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Two eyes times two eyelids on each eye, and that makes four eyelids which are all treated in a Quadruple Blepharoplasty procedure. Drooping eyelids give a sleepy look, an aging look with less freshness than the wide, alert eyes of youth. Sometimes too, the upper eyelids can droop right into the visual field, blocking part of it. Eyelid surgery treats more than drooping eyelids. It can also treat:
• Loose skin on the upper eyelid which sags and gives a wrinkled look
• Excess fatty tissue which creates puffiness
• Bags beneath the eyes
• Drooping lower lids which may expose the white area below the iris
• Fine lines in the lower eyelids Before Your Surgery All reputable cosmetic surgeons will take time to explain things and answer questions before any surgery is done. Patient education is important for a good outcome and every surgeon wants satisfied patients. When you fully understand your cosmetic surgery you can breeze through it in a more calm and knowledgeable way, and a relaxed body can heal more quickly. So in your consultation, ask all your questions and keep asking until you have clarity on everything that puzzles or concerns you. Remember that all surgeries carry some risk, and part of being a good candidate is accepting that risk. Your cosmetic surgeon will give you a written list of all potential complications and make sure you go into your eye surgery with your eyes open. Your surgeon will ask you questions too about your general health, any medications or herbal remedies you take and any allergies you have. You are being screened for good eyelid surgery candidacy so always give completely honest answers. You may be asked to stop taking certain medications and perhaps get some blood work done or some type of medical evaluation. You will certainly be asked to stop smoking several weeks before and after your surgery because tobacco impairs healing. Anesthesia will be determined – whether local anesthetic with a sedative or general anesthesia (which is less common). The Blepharoplasty Procedure Eyelid surgery incisions are very small and are placed in the upper eyelid creases and inside the lower lid or just below the lash line. This makes the resulting scars virtually invisible. Unwanted fat is removed, muscles are tightened if they have been sagging, and excess skin is removed. The incisions can be closed in a number of ways:
• With surgical tape
• With a skin adhesive
• With stitches which may need to be removed later (this is not often done now)
• With dissolving stitches which the body will absorb gradually Your Recovery Initially there will be swelling and bruising. Your cosmetic surgeon will have given you printed self-care instructions before the procedure, along with any prescriptions for pain medication and antibiotics you may have discussed. For an excellent outcome, it is crucial that you follow these self-care instructions to the letter. Call your surgeon if you have any doubts or questions. There is no surgery which guarantees its results because there are so many factors which contribute to a successful outcome. You may see occasional LASIK guarantees, but it would be wise to read the fine print. Each person heals in an individual way, so there is always an unknown element in surgical outcomes. But the overwhelming majority of blepharoplasty procedures are highly successful, and people are very pleased with the new freshness in their face and the increased alertness and openness of their eyes, as if they had just had a whole week of rejuvenating sleep. If you are in the San Francisco or South Bay area, please contact Dr. Robert Filer in San Mateo, who is highly qualified and has excellent experience in performing blepharoplasty.
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