What is the reason for congenital swollen eyelids

Everyone’s eyes are in different shapes. Some people have big double eyelids, while others have small eyes and single eyelids. But why are some people born with puffy eyelids? In fact, there is no way to cure congenitally swollen eyelids. Since it is congenital, it has nothing to do with any disease. If you want to look better, you can have cosmetic surgery to improve it. Nowadays, cosmetic surgery is more mature and safer.

Swollen eyelids

Swollen eye bubbles are also called fleshy eyes and watery eyes. In anatomy, there is a tissue in the eye called the orbital septum, which is a very thin layer of tissue that connects the tarsal plate and the orbital rim. Its function is to separate the eyelid and the orbit. There are three septa in the orbit of the upper eyelid. The middle and inner septa are filled with fat, and the outer septa contain the eye glands.

Types of puffy eyelids

There are two types of puffy eyelids

One is congenital, often due to family history; the other is acquired, because with aging, people's orbital septum relaxes, orbital fat protrudes or lacrimal glands sag, the upper eyelids appear bloated and hypertrophic, and some severe cases will show an enlarged eaves-like droop in the outer eye area, making the eyes look like triangular eyes and the palpebral fissure becomes smaller. However, whether it is a congenital cause or acquired aging, it can be corrected through surgery, and it can be performed at the same time as double eyelid surgery to remove the fat globules protruding from the orbital septum and reposition and fix the drooping lacrimal glands, so that the appearance of the eyes can be improved.

There are four categories of swollen eyelids

1. Simple orbicularis oculi hypertrophy type eye bags Due to genetic factors, the patient has lower eyelid eye bags, that is, puffy eyelids, when he is young. Its prominent feature is that it is close to the lower eyelid margin, distributed in an arc shape continuously, and the skin is not loose. It is more common in young people aged 20 to 32 years old.

2. Simple skin relaxation type: In this case, the skin of the lower eyelid and outer canthus is loose, but the orbital septum is not loose, so there is no protrusion of orbital fat, and small wrinkles appear around the eyes. This type of swollen eyelids is more common in middle-aged people aged 33 to 45.

3. Mild to moderate bulging of the lower eyelid is mainly caused by congenital overdevelopment of orbital septum fat. This type of swollen eyelids is more common in young and middle-aged people aged 23 to 36.

4. Moderate to severe bulging of the lower eyelid is accompanied by sagging of the skin of the lower eyelid, mainly due to the relaxation of the skin, orbicularis oculi muscle and orbital septum, which causes the orbital fat to prolapse due to gravity. In severe cases, the lateral canthal ligament is relaxed, the tarsal plate is everted, the eyelid is separated, and tearing often occurs. This type of swollen eyelids is more common in middle-aged and elderly people aged 45 to 68.

How to get rid of puffy eyelids

1. For young people with good skin elasticity and strong orbicularis oculi muscles, it is only necessary to remove fat during bleb surgery, without removing muscles and skin.

2. For patients with simple orbicularis oculi muscle hypertrophy, it is only necessary to thin the orbicularis oculi muscle without removing fat.

3. For those with simple skin sagging, only excess skin needs to be removed without destroying tissues such as the orbicularis oculi muscle and orbital fat. This can avoid the appearance of depression and unnecessary swelling of the eyelids after the removal of the orbital fat, and can also avoid complications after surgery, such as loss of vision due to bleeding behind the eyeball.

4. For moderate to severe bulging of the lower eyelid, the conjunctival route can be selected, that is, the internal route to remove excess orbital fat. Because the skin has good elasticity, there will be no skin sagging, and incision scars outside the skin are avoided. The trauma is small, the swelling is light, and even the blister will not swell after the operation, making the operation safer.

5. For patients with loose skin and moderate to severe bulging of the lower eyelid, it is necessary to make an incision on the skin at the eyelid margin to remove excess skin and prolapsed orbital fat, while tightening the orbital septum and orbicularis oculi muscle. For those with ectropion, lateral canthal fixation is performed to correct the ectropion. Only in this way can a good cosmetic effect be achieved.

6. Liposuction surgery for puffy eyelids: Currently, the best way to remove puffy eyelids is through surgery. For people who are born with puffy eyelids, this is the best and fastest solution. Eyelid surgery usually involves making a tiny incision on the eyelid and then performing liposuction. If you have double eyelids, just make the incision where the double eyelids are, which will be more concealed and leave no trace. The eyelid removal surgery is not painful because there is anesthesia, so don't worry. Strengthen care is required for one week after the eyelid removal surgery, and the stitches can be removed after one week. You may not be very satisfied with the immediate effect, as it may seem a bit fake, but the effect will gradually become apparent over time. The longer the time, the better the recovery and the more realistic it will be.