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Oculoplastic And Cosmetic Surgery
Chemical Peel
A chemical peel or facial peel is a
nonsurgical technique used to smooth some of the fine
facial wrinkles associated with aging. Areas of
sun-damaged skin and certain skin discolorations also
respond to the procedure.
An acid solution is applied to the face, causing the top
layer of skin to peel, revealing new, fresh layers of
skin. Chemical peels affect superficial, medium, or deep
layers of skin depending on the strength of the acid,
the duration of contact, and skin type. Deeper peels
increase the risk of scarring.
Creams are often prescribed to prepare the skin several
weeks before the procedure. The acid can produce a
burning and tightening sensation, but most people do not
require anesthesia.
With superficial peels, skin will appear pink or red
following the procedure. Mild facial swelling may
develop, especially around the eyes and on the chin.
Some areas of skin may become crusty or scaly.
Medium depth peels cause more intense swelling. The skin
is initially white, becoming increasingly red for the
first 24 to 48 hours. The skin then peels as if severely
sunburned. Peeling lasts from four to eight days. Skin
may appear pink for several weeks.
While bandages are not necessary, a thin layer of
prescribed ointment keeps the skin clean and moist after
a chemical peel. Patients who are taking Accutane can
have problems with scarring following peels. |
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Ectropion
Ectropion is an outward turning of
the lower eyelid, most commonly caused by aging,
although eyelid burns or skin disease may also be
responsible.
Normally, the eyelids help lubricate and cleanse the eye
during blinking. An eyelid that is drooping and has lost
contact with the eye can cause dry eyes, excessive
tearing, redness and sensitivity to light and wind.
Surgery can be performed to tighten the eyelid and
return it to its normal position. The eyelid can then
protect and lubricate the eye properly, so that
irritation and other symptoms subside.
Eyelid surgery to repair ectropion is usually performed
as an outpatient procedure using local anesthesia. After
surgery, an eye patch is usually worn and antibiotic
ointment is prescribed. |
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Entropion
Entropion is an inward turning of
the eyelid and lashes toward the eye, usually caused by
relaxation of the eye muscles and tissue due to aging.
Entropion usually affects the lower lid. The skin and
eyelashes rub against the eye and cause discomfort and
tearing. The irritated eye can produce mucous, and become
red and sensitive to light and wind. If entropion is not
treated, rubbing of the skin and eyelashes can cause
infection or scarring of the eye, which can cause vision
loss.
Surgery can be performed to tighten the eyelid and return it
to its normal position. The eyelid then protects the eye
properly, and irritation and other symptoms subside.
Eyelid surgery to repair entropion is usually performed as
an outpatient procedure using local anesthesia. After
surgery, an eye patch is usually worn and antibiotic
ointment is prescribed. |
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