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FAQs

Blepharoplasty

Will eyelid surgery change the shape of my eye?

Neither upper nor lower eyelid surgery should change the shape of your eyes. Upper eyelid surgery will remove the excess skin and fat that can cover your normal upper eyelid. After the surgery, your eyes will appear more refreshed similar to how they looked years ago. They will appear more open but will be the same shape as before. Often patients who lack an upper eyelid fold may request a change to their upper eyelid shape. You should discuss the shape of your eyes with your surgeon during your preoperative visit.

Lower eyelid surgery should not change the shape of your eyes either. Similar to upper eyelids, lower eyelids can make you look aged and tired because of extra fat and skin. Often lower eyelid surgery can be made through invisible incisions. Occasionally patients make a special request to have their eyes appear more almond shaped. This exception can be discussed during your consultation.

At what age should I have eyelid surgery?

Really any age can be a good time for eyelid surgery. Some patients complain of lower eyelid puffiness or extra upper eyelid skin from their teenage years. The eyes tend to be the first spot where we notice aging so eyelid surgery is common for patients in their 30s and 40s. Since eyelid surgery produces such a natural and refreshed look, it’s also a great choice for the older patient who wants a subtle rejuvenation without undergoing a lot of surgery.

A good rule of thumb for people who wear makeup: When your upper lid eyeliner is rubbing off on your upper lid and turning into eyeshadow… it might be time to consider an upper Blepharoplasty.

How many days off from work do I need to take?

The first two days after the procedure, I recommend staying home so you can apply ice & relax. Then you can pop on a pair of sunglasses and head outside.Since sutures are removed at postoperative day 3-5, you can be at work that soon. Otherwise, take a week, enjoy some time off and look amazing when you return to work.

When can I wear makeup?

Makeup can be worn usually as soon as the sutures are out and the incisions are healed. The postoperative visit is 3-5 days after surgery and the decision to put makeup on is usually made at that time.

Will insurance help pay for the surgery?

Restylane under the eyelids is something I perform on a daily basis for my patients. I wholeheartedly recommend that this procedure be performed by only the most experienced physicians.

Just yesterday, I corrected a patient who had been injected with Perlane (the thicker cousin of Restylane) by a novice injector. Fortunately, an experienced physician knows how to undo the effects of Restylane. Once you are with a physician who you trust, the amount of Restylane required is much less compared to other areas of the face. This makes the procedure great and cost-effective. When you correct the tired, saggy look under the eyes, you will be so pleased with the result!

What are my options for treatment of crows feet if I've developed immunity or strong resistance to Botox A? I don't think Botox B is an option from where I come either.

Occasionally, I come across a patient who has developed a “resistance” to Botox. Many times, the patient will respond to Botox as long as it is properly dosed. But beyond Botox, you can consider a fine injectible filler. An example would be collagen or hyaluronic acid. You may also be a candidate for upper eyelid blepharoplasty. The heaviness of excess upper eyelid skin can make crow’s feet look worse.

A blepharoplasty can help improve your appearance by removing the excess skin. You have several options from which to choose, so good luck!

When using Latisse can I continue to use mascara? I reside in the suburbs of Long Island in New York and am a woman in my early 40s.

Answer:

Yes!  Latisse promotes the growth of your own eyelashes and mascara will not inhibit that process.  In fact, as you continue to use Latisse you will find you need less and less mascara.

 

I have short eyelashes and would really like to have eyelash extensions done. Would the fumes from the glue when it gets wet harm my eyes? I am a 44-year-old woman residing in the area of New York City.

Answer:

As a rule eyelash extensions are safe although irritation from the glue is always a possibility.  It is important to note, however, eyelash extensions need continual maintenance and can interfere with your own lash density.  Use of FDA approved Latisse is a safe treatment that naturally enhances your eyelashes and avoids the risk of any harm to your eyes.  You simply apply a drop of Latisse with a small applicator and brush to your top eyelid once daily and it will promote your own eyelashes to grow.

I have marionette lines and crow's feet. What filler would be best to alleviate the appearance of these lines and how long will it last? I am a woman in my mid-50s and reside in Brooklyn, New York.

Answer:

Generally we don’t use filler for crow’s feet but Botox or Dysport, which last 3-6 months. For marionette line, a filler such as Juvederm or Restylane will lend a nice result. These fillers can last anywhere from 6-12 months.

One of my upper eyelids droops more than the other, so much so that my eyes look crooked...

Answer:

It is possible to get upper blepharoplasty on one eye to correct facial asymmetry. Facial symmetry can often be successfully acheived with realistic expectations. However, it is important to note that it is impossible to achieve true perfection. Please schedule a consultation so we can discuss treatment options.

What post-op symptoms should I be aware of after eyelid surgery ?

Answer:

After blepharoplasty surgery you may experience swelling, bruising, and tight, sore eyes that feel dry. You may also experience some eye leakage as your eyes heal. To reduce swelling you should keep your head elevated with soft, malleable cold compresses over your eyes. Frozen peas work really well. Herbal supplements such as Arnica may be used to decrease bruising. Eye drops or ointments can help keep eyes lubricated to reduce drying and to promote proper healing. Right after surgery it is normal for your vision to be slightly blurry and to have heightened light sensitivity. Swelling and bruising may take up to a month to fully subside but you should see dramatic results only after a few weeks.

