The eyes are the “windows” to your soul; this fact alone is enough to appreciation why any and ALL deformities/complications must be avoided during surgery. This is why Dr. Mowlavi, has spent an entire career studying the anatomy of the eyelid and designing his blepharoplasty surgeries to avoid deformities.
The globe of the eye is a complicated organ that is maneuvered by six major independent muscle groups. Of the above muscle groups, the inferior oblique and superior oblique muscles are the most commonly injured muscles during blepharoplasty. In an attempt to minimize the risk of injury to these muscles, Dr. Mowlavi has completed anatomic studies identifying the position of these muscles using bony anatomic landmarks in order to help surgeons avoid injury to these muscles. Furthermore, over the last decade, Dr. Mowlavi has been analyzing the forces that cause ectropion; this complication results in pulling of the lower eyelid down onto your cheek, exposing the white of your eye and making your look like a blood hound. In order to avoid this complication, Dr. Mowlavi has designed a unique maneuver to divert the vertical and downward pull that is placed on the eyelid in traditional blepharoplasty. It is critical to avoid this complication as it can adversely affect your facial aesthetics and compromise the “window” to your soul.
First, Dr. Mowlavi summarized the risk factors for ectropion that patients might possess so that they can make a more informed decision regarding undergoing this procedure. The risk factors for developing ectropion are:
1) An enlarged eye globe, termed exophthalmos
2) Loose eyelid skin especially at the eyelash level, termed the eyelid margin
3) Lack of generous cheek bones, termed a negative Jelk’s vector
If you have any of the above risk factors, you will have to consider a more invasive lower eyelid blepharoplasty, where the eyelid margin is tightened to counter the added inferior vertical pull of your eyelid skin so that you don’t develop an ectropion.
The risk factor to ectropion results from the downward pull of the eyelid margin following excision of vertical skin redundancy. In order to avoid this pull, Dr. Mowlavi has redesigned excision of this skin in a more oblique vertical orientation. Thus the pull on the eyelid margin is transferred laterally on the lateral orbit instead of the eyelid margin, thereby minimizing risk of ectropion.
In order to determine if you could take advantage of this affordable procedure, please fill out the contact form to the right.