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Blepharoplasty Questions

If you have further questions about blepharoplasty, check the list below to find answers. While some information presented here is also contained in the above text, these short responses should complete your introduction to facelifts and neck lifts. We also encourage you to consult with Dr. Kabaker for individualized answers to all of your questions.

Am I a good candidate for a blepharoplasty?
The best blepharoplasty patient is in good health, a non-smoker, and is able to avoid blood thinning medications for two weeks before surgery. He or she has too much fullness and heaviness of the eyelids, with or without prominent bags under the lower lids.

Can I have other procedures done at the same time as a blepharoplasty?
You can, and often patients decide to have a facelift, midface lift, or brow lift at the same time. Doing multiple procedures on the same day may lengthen the recovery time, but will allow the patient to accomplish many goals with one surgery.

Am I too young for a blepharoplasty?
There is no lower age limit. Some patients have excess upper lid skin, or prominent lower lid bags, at an early age. These conditions are often hereditary, and can be corrected with blepharoplasty surgery.

Can a brow lift correct the upper eyelids?
In some cases, elevating the brows will pull up excess upper lid skin so a blepharoplasty is not needed.

How many doctors should I consult with?
As many as you need to feel completely comfortable with the doctor you choose. Some patients are able to settle on their surgeon after only one blepharoplasty consultation, while others require several to best compare their rapport with each doctor.

Do you use computers to change my pre-operative photos?
Effective photo alteration is difficult for blepharoplasty patients. So, you should rely on your consultation alone to estimate the final result.

Do I need to see my own doctor before a blepharoplasty?
If sedation is going to be used, basic lab tests may be required, and typically patients over the age of 45 require a written clearance from their personal physicians. All specific requirements are described in the attached Blepharoplasty Instructions .

What do I need to do the day before surgery?
The day before surgery, you should eat normally but avoid excessively heavy meals, or foods that can lead to acid reflux. Prepare your affairs so that you completely relax and rest after surgery. Most importantly, do not eat or drink anything after midnight before your procedure. See the attached Blepharoplasty Instructions for all suggestions.

Where does the surgery take place?
Procedures are done at the Aesthetic Facial Plastic Surgery Our Clinic, our fully accredited surgery center.

What kind of anesthetic will be used?
If only the upper lids are involved, then a local anesthetic with light sedation will be very effective at guaranteeing patient comfort. If the lower lids need a procedure, then the sedation will probably be deeper.

How long does the procedure take?
Blepharoplasties take about one to two hours to complete.

How much pain will I have after surgery?
There is not much discomfort after blepharoplasty surgery. You may have mild soreness that is easily controlled with medications.

What are the risks of surgery?
Adverse events are rare. One possible risk is bleeding behind the eyelids. This is an extremely unlikely event, but needs immediate attention if it occurs. Such bleeding will create severe pain within the eye socket, and may change vision. If these symptoms develop, call our clinic immediately.

You may also experience a moderate burning sensation of the eye immediately after surgery. This can be controlled with eye drops, and always resolves one to two days after surgery. Changes in eyelid position, infection, and scar irregularities are other rare but possible risks.

Will I have scars?
Each upper eyelid scar is very well hidden by a prominent crease in the lid. If lower lid incisions are made through the conjunctiva, there are no visible scars. If lower lid incisions are made through the skin immediately below the lashes, the scar is well hidden by the lashes.

When will my lids look normal after surgery?
Swelling and bruising will resolve after one to two weeks, but redness of the upper lid incision may last several weeks. You may also feel small bumps under the upper incisions that can last for weeks. These are normal side effects of blepharoplasty, and will resolve.

How much time off should I take from work and exercising?
You should plan to take one to two weeks off of work, so swelling and bruising can resolve. Exercise should be avoided for about three weeks after surgery.

Do patients ever need another blepharoplasty?
The benefits of blepharoplasty will last indefinitely, and revision surgery is quite rare.