Eyelid Surgery Phoenix with Arizona Plastic Surgeon Dr. Sean Lille
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From the American Society of Plastic Surgeons
Enhancing your appearance with eyelid surgery
Cosmetic eyelid surgery, called blepharoplasty, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.
Specifically, eyelid surgery can treat:
Is it right for me?
- Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
- Excess fatty deposits that appear as puffiness in the upper eyelids
- Bags under the eyes
- Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
- Excess skin and fine wrinkles of the lower eyelid
Eyelid surgery is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.
You should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. Good candidates are:
You must tell your doctor if you have any of these medical conditions:
- Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
- Individuals with a positive outlook and specific goals in mind for blepharoplasty
- Individuals without serious eye conditions
What to expect during your consultation
- Eye disease such as glaucoma, dry eye or a detached retina
- Thyroid disorders such as Graves' disease and under or overactive thyroid
- Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes
The success and safety of your eyelid surgery procedure depends very much on your complete candidness during your consultation. You'll be asked a number of questions about your health, desires and lifestyle.
Be prepared to discuss:
Your surgeon may also:
- Why you want the surgery, your expectations and desired outcome
- Medical conditions, drug allergies and previous medical treatments
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs
- Previous surgeries
Preparing for surgery
- Evaluate your general health status and any pre-existing health conditions or risk factors
- Take photographs for your medical record
- Discuss your options and recommend a course of treatment
- Discuss likely outcomes of eyelid surgery and any risks or potential complications
- Discuss the type of anesthesia that will be used
Prior to surgery, you may be asked to:
Special instructions you receive will cover:
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Your plastic surgeon will also discuss where your procedure will be performed. Blepharoplasty may be performed in an accredited office-based surgical center, outpatient or ambulatory surgical center, or a hospital.
- What to do on the night before and the morning of surgery
- The use of anesthesia during your procedure
- Post-operative care and follow-up
What happens during eyelid surgery?
Step 1 - Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 - The incision
The incision lines for eyelid surgery are 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 natural 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 hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.
Step 3 - Closing the incisions
Eyelid incisions typically are closed with:
Your surgeon may use a laser chemical peel to erase dark discoloration of the lower eyelids.
- Removable or absorbable sutures
- Skin adhesives
- Surgical tape
Step 4 - See the 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.
Important facts about the safety and risks of eyelid surgery
The decision to have eyelid surgery is extremely personal and you'll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.
Possible risks of eyelid surgery include:
A special note about the use of fibrin sealants (tissue glue)
- Unfavorable scarring
- Temporarily blurred or impaired vision
- Dry eyes
- Difficulty closing your eyes
- Lid lag, a pulling down of the lower eyelid may occur and is often temporary
- Ectropion, rolling of the eyelid outwards
- Bleeding (hematoma)
- Poor wound healing
- Fluid accumulation
- Blood clots
- Numbness and other changes in skin sensation
- Anesthesia risks
- Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
- Pain, which may persist
- Skin discoloration and swelling
- Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
- Deep vein thrombosis, cardiac and pulmonary complications
- Possibility of revisional surgery
- Loss of eyesight
Fibrin sealants (made from heat-treated human blood components to inactivate virus transmission) are used to hold tissue layers together at surgery and to diminish post-operative bruising following surgery.
This product has been carefully produced from screened donor blood plasma for hepatitis, syphilis, and human immunodeficiency virus (HIV). These products have been used safely for many years as sealants in cardiovascular and general surgery. This product is thought to be of help in diminishing surgical bleeding and by adhering layers of tissue together.
When you go home
If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately. Should any of these complications occur, you may require hospitalization and additional treatment.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Another surgery may be necessary.
Following your physician's instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected 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.
Initial healing may include some swelling, bruising, irritation or dry eyes and discomfort that can be controlled with medication, cold compresses and ointment. Irritation at the incision sites also is possible.
Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period.
The results will be long-lasting
- Where will I be taken after my surgery is complete?
- What medication will I be given or prescribed after surgery?
- Will I have dressings/bandages after surgery?
- When will they be removed?
- Are stitches removed? When?
- When can I resume normal activity and exercise?
- When do I return for follow-up care?
Your final results will appear within several weeks, but it may take up to a year for incision lines to fully refine.
While eyelid surgery can be expected to correct certain conditions permanently, you will continue to age naturally. Life-long sun protection will help to maintain your results.
How much will eyelid surgery cost?
Cost is always a consideration in elective surgery. Prices for eyelid surgery can vary widely. A surgeon's cost for blepharoplasty may vary based on his or her experience, the type of procedure used, as well as geographic office location.
Many plastic surgeons offer patient financing plans, so be sure to ask.
Cost may include:
- Surgeon's fee
- Hospital or surgical facility costs
- Anesthesia fees
- Prescriptions for medication, and
- Medical tests