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Blepharoplasty

 

Other names for this procedure:  Eyelid lift

Pain Level:  Mild to moderate

Expense:  A price quote detailing the fees for the facility, anesthesia, and surgeon will be given at the consultation if this is a cosmetic procedure.  Prices will vary depending on the time that is needed to do the procedure, and the complexity of the procedure.  Sometimes we can get approval from your insurance company for this procedure.  Dr. Lovelace will perform a personal consultation to determine what the right procedure is for you, and if it is something that your insurance may cover.

Hospital Time:  The procedure takes from 1 to 3 hours.  You will most likely go home the same day.  Dr. Lovelace will determine if an overnight stay in the hospital is necessary.  At times this procedure can be done in the procedure room at our office under local anesthesia.

Recovery:  You may resume reading 2-3 days after surgery.  Sutures are normally removed 5-6 days after surgery.  Most patients return to work in 3-7 days.  You will likely have two black eyes for at least 2 weeks after this procedure.  No eye makeup can be worn for 2 weeks.  You are expected to start walking immediately after surgery to help reduce the risk of blood clots.  If you are dizzy, make sure you have someone walk with you.  Most patients return to non-strenuous work in 7-10 days following surgery.  Strenuous activities and alcohol consumption can be resumed approximately 3 weeks after surgery.  Swelling, bruising, and soreness could take up to several weeks to dissipate.

Medications:  You should not take any blood thinners or anti-inflammatory medications for a week before your procedure, and you should hold all over the counter supplements a week before surgery.  This will help reduce the risk of bleeding intraoperatively, and help reduce the risk of postoperative hematoma (collection of blood).  If blood thinners are prescribed for you by your cardiologist or primary care physician, you should get clearance from them to hold these medications before they are discontinued.  You should hold all hormones 6 weeks before surgery.  Birth control pills should be held 6 weeks before surgery as well.  Of course you should make sure to use alternative forms of birth control during and after this time.  Hormones and birth control pills put you at a higher risk of blood clots.  These clots can go to your lungs and cause serious illness or even death.  We call this a pulmonary embolus.  Steroids should be weaned off at least a month before your surgery, and this weaning process should be set up and cleared by your prescribing physician.  Dr. Lovelace and the staff will go through your list of medication, and let you know what exactly you need to do with those medications preoperatively.  Make sure that you bring all of your medications with you to your consultation.

Notes:  Blepharoplasty is a surgical procedure to remove excess skin and rejuvenate the upper or lower eyelids.  Underlying fatty tissue that produces bagginess can be selectively removed or repositioned.  Blepharoplasty can improve drooping skin and bagginess.  It can help improve vision in some patients who have hooding of their upper eyelids causing obstruction of their peripheral vision.  Blepharoplasty will not remove “crow’s feet” or other wrinkles, eliminate dark circles under the eyes, or lift sagging eyebrows.  If your brows are droopy, you may need a brow lift in addition to a blepharoplasty.  As you age, you may have changes or laxity to the eyelids that may require tightening of the eyelids as well.  Everyone’s eyes are different.  Dr. Lovelace will do a personal consultation and tailor a surgery specifically to your individual needs.