid drooping can also be accompanied by droopy eyebrows, such cases will be revealed during the examination and can be performed together with eyebrow suspension, forehead stretching or temple stretching.
These complaints can be applied in the current middle-aged and older patient group.
The surgery is very slightly painful, will take about 30-60 minutes and can be done with regional numbing. Does not require admission. There may be edema and bruises in the eyes, these complaints will pass within 1 week. Although the effect is seen immediately, it can reach its final state in a few months depending on the time of the edema.
Since aging will not stop after surgery, its effect will last for 8-10 years.
Question 8: You can get younger and livelier looks. You can get rid of the tired expression on your face. You can make eye makeup that is more specific and looks better.
Choosing the right technique and physician is important, as well as the accompanying disease or other special conditions should be clearly conveyed to your doctor in the preoperative evaluation. It may even be necessary not to do this surgery, especially in people with dry eyes. The eyes may remain open for a while after the surgery, this is a temporary situation, but it is important to keep the eye moist and to use tear gels during this time.
It is important to apply ice after the surgery, to lie with the head elevated and to use the medications given by your doctor regularly.
Question 9: Partial removal of the excess skin for the lower eyelid, again similar to the upper eyelid, suspending the outer edge of the eye (canthoplasty) and removal of excess fat hernias under the eyes are performed together. It can be combined with a mid-facelift, facelift or other surgical procedures. It may be beneficial to do it under general anesthesia.
Question 10: In order to camouflage under-eye bags, oil or ready-made filling applications can be applied. The main treatment is to perform lower eyelid aesthetic surgery, and this procedure can remove herniated under-eye fat tissue or transfer excess fat to the area called tear trough deformity.
Question 11: Dark circles around the eyes cause complaints as a factor that negatively affects the quality of life. Although its etiology is not fully understood, pigmentation may be due to structural and vascular problems. One of the main causes is the accumulation of melanin pigment. In addition, the decreasing skin thickness with age can cause a dark appearance, such as more prominent veins. Apart from these, fat hernias and chronic skin disorders in that area can be the cause.
Laser methods, chemical peels or topical creams can be used to achieve lightening. Fillers and fat graft applications can be performed in cases that occur due to volume loss. PRP and mesotherapy agents have been shown to be effective.
If the fat is due to herniation, it may be necessary to remove the herniated fat tissue together with the lower eyelid aesthetics.
