Rr. “Tish Daija”, Komuna e Parisit, Kompleksi Kika 2, Kompleksi Niku & Pajtoni, Tirana, Albania

Plastic Surgery

Surgeries to restore the normal function of eyelids

Degenerative changes on the eyelids are not only an aesthetic problem, they can often cause serious and permanent changes of the anterior eye segment . Our surgeons perform all types of surgeries on eyelids in order to enable the normal function of the eye. The procedures are performed under local anesthesia, and patients are discharged from the hospital the same day.

During the process of aging, the skin of the eyelids becomes thinner, less elastic; the loss of support of connective tissue causes the fat tissue to prolapse; thinning of the muscle tendons leads to drooped lids (Ptosis). Excess skin that hangs over the lid margin couses dermatochalasis of upper and lower eyelid; loss of support tissue leads toexcessive outward and inward overturn of the eyelid margin called ectropion and entropion. Everyday action of the facial muscles (frown, amazement, laughing) creates wrinkles on the forehead, between the eyebrows, on the outer angle of the eye. 

To correct the aging changes, we currently offer non-surgical methods (Botox, dermal fillers) and surgical methods.

We operate blepharochalasis of the upper and lower eyelids and ptosis of different origins. The incision is made in the natural grooves (skin crease) of the eyelid so t the scar is invisible and the excess of skin is removed and if necessary lid is fixed in the required position (ptosis). Given all this, there are a lot of opportunities to look good and feel young for a long time 

Why should you choose the Indian Eye Institute and Laser Center?

  • All surgeries are performed in the shortest possible time without waiting lists.
  • The surgeries on the eyelids for restoring proper function and youthfulness
  • Treatment of diplopia and exophthalmos (the so-called protruding eyes) in patients with thyroid eye diseases
  • The use of Botox for medical (blepharospasm) and aesthetic reasons without waiting
  • Removal of tumors and reconstructive surgery performed on the eyelids and the skin in the ocular region
  • Treatment of congenital eyelid disorders in children ( congenital ptosis – drooped eyelids, the congenital overturn of the eyelid)
  • The tear ducts surgeries (reconstruction of bone and lacrimal ducts)

Examination

Examination of a patient who experiences difficulties with eyelids consists of complete eye examination of visual acuity, assessment of refractive error (diopter) using automatic computer refractometer, tonometry (measurement of intraocular pressure IOP), anterior eye segment examination at the slit-lamp, tear film test (Schirmer’s test), then the pupils are dilated, to examine the retina, opti nerve and the overall circulation of the eye and establish objective diopter. In addition, it is necessary to check the position and function of the eyelids. The height and length of palpebral fissure are also measured during the examination, as well as the distance of the upper and lower eyelid from the corneal light reflex (MRD1 and MRD2), the muscle that lifts the eyelid, and the elasticity of the eyelid. Since the muscles that move the eye are linked to the muscle that raises the eyelid, in such patients it is often necessary to check if there is a proper mobility and function of all the muscles that move the eye. The position of the eyeball in relation to surrounding structures (eyelid and bone) is also measured. In plastic and reconstructive surgery ophthalmological examination lasts for about an hour.

Surgery and Recovery

Plastic surgery is performed in an outpatient clinic under local anesthesia. Depending on the type of surgery the procedure can last from several minutes (removing warts or stye) up to half an hour for the operation of raising the eyelids. After surgery, the patient goes home.  

What does postoperative care look like?

After surgery, the patient will wear a bandage over the operated part of the eyelid, which usually does not interfere with vision. It is often necessary to apply cold compresses and antibiotic ointment, as recommended by a doctor. Some patients might have a bruise which disappears in 7-10 ten days. 

How frequent are follow-up visits after the surgery?

The first visit is scheduled most often next day after the surgery, and later visits depend on the type of surgery. Most often they are planned in intervals of one to two weeks after surgery. Stiches are usually removed after 7-10 days, the procedure is performed in an outpatient clinic and is completely painless. Sometimes several weeks of rehabilitation are necessary for the the complete effect of surgery.