The Mandell-Brown
Plastic Surgery Center
Eyelid Surgery (Blepharoplasty)
Cincinnati - Dayton - Ohio
Call 513.984.4700
E-mail
In
blepharoplasty surgery, the plastic surgeon
removes the excess skin and fat to rejuvenate
the eyes. |
Eyelids
(Blepharoplasty)
Photo
Gallery
FAQs
Preop Info
Postop Info
Are
your friends telling you that you look tired or
fatigued? Do you have dark circles under your
eyes? Or perhaps you have a difficult time putting
on upper eyelid makeup because of the excess skin.
Maybe you are getting forehead headaches or wrinkles
because you elevate your eyebrows to see better.
Then you should consider eyelid or blepharoplasty
surgery.
“Bleph”
comes from the Greek word for eyelid. “Plasty”
is to shape or mold in Greek. In blepharoplasty
surgery, the plastic surgeon removes the excess
skin and fat to rejuvenate the eyes.
Upper eyelid blepharoplasty is a wonderful procedure
that in 45 minutes to one hour can make an incredible
difference in your appearance. The incision is
made in a natural crease and heals within one
week. The excess skin and fat is removed. There
is no pain and many patients return to work or
light activities in two to three days.
Lower
eyelid blepharoplasty can be performed through
a skin (transcutaneous) approach or through a
hidden approach inside the lower eyelid (transconjunctival).
Our physicians will discuss the best approach
for you during your consultation.
The transcutaneous or external approach requires
an incision under the lower lid eyelashes. The
advantage is removal of both excess fat and skin.
The incision usually heals within one week but
any residual redness may be covered with makeup
after one week.
The transconjunctival or inside approach hides
the incision inside the lower eyelid. Only the
excess fatty bulges are removed with this approach.
Many times the physicians at the Mandell-Brown
Plastic Surgery Center will utilize laser resurfacing
to remove the lower eyelid creases and crows feet
at the same time.
The
lower eyelid surgery usually produces some bruising
that resolves quickly. Following our instruction
will significantly reduce the bruising.
With lower eyelid surgery there may be some discomfort,
but this lasts only a few days.
Patients with dark circles under their eyes may
benefit not only from lower eyelid surgery to
remove the fatty bulges, but they may require
some bleaching creams or peeling agents to lighten
the skin pigment. This will be discussed during
your consultation.
For
those patients with extremely heavy upper eyelid
skin, insurance coverage may help with the cost
of upper eyelid blepharoplasty. If visual field
is limited, insurance carriers may provide coverage.
This can be determined at the time of your consultation
and verified by an independent eye exam.
Photo Gallery
Upper
and Lower Eyelid Surgery
Upper
Eyelid Surgery
Upper
Eyelid Surgery
Upper
and Lower Eyelid Surgery
Upper
and Lower Eyelid Surgery
Lower
Eyelid Surgery
Upper
and Lower Eyelid Surgery,
and Brow Lift
Ptosis
Repair Upper Eyelid
Upper
and Lower Eyelid Surgery
Upper and Lower Eyelid Surgery,
and Brow Lift
Upper and Lower Eyelid Surgery,
and Laser Lowers
Upper Eyelid Surgery, Lower Eyelid Peel,
and Mole Removal
Upper Eyelid Surgery
Upper Eyelid Surgery
Upper and Lower Eyelid Surgery
Upper Eyelid Surgery and Brow Lift
Upper Eyelid Surgery
Upper Eyelid Surgery (Frontal)
Upper Eyelid Surgery (Side)
FAQs
Q.
I am 24 years old and I can not put on make-up
on my upper eyelids. Am I too young for eyelid
surgery?
A.
There is no set age for eyelid surgery. Need
for surgery is based on physician assessment
and patient needs. What determines excess skin
and fat in the eyelid area are:
1. Heredity
2. Age
3. Gravity
4. Predisposing medical conditions
If you truly have excess skin, upper eyelid
surgery can make a dramatic improvement.
Q.
Some of my friends have had eyelid surgery and
it is easy to tell. They looked startled or
surprised. How does this happen?
A. Some surgeons are extremely aggressive or
prefer an “overdone” look. At the
Mandell-Brown Plastic Surgery Center, we strive
for a natural look. With conservative surgery,
the patient should look improved and natural.
It is so important to know your plastic surgeon’s
philosophy. Be sure to see pictures of other
patients. If you don’t like what they
show you, chances are you won’t be happy
with them. If they refuse to show samples of
their work—beware!
Q.
What anesthesia is required for eyelid surgery?
A.
We usually provide oral relaxation with medication
such as Valium. Local anesthetic is then injected
in the upper eyelid skin. The patients do great
with this, but someone should drive the patient
home. For lower eyelid surgery, we utilize intravenous
sedation to relax the patient in a deeper state.
For transconjunctival surgery in which the incision
is made on the inside of the eyelid, anesthesia
personnel are utilized to provide even deeper
relaxation. General Anesthesia in which the
patient is “put to sleep” is not
required.
Q.
Do men have eyelid surgery?
A. Approximately 25% of our blepharoplasty surgery
are male. Often they have heavy brows that also
contribute to the upper eyelid excess. See section
on BROW LIFT.
Q.
If I have lots of wrinkles under my eyes will
the eyelid surgery help eliminate them?
A.
The eyelid surgery removes excess fat and skin.
Wrinkles are better treated with facial peels,
lasers, or Botox.
Botox helps the wrinkles when smiling and wrinkling
the eyelids. The peels and lasers help eliminate
the lines that are present when your face is
relaxed. The physicians will discuss this at
the time of your consultation.
Preoperative Preparation
Congratulations! You have decided to have eyelid
surgery. How do you prepare for your procedure?
Before the surgery, the Mandell-Brown Plastic
Surgery Center will send you a list of items to
get and medicines to avoid. The following should
help.
Two
weeks before surgery avoid the following:
1. Aspirin Products-
affects platelets and leads to more bruising
2.
Advil, Motrin, etc…-
may affect platelets and can possibly cause
bruising
3.
Vitamin E-
studies show this vitamin can affect platelets
4.
Herbal Products-
many of the natural occurring herbal items can
affect platelets and bleeding factors, so stop
2 weeks before.
For
example:
Ginseng-
can be associated with increased blood pressure
and heart rate. It may also increase bleeding.
St. John’s Wort-
may prolong effects of anesthetic agents
Echinacea-
may reduce your immune system
Feverfew-
may increase bleeding
Garlic-
lowers blood pressure but may increase bleeding
Valerian-
may prolong anesthetic agents
One
week before surgery start the following:
- Dr.
Mandell-Brown’s office should have sent
a vitamin packet. Start taking Vitamin B and
C each day for a week before and then continue
for a week after the surgery. These two vitamins
help the tissues heal after surgery. Do not
take more than the one
vitamin each day.
- Purchase
the following items to be used after surgery:
- Peroxide
or Witch Hazel (determined during consultaion)
- Q
tips
- Johnsons
Baby Shampoo
- Purchase
your prescriptions from the pharmacy.
- Make
sure you have your history and physical completed
along with any recommended lab work.
- Relax
the night before surgery. Do not eat or drink
anything after midnight.
- The
morning of surgery thoroughly wash your face
and hair before arriving at
The Mandell-Brown Plastic Surgery Center. Remember,
no coffee or other fluids.
Postoperative
Instructions
Information
coming soon...
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