Martha Jefferson HealthWise--April 30th

Eyelid surgery is cosmetic in nature but there are some medical reasons for having it done as well. Doctor Vivian Schiedler, an Oculoplastic Surgeon with Martha Jefferson Hospital explains that for some people loose upper eyelid skin can cause problems with their sight.

The "hooded" effect over the eyes can limit the field of vision, often causing people to raise their eyebrows to lift the excessive skin out of their field of vision. Excess eyelid skin also can cause a feeling of heaviness of the upper lids, eye irritation and fatigue of the muscles around the eyes.

In milder cases, the upper eyelid partially obstructs vision. In more severe cases it can completely cover the pupil so the patient must tilt his or her head back to see. Some causes may include genetic reasons, age related, constant rubbing, brow falls down, trauma related change. Everyone will have this in some stage. but some are clearly worse than others.

With every surgery there are some risks and whenever you're working around the eye it's important to know what you're doing. That's why choosing a doctor with experience treating this condition is important. Improper removal of too much skin can cause pain and unnecessary discomfort, bleeding behind the eye and in some severe cases vision loss.

The majority of our patients are extremely pleased with the outcome. Many of them walk away saying they had no idea how the problem was really affecting their vision field and they're amazed at the results of how they can see so much easier.


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