How to self-diagnose sagging eyelids

Many people actually don’t know whether they have sagging eyelids. If you often feel that your eyelids have no strength or look listless, you should pay attention and closely observe whether you have decreased vision. If all these symptoms appear, you can preliminarily judge that your eyelids have become sagging.

The etiology and pathogenesis of this disease are still unclear. Although there are background descriptions of autosomal dominant inheritance in the literature, most patients are sporadic cases with no family history. It is currently believed that various factors work together to cause the onset of this disease. This disease is caused by both congenital weak development of the orbital septum and fascial suspensory ligaments, and a history of acquired inflammatory stimulation. Long-term and repetitive chronic inflammation causes the lacrimal glands to swell and bulge, leading to circulatory disorders and further relaxation of the orbital septum. The lacrimal gland prolapse condition also gradually worsens, and the skin also becomes loose and degenerates.

Inflammation and swelling may also be complicated by damage to the levator palpebrae superioris aponeurosis, resulting in splitting and holes, causing aponeurotic ptosis. Histopathological examination of the skin and subcutaneous tissues removed from patients with hypertrophic and atrophic types showed that HE staining showed severe edema of the dermis and subcutaneous tissues in the lesion area, focal lymphocyte infiltration in the subcutaneous tissues, collagen fiber proliferation, and obvious muscle fiber atrophy. Special staining showed that the elastic fibers were reduced and broken, and IgA deposits were seen around them, suggesting that the pathological process might be an autoimmune reaction mediated by IgA autoantibodies.

Immunohistochemistry and electron microscopy revealed that the target antigens bound by this autoantibody are mainly elastin and fibronectin. Elastin is a key component for maintaining the normal elasticity of tissues such as the skin. Therefore, it can be considered that congenital defects in the elastin gene or the destruction of the protein by acquired factors are important factors in the onset of this disease. [1]

If you have decided to undergo one of the cosmetic eyelid surgery procedures, the most important thing is to be mentally prepared and make adjustments to your psychology. Realize that cosmetic surgery for loose eyelids is a science, believe in science, and don't be afraid. You should objectively analyze your own appearance and the results of blepharoplasty surgery, and communicate with your doctor in order to be able to communicate with the doctor. You should also have a certain understanding and be mentally prepared for the degree of pain during blepharoplasty surgery, possible complications after surgery, and unsatisfactory results. Once the above situation occurs, you should actively cooperate with the treatment. You should get enough rest before eyelid relaxation surgery, and women should avoid menstruation.