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8550 Datapoint, Ste 110 :: San Antonio TX
78229 ::
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8715 Village Drive, Ste 504 ::
San Antonio TX 78217 ::
:: phone (210) 946-0490 :: 24hr phone:
(210) 615-5350 ::
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Ask Dr. Coleman
Blepharoplasty
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Dr.
Coleman's Comments:
Blepharoplasties
are a favorite subject of mine, so there is a lot to read here.
It's popularity has risen tremendously in the past few years.
Prior to 1980, a blepharoplasty consisted of simple removal of
extra skin and fat from the eyelids. As we have had a chance to
see the results after 10 to 15 years, we have changed our approach.
As we have strived to find better ways to do facelifts and alternatives
to facelifts, we have found that much of the problems can be addressed
with advanced techniques combined with surgery on the eyes. It
is no longer uncommon to do muscle tightening, lift cheek fat
pads, remove frown lines, lift the corners of the eyes, and even
elevate the corners of the mouth through this incision. Many of
us have stopped removing fat from the lower eyelids; instead,
repositioning the fat under the creases of the lower eyelids to
rejuvenate the appearance here. In fact, there are times when
we actually strategically place fat grafts in some areas. Even
though some surgery can be done through the inside of the eyelid
(subconjunctival approach) I have returned to doing an incision
just beneath the eyelashes. In my hands, I can redrape the skin
and muscle better, and I can remove some of the excessive skin
this way. In the past we thought we could avoid this incision
by use of laser resurfacing. However this procedure has been rapidly
losing popularity because of the complications and the prolonged
recovery. You will note that these incisions are invisible. With
careful technique, I have avoided the complication of eyelid weakness
by preserving some of the muscle at the lashline.
You will see that many patients have eyelid surgery combined with
forehead lifts. This is because we have learned that a lot of
the problem with the heavy appearance of the upper lids is due
to gradual descent of the brows instead. It is an ever evolving
art and more changes are coming; so hold on to your seats.
You will see in the pictures of my patients, the results are not
drastic as you examine the eyes closely. However as you look at
their overall appearance, they definitely look much more refreshed
and alive.
Patient
Photos:
Additional
information from the American Society of Plastic Surgeons
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::
Copyright 2k2 :: Dr. Woodie Coleman ::
:: 8550 Datapoint, Ste 110 :: San Antonio TX 78229 ::
:: 8715 Village Drive, Ste 504 :: San Antonio TX 78217 ::
:: p# (210) 946-0490 :: 24hr phone: (210) 615-5350 ::
Dr. Woodward Coleman,san
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