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Double eyelid surgery is a procedure intended for mainly patients of Asian heritage who want a more “westernized” look. This procedure creates a distinctive upper eyelid crease that lies just above the lash line.

This is common so there is no need for alarm. Swelling is most visible during the first week after surgery and it will gradually subside in the next two weeks. I advise that you sleep with your head elevated and that you regularly use ice to prevent more swelling from occurring. It is also important to wear sunglasses when you go outside.

It is possible to perform upper and lower Blepharoplasty under local anesthesia without the need for general sedation. Local anesthesia is injected moments before the procedure to remove discomfort. You may feel pressure and movement but you will not feel any pain. More local anesthesia can be used if needed.

The eyelid is composed of the upper eyelid and the lower eyelid. Any of the four lids can be corrected. A blepharoplasty procedure removes fat pockets and excess skin as needed. There are two fat pockets in the upper lid and three fat pockets in the lower lid. Some patients get a blepharoplasty to lessen bags under their eyes or puffy upper lids. The procedure is also used to help peripheral vision when the upper lids droop too low and cover the eye, in turn blocking vision. Both upper and lower blepharoplasty can be done together, either under general anesthesia or local, as an outpatient procedure. Blepharoplasty or eyelid surgery is considered surgical eye rejuvenation.

You will eventually be able to close your eyes, but swelling caused by the procedure may hinder you from fully closing your eyes until the swelling subsides. You will be able to fall asleep but your eyelids may remain partially open. You can gently close them with a clean hand but once the swelling goes down in a few days you should be able to completely close your eyes. It is important to follow up with your surgeon and lubricate your eyes.

You can have a superficial chemical peel two weeks after Botox or at the same time because Botox effects take about two weeks to emerge.  If you have very deep wrinkles then other fillers or a deeper peel may be needed/ used.

I recommend that you get a superficial peel once a month to maintain glowing skin. However, this depends on why you are getting treatments. If you are getting treatments to clear acne or improve pigmentation then initially you may only need a few sessions.

Mild chemical peels have little to no down time. They are associated with dryness and peeling that can be reduced with a moisturizer. Deeper peels need about a week or sometimes more for recovery. You should discuss your goals with your physician so you can choose which fits you best.

Chemical peels are a fabulous approach for treating hyperpigmentation. Superficial peels can be administered once a month depending on the pigmentation severity. I cannot say how many months of treatment you require but they are wonderful for your skin. Chemical peels are a very healthy way to rejuvenate and bring out the new skin cells. After you have the treatment, stay out of the sun and wear lots of UVA and UVB protection. Deeper chemical peels are associated with downtime, but are also a helpful tool in treating hyperpigmentation, depending on the patient. Be careful, as certain peels can worsen some hyperpigmentation. Be sure to discuss this with a qualified physician.