- Upper eyelids
- Lower eyelids
- Lower eyelids II
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Eyelid surgery tutorial >> Upper eyelids >> page 9
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I have now poked a
small hole in the membrane that holds back the fat, and pressing on the eye
bulges that fat out into the wound where we can see it easily. You can also see
some of the blood vessels that nourish the fat.
Mild pressure on the eyeball doesn't harm the eye at all. |
| Click on any image in this tutorial to see a greatly-enlarged version |
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The fat is now injected
with the anesthetic solution before excising it. When we injected the eye
before beginning surgery, we injected just underneath the skin, which
anesthetized the skin and the muscle that hugs the skin. However, this fat
was protected underneath the orbital septum membrane, and the anesthetic
solution didn't diffuse down to numb it. So we inject it now.
The patient is snoozing, and she doesn't feel the placement of the teeny needle into the fat. She would, however, feel the fat excision if we forgot to numb it here. |
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In these photos, the forceps (red) is holding the fat in
position. A cautery device (green), which looks like another pair of
forceps, is passing electricity through the base of the fat, closing off the
blood vessels so that the fat won't bleed when it is excised. A
cotton-tipped swab is placed at the corner of the wound, because when the
cautery device heats up the fat, some of it melts and turns into liquid grease,
which is mopped up by the cotton.
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After cauterizing the
base of the fat, it is snipped off with the scissors.
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Clear all red checks in the Eyelid Surgery Tutorial |
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