How is the procedure for upper and lower blepharoplasty performed?

Answer:

During an upper and lower blepharoplasty surgery, incisions are made along the natural fold of the upper eye and just below the lower eyelashes. Excess skin, muscle, and fat are removed and tiny stitches close the incisions for minimal, nearly invisible scarring. The surgery takes about two hours to complete.

How long does it take to recover from blepharoplasty surgery?

Answer:

It may take from four to eight weeks for the swelling and bruising to subside after blepharoplasty surgery, however most patients typically return to work after two weeks. Stiches are removed a week after surgery, and soon after makeup can be applied to help cover the bruising and surgical lines.

I don’t like being put under general anesthesia. Is there a way to get a blepharoplasty without the use of general anesthesia?

Answer:

It is possible to perform blepharoplasty surgery with only local anesthesia and PO sedation. You do not have to worry about general anesthesia if you prefer to not have it.

I just turned 50 and my top eyelids are droopy and I have dark bags under my eyes. Can eyelid surgery fix this for me?

Answer:

Yes, you are a perfect candidate for blepharoplasty (eyelid surgery). Blepharoplasty surgically removes extra skin, muscle, and fat from both the upper and lower eyelids, resulting in a more youthful appearance.

One of my eyes is closed more than the other and it makes my face look uneven. Can this be corrected?

Answer:

Definitely. Blepharoplasty, or eyelid surgery, can open your eye slightly so the proportions of both eyes are more even. You will not only achieve a more uniform look, but a brighter and less tired appearance.

My eyelids droop so much that I can’t wear eye shadow and they are so puffy underneath that eyeliner just draws more attention to the bags. Can eyelid surgery help me?

Answer:

Yes. You are an ideal candidate for blepharoplasty, or eyelid surgery. The symptoms you describe are common and happen in most women as we age. Blepharoplasty can open tired eyes and take away unwanted bags for that youthful appearance you desire most.

How soon after blepharoplasty can I begin my normal exercise routine?

Answer:

It is recommended that you stay away from all forms of exercise for at least three weeks and up to one month after surgery. This inactive period gives your body time to rest and heal. You can slowly work back into your normal exercise routine after this period.

Does having eyelid surgery make closing your eyes more difficult?

Answer:

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.

Can I get a blepharoplasty and a brow lift at the same time?

Answer:

Yes, it is very common for patients who are undergoing blepharoplasty to also get other treatments done at the same time, including a brow lift. Please schedule a consultation so we can discuss further treatment and surgical options.

Can blepharoplasty help reduce the puffy bags and dark circles beneath my eyes?

Answer:

Blepharoplasty can help reduce the puffiness and bags underneath your eyes but it will not help with the dark circles. Dark circles are caused by a variety of reasons and can be remedies with an injectable filler like Restylane. Please schedule a consultation so we can discuss your treatment options.

It has been two months after my upper and lower blepharoplasty and my scars are still pink and apparent without makeup...

Answer:

It is common for scars to stay pink for about six months or longer as your eyes heal. Eventually you can rely on the scars to fade, becoming nearly undetectable and invisible. The sun makes scars more noticeable so it is very important to wear sunblock and sun glasses as much as possible to achieve the best possible outcome.

I am a 57 year old male looking to spruce up my eyelids. My Cardiologist won’t sign off on general anesthesia but I was told I can have just my upper lids done under local anesthesia. Is this true?

Answer:

Blepharoplasty can certainly be done under local anesthesia without the need for general sedation. You may feel slight pressure and movement but not pain. Your Doctor will monitor your pain levels throughout the procedure and little by little inject local anesthetic throughout to ensure a safe and comfortable surgical experience.

As I get older, I am now 49, I notice my eyelids looking a little less than perfect. I keep hearing about Blepharoplasty when I am in New York. What is a Blepharoplasty exactly?

Answer:

Good question! Blepharoplasty is surgical rejuvenation for the eyes. You can have an upper Blepharoplasty, just addressing your upper lids, a lower Blepharoplasty, addressing your lower lids, or opt for both at one time for a fully refreshed look. Some patients will decide to have their Blepharoplasty performed with just local anesthesia while some prefer to be a little more relaxed and go under general anesthesia. A Blepharoplasty targets two main components: the removal of excess skin and removal of fat pockets. When both are removed, the appearance of “bags” under the eye or “puffy” eyelids is usually very nicely corrected. A Blepharoplasty can also used to help the peripheral vision if the upper lids are drooping too low covering the eye and blocking vision.

What does it means to have double eyelid surgery?

Answer:

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.

I had an upper eyelid lift on one of my eyes a week ago and it is still swelling periodically throughout the day and night. The swelling is only on the one side of my face. Did my doctor do something wrong?

Answer:

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.

Can blepharoplasty or eyelid surgery be performed without anesthesia?

Answer:

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.

What is a blepharoplasty?

Answer:

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.

 

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