Dermatochalasis is a term used to describe the presence of loose and redundant eyelid skin. It is a common sign of periocular aging and is often seen in middle-aged and elderly people. Although more dramatically seen in the upper eyelids, dermatochalasis can also affect the lower eyelids as well. Patients with dermatochalasis of the upper eyelids may report decreased peripheral vision from the interference of the drooping tissues classically known as lateral hooding. Others may complain about a heavy or tired feeling around the eyes, a dull brow ache, or interference in the central vision due to droopy lids or lashes obscuring vision. Occasionally they may describe a shadow in the upper or side vision, or skin dermatitis due to moisture within the redundant skin folds. Dermatochalasis also is a cosmetic concern, as it gives a tired and dull look to the face. Lower lid dermatochalasis is mainly a cosmetic issue but in some patients may lead to dermatitis secondary to sweat collection in the acquired folds or difficulty wearing glasses. Upper eyelid blepharoplasty to correct dermatochalasis is one of the most frequently performed procedures by the ophthalmic plastic surgeon, whether for cosmetic or functional purposes. Incisions are generally well hidden within the upper eyelid crease, and sutures are used to approximate skin edges. Lower eyelid blepharoplasty may be performed for fat herniation and excess tissue of the lower eyelids. This is generally considered a cosmetic procedure and reduces the appearance of “bags” under the eyes. Midface of face lifting can augment the result of lower lid blepharoplasty surgery. Blepharoplasty is generally well-tolerated with oral analgesia and cold compresses in the early post-operative period. Bruising can be expected for 1-2 weeks after surgery, and swelling is most noticeable for the first several weeks. Depending on the suture used for skin closure, sutures are removed at the discretion of the surgeon usually within 1-2 weeks after surgery. External photographs are typically taken to document postoperative changes and healing process. Complete healing of the scar and tissue swelling can take several months or more.What is Dermatochalasis
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