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Eyelid Surgery or Blepharoplasty

The eyelids are often the first facial area to show signs of aging. The upper lids become less defined– excess skin may obscure the eyelid often due to sagging of the brow above. The lower lids become puffy, and dark circles begin to appear. As aging progresses you look tired, older and less vibrant. Other changes that may occur with advancing age are a hollowing of the lower lid where the eyelid and cheek meet, and hollowing of the boney orbit (eye socket). These changes generally begin in your 30’s and become progressive over time. The appearance of the upper eyelids is influenced by the forehead above while facial aging affects the appearance of the lower eyelids. Depending on the changes in anatomy other procedures may be performed with eyelid surgery such as brow lift and/or fat grafting for an optimal outcome.

What are the benefits of eyelid surgery?

  • Removes excess fat that makes eyelids appear puffy
  • Removes loose or sagging skin that alters upper eyelid contour
  • Tightens the lower eyelid to maintain or restore youthful shape (canthopexy)
  • Conservative skin excision lower eyelids.
  • Improves your appearance making you look more youthful, healthy and vibrant

Are there other complementary procedures that can be performed in conjunction with eyelid surgery?

  • Brow lift may be necessary to properly restore upper lids to a youthful appearance
  • Fat grafting may be used correct hollows and to soften the boney prominences
  • Fat grafting to the hollow beneath the lower eyelid to blend the eyelid and cheek
  • Laser resurfacing or a Trichloracetic (TCA) peel to the lower eyelids
  • To treat fine lines and wrinkles

What preparation is necessary before eyelid surgery?

  • A recent eye examination by an ophthalmologist to evaluate vision and tear production and overall eye health
  • Lab tests which will depend on your age and medical history
  • You’ll be given a list of medications to avoid before and after surgery
  • Arrange to have someone stay with you the night of your surgery and a few days after
  • A final preoperative visit with Dr. Bruck to answer question and review upcoming procedure
  • Stop smoking 30days before and after your procedure
  • Stop Alcohol 2 weeks before and 2 weeks after
  • Refrain from food that is excessively salty
  • No contact lenses for 2 weeks after the surgery—to be sure to have updated prescription glasses

What type of anesthesia is used and where is the surgery performed

  • If you are having only upper eyelid surgery – local anesthesia is usually sufficient
  • If you are having lower eyelid surgery or upper and lower eyelid surgery, the procedure is performed with sedation administered by an anesthesiologist.
  • The surgery is usually performed as an outpatient either in a certified office facility, ambulatory surgery center, or hospital outpatient department

What Can I expect during my recovery?

  • You will have bruising and swelling which will diminish over the first 7 – 10 days
  • Application of cold compresses, head elevation, and minimal activity for the first 48-72 hours will diminish the bruising and swelling
  • Antibiotic eye ointment or drops will be prescribed
  • There is generally minimal pain after eyelid surgery; pain medication will be prescribed usually Vicodin or Percocet. After a few days extra strength Tylenol may be sufficient
  • Your vision may be blurred for the first few days
  • You can usually read or watch television on the third day
  • You can resume normal activities of daily living after 2 to 3 days
  • Sutures are usually removed on the second or third day and on the 5th or 6th day
  • Dr. Bruck will then see you the week after your sutures are remove and then periodically of the next few months
  • You can drive when you are no longer taking narcotic pain medication and your vision is clear. You may have some temporary double vision due to swelling
  • Most patients can resume vigorous activity after 3 weeks
  • You can resume sexual activity after two weeks. Any activity that significantly raises your blood pressure can cause bleeding during the first two weeks after surgery
  • Most patients can return to work in 7 – 10 days. Any residual bruising can
    usually be camouflaged with makeup

Benefits from eyelid surgery are high with a comfortable recovery and low risk procedure that enhances the quality of patients lives both personally and professionally