YOUR LOOK bodyshaping BEFORE By Dr. Ronald Bergman So Much Baggage Rejuvenate your face by doing away with the puffy and droopy spots beneath your eyes AFTER re you carrying baggage? Do the bags under your eyes never disappear, regardless of what you do? Well here is a way to permanently rid yourself of your baggage... or at least that of your eyelids. Drop off that extra bag- gage at the baggage claim. In the business, we call the surgery that leaves you wide eyed and bag free a blepharoplasty. This surgical treatment can improve the appearance of the upper eyelids, lower eyelids, or both. It gives a re- juvenated appearance to the surrounding area of your eyes, making you look more rested and alert. A CHECK THOSE BAGS: Once you enter your 30s, wrinkles become more noticeable and by middle age, your eyelids thin and begin to relax. With aging, the tissues and muscles around your eyes weaken. Normal fat that helps support the eyes will then migrate for- ward into your lower eyelids, causing the lids to appear puffy. Fluid may also accumulate under your eyes adding to a swollen appearance. A blepharoplasty can produce a dra- matically youthful appearance, and its popularity continues to grow as more, and more dis- cover the value of such a procedure. BE CAREFUL SO WHAT BAGGAGE CAN YOU REMOVE? Upper eyelid surgery can remove excess fatty deposits that ap- pear as pufﬁness in the upper eyelids, or the loose or sagging skin that creates folds that take away from the beauty of your natural eye shape. Lower eyelid blepharoplasty can remove excess skin and ﬁne wrinkles of the lower eyelid, bags under the eye, and can correct droopiness of the lower eyelids. Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not sub- jected to excessive force, abrasion or motion during the time of healing. Your doctor will give you speciﬁc instructions on how to care for yourself. After your procedure is completed, lubricating ointment and cold compresses may be applied, and in some cases your eyes may be loosely covered with gauze. SO HOW DOES THE SURGERY WORK? Medications are administered for your comfort during the eye- lid surgery procedure. Next, an incision is made. This incision line and placement is designed for scars to be well concealed within the natural structures of the eyelid region. Droopy conditions of the upper eyelid can be corrected through an incision within the natu- ral crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin. Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed. A transconjunctival incision, one hid- den inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. Through this incision the surgeon will remove the excess tissue causing the saggy baggage. The incision is then closed with suture, adhesive and tape. 96 PAGEANTRY WHEN CAN YOU SEE THE FINAL RESULTS? The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-deﬁned eyelid and surrounding region, and an alert and rejuvenated appearance. Remember, the ultimate decision to have cosmetic surgery is ex- tremely personal and you’ll have to decide if the beneﬁts will achieve your goals and if the risks and potential blepharoplasty complications are acceptable. Ⅺ Dr. Ronald Bergman is a board-certiﬁed plastic surgeon practicing in Des Moines, Iowa, for 28 years. He specializes in breast augmentation, liposuction, and tummy tucks. His patients include many local, nation- al, and international pageant winners. Dr. Bergman is also a highly qualiﬁed pageant judge. His web site is bergmancosmeticsurgery.com.