Dr. Smiley Eyelid Surgery

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What Is Eyelid Surgery?

Blepharoplasty, more commonly know as eyelid surgery, is a cosmetic procedure used to improve and rejuvenate the area above and/or below the eyes. This procedure tightens loose or sagging skin around the eye and removes excess fat causing puffiness or a tired appearance.

Who Is A Candidate For Eyelid Surgery?

Men or women with sagging or puffiness around the eye are candidates for this procedure. Patients should be in good health and not overweight. Patients with hyperthyroidism, graves disease, high blood pressure, cardiovascular disease, diabetes or circulatory disorder are more prone to complication. Please advise your surgeon of any medical conditions at the time of your consultation. Patients with detached retina or glaucoma require clearance from an ophthalmologist prior to scheduling surgery.

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About the Procedureā€¦

Please visit your ophtahalmologist prior to your consultation and bring record of your most recent eye exam with you for review. A vision test and tear production assessment will be administered at a pre-operative visit. Each eyelid procedure is custom tailored to compliment individual features. Not every patient requires both upper and lower eyelid procedures. Often time blepharoplasty is performed in conjunction with procedures such as a facelift or brow lift. The details of your procedure will be reviewed with your surgeon prior to the day of surgery.

The procedure will take place at our fully accredited on-site facility and can be performed either under local or general anesthesia. Your surgeon will discuss which option is best for you. Depending on the extent of the surgery, procedure time generally ranges from one to three hours. Small incisions are made in the natural creases of the eyelid for upper eyelid surgery and just below the lash line for lower eyelid surgery. Through the incision, fatty tissue is removed; along with excess muscle & skin. Fine sutures are then put in place. In some cases, patients do not need to have any skin removed when removing the excess fatty tissue under the eye. When that is the case, a transconjunctival blepharoplasty is performed. This means the incision is made inside the lower eyelid, leaving no visible scar. This type of procedure is most commonly performed on younger patients with thicker, more elastic skin.

Your eyelids will feel tight and sore after the procedure and will require lubrication and the use of ointment. You will be instructed to keep your head elevated for several days. The use of a cold compress will reduce bruising and swelling. Bruising typically lasts between two weeks and one month, and varies from patient to patient.

You will be required to return for a post operative appointment the day following your procedure and will schedule several post-operative appointments to ensure optimal results when healing. Stitches will be removed between two to seven days after your surgery depending on the extent of your procedure.

Patients are able to return to reading or watching television two to three days after the procedure. Contacts cannot be worn for at least two weeks. Strenuous activities including bending, lifting or rigorous sports are to be avoided for at least three weeks. Most patients are able to return to work within 10 days. Scars will remain slightly pink for approximately six months after surgery and will soon fade intro a faint white line that is nearly invisible.

Your surgeon will discuss all pre and post operative instructions with you and answer any additional questions you may have prior to the day of surgery.

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Common Side Effects

Common side effects include tearing or dryness & heightened sensitivity to wind or sunlight. These mild side effects subside within a week or two after your procedure.

Risks

As with any surgical procedure, there is always the risk of complication. Heavy smokers, patients who are overweight and patients with diabetes and/or other health problems are more susceptible to complications. Risks inherent to the use of general anesthesia include nausea, vomiting, sore throat, fatigue, headache and muscle soreness. In very rare cases, the use of general anesthesia may cause blood pressure problems, allergic reaction, heart attack or stroke.

Complications with eyelid surgery are infrequent and typically minor, including excessive tearing, temporary blurred vision or the development of a whitehead along the incision line (this can easily be removed by your surgeon). More serious and uncommon risks associated with eyelid surgery include: infection, difficulty closing your eyes and ectropion (pulling down of the lower eyelid). Ectropion can be corrected through additional surgery.

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