Eagle Eye Aesthetics Plastic Surgery
For us to deliver the comprehensive range of cosmetic treatments we offer, our clinic at King Albert Park boasts state of the art facilities and technology. This includes a fully equipped in-house Surgical Suite where our Oculoplastic Surgeons perform appropriate aesthetic and functional surgical procedures, supported by a dedicated surgical nursing team.
Oculoplastic surgeons are trained ophthalmologists who sub-specialize in oculoplastic surgery. They therefore have an in-depth knowledge of the eyes, eyelids and their surrounding structures. They combine the microsurgical precision from Ophthalmology, with the aesthetic concepts of oculofacial plastic surgery, to provide a comprehensive range of medical and aesthetic services for eyelid, tearing and orbital conditions in children and adults.
Aesthetic Eyelid Procedures
Scholars have long recognized that eyes are the centre of facial expression and the aesthetic centre of the face. They provide critical cues in gauging emotions and shaping social behaviour. Choosing a surgeon to treat problems in this delicate area is an important decision.
(Eyelid lift)
(Eyebag removal)
(Eyelid lift)
The eyes and surrounding structures go through changes throughout life. These changes include loss of elasticity, skin stretching, sagging, fat redistribution, and increased or decreased pigmentation. There can be puffy or excess skin in the upper eyelids, causing part of the eye to be covered and creating an older, tired eye appearance. Upper blepharoplasty is an ideal procedure to remove excess and unwanted skin, fat and tissue from the upper eyelid, giving it a more youthful and attractive appearance. |
(Eyebag removal)
Under eye “bags” are common complaints among patients. They make the face look tired and older. They may be due to genetics or ageing, where fat prolapses in the lower lid giving a puffy appearance. “Dark circles” are the hollowness under the eyes caused by a shadow cast from the eyebags or due to loss of support in the upper cheek with age.
Lower blepharoplasty addresses these eyebags and hollows by removing excess fat and redistributing them to fill the hollows, where necessary.
Many East Asians (Chinese, Japanese, Koreans) lack a double eyelid crease. Double eyelid surgery is a common procedure to create an additional upper eyelid crease to create larger, brighter and more attractive eyes. A detailed discussion with the patient is necessary as there are many options (suture technique, small incision technique, open blepharoplasty, etc.) depending on the patient’s original eyelid shape and desired crease type/height. |
As we age, the brows also undergo deflation (due to volume loss) and descent (fall). There are a variety of brow lift procedures such as endoscopic and direct brow lifts.
The epicanthal fold is the skin of the upper eyelids which covers the inner corner of the eyes, and is relatively common among East Asian eyelids. It may cause the eyes to appear smaller and some feel that it makes the shape of the eyes look undefined.
Epicanthoplasty involves small incisions on the inner corner of the eyes to remove or reduce the epicanthal fold with the aim of achieving bigger and more “open” eyes. This may be performed together with Double Eyelid surgery to create larger and more beautiful eyes.
Functional/Reconstructive Eyelid Procedures
This is a common surgery that Oculoplastic surgeons perform. Ptosis refers to drooping of the eyelid, and occurs in most people to different extent, with the incidence increasing as we age. Ptosis can vary from mild to severe. When mild, it can be subtle and not noticed by the patient or others, or it may affect the patient’s appearance especially if asymmetrical, with one eye worse than the other, causing “uneven” eyes. If the droopy eyelid is severe, it can cause obstruction of the field of vision and the patient will have difficulty keeping his/her eyes open. There are various causes of ptosis and it is important that the patient gets his/her eyes checked to rule out other causes (e.g. neurological) before going for surgery.
Ptosis surgery involves tightening of the eyelid (levator) muscle that is weak, thereby lifting the eyelid and giving the eye a brighter and more youthful appearance. Excess upper lid skin and fat can be removed at the same sitting if these tissues are adding weight to the eyelids.
Entropion is a condition where the eyelid turns in towards the eye. This is common in older adults as the eyelid becomes more lax. This condition causes the eyelid skin and eyelashes to rub against the eyeball, which may cause discomfort and irritation of the cornea (front of the eye). Topical eyedrops and ointment may help provide symptomatic relief but an entropion repair procedure is usually necessary to correct it definitively.
Ectropion is a condition in which your eyelid turns outward. This leaves the inner eyelid surface exposed and prone to irritation. It may have several causes such as ageing or facial palsy. Artificial tears and lubricating ointments can help relieve symptoms of ectropion. But usually surgery is needed to fully correct the condition.
Commonly known as a “stye”, a chalazion is a growth on the eyelid due to a blocked gland. Most spontaneously improve on their own with or without eye ointment. Some, however, may increase in size and do not seem to go away even with medication, and may require drainage. Drainage is done using a scarless technique from the inside of the eyelid. There is typically a quick recovery.
There are many benign growths that can occur around the eyelid such as skin tags, cysts and moles. Removal of these lumps can be done in the clinic, usually in quickly and painlessly, and recovery is generally quick.
Sometimes, the lumps around the eyelid may look suspicious for cancer (there are several types of cancer that can affect the eyelid). The Oculoplastic surgeon will take a biopsy and send for testing and perform excision with wide margins followed by reconstruction as necessary. If indicated, the patient will be co-managed with other specialists such as Oncologists (doctors who specialize in cancer) to ensure the optimal management of the cancer.
Eyelid retraction is the abnormal elevation of the upper eyelids or abnormal lowering of the lower eyelids. They may be caused by thyroid disorders or may occur as a complication post surgery (e.g. after lower blepharoplasty).
Treatment depends on the underlying cause and severity. Mild cases may be managed conservatively with eyedrops and ointment. Sometimes, filler injections can help with thyroid-related lid retraction. More severe cases may require surgery to relieve the lid retraction.
Facial palsy (paralysis) has various causes. The eye may be affected if one is unable to close the eyelids (lagophthalmos) and the lower eyelid turns out (ectropion), with loss of ability to pump the tears normally. This results in tearing, eye redness and significant dryness/irritation (exposure keratopathy).
Medical treatment comprises of sufficient lubrication for the eyes, taping and filler injections. If these are not sufficient, surgery may be required to rehabilitate the eyelid. There are many surgeries that can be done to improve the condition, such as gold weight implant to the upper lid, tightening of the lower lid, and tarsorrhaphy/canthoplasty (procedures to close the eye at its corners to reduce exposure).
Epiblepharon is a condition in which the eyelid muscle and skin ride above the eyelid margin to form a horizontal fold of tissue that causes the eyelashes to assume a vertical position. It can involve either the upper or lower eyelid, but is most commonly seen involving the lower eyelid. It is common in East Asian (Chinese, Japanese, Korean) children.
Mild cases can be observed as they may improve with age. Severe cases with significant number of lashes touching the cornea (front surface of the eye) causing scratches may require surgery. Epiblepharon surgery is commonly performed in children and aims to evert the lashes to prevent further lash-corneal touch.
Blepharospasm is abnormal contraction of the eyelid muscles. It is a medical condition and can cause severe discomfort and impairment of daily activities to the patient.
Lacerations of the eyelid and its surrounding structures are not uncommon. An oculoplastic surgeon is routinely called in to repair these structures to restore proper function and aesthetic appearance to the delicate eyelids.
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