About Eyelid Surgery/ Blepharoplasty in Orange County
Upper Blepharoplasty is a surgery that addresses the upper eyelid area and is designed to improve the shape of tired, sad appearing eyes by removing excess skin, reducing puffiness, and redefining the upper eyelid area. Lower Blepharoplasty is designed to smooth the lower eyelid area by tightening the skin and sculpturing the prominent fat pads of the lower eyelid. The procedure will also decrease or eliminate dark circles and puffiness that contributes to a tired, sad look. Lower eyelid surgery has undergone a significant innovation in the last 5 years, and not all surgeons are performing these advanced procedures. No longer is the emphasis on simply removing the puffiness (excess fatty tissue), which can lead to hollowness years later. Newer techniques are designed to sculpt the puffiness (the protruding fatty tissue) and smooth the area resulting in the restoration of youthful contours. Lateral Canthopexy is a procedure that tightens the lateral canthus which is a ligament located near the outer corner of each eye. This procedure is often performed at the same time as a blepharoplasty, forehead lift, or temple lift. By tightening the ligament, the look of a downward pull of the outer corners of the eye is reduced. Lateral canthopexy can also restore the strength of the lower eyelid, ensuring that the skin and muscle “hug” the eye. These newer techniques are producing a more rested, natural appearance avoiding a surgically altered appearance.
What to expect after a blepharoplasty:
Immediately following upper eyelid surgery, an ointment (Puralube) will be applied directly over the sutures to prevent dryness. This will help to keep the eye area supple. You will be given a tube of Puralube after surgery to apply to the incision line with a Q-tip twice a day and as needed for approximately 1 week. Sutures are typically removed 4 to 7 days after surgery, depending on the rate of healing. Following upper eyelid surgery, the suture line may be pink and thickened for weeks after surgery, but will return to a natural tone day by day.
The post-operative instructions for the lower eyelid surgery will vary depending on the technique performed. During fat repositioning, an antibiotic eye drop will be prescribed for use after surgery. If a skin incision is required for the lower eyelid surgery, Puralube will be used along the suture line for approximately one week. Sutures are typically removed 4-7 days after surgery, depending on the rate of healing. Lower eyelid surgery will display swelling and possibly bruising for 5 to 7 days or longer depending on your rate of healing.
Patient compliance is extremely important and the patient must make the commitment to follow the pre-surgical and post-operative instructions of the surgeon. For patients who tend to bruise easily and need to return to their routine sooner, one of our medical aestheticians will assist you with cover-up make-up, approximately 7 to 10 days after your surgery. Vision may be slightly impaired for several days following surgery. This is partly due to the degree of swelling around the eyes and the ointment used in the eyes during surgery. Your vision will return to normal as your tears begin to wash the ointment from the eyes and the swelling begins to dissipate. All patients are seen in the office the day after surgery. A ride will be necessary and this appointment takes approximately 15 minutes. Patients are also seen on the 4th to 5th post-operative day for suture removal and again on the 7th post-operative day for the remaining sutures to be removed. Driving may be resumed when all sutures are removed and when you are no longer taking pain medication.. Make-up may be applied in approximately one week.
- Soft contacts may be worn after one week.
- Hard contacts may be worn after approximately 2 weeks.
- Please check with your doctor before using either type of lens.
- Cold compresses can be used to help reduce the swelling. Prior to applying the cold compresses, protect the eyes with a clean washcloth. Apply the compress on the eyes for fifteen minutes and then leave it off the eyes for one hour. This routine should be done for two days following surgery. Ice packs are not recommended because this can damage the skin.
- For upper eyelid surgery, apply Puralube with a Q-Tip over the incision line twice daily and as needed for one week.
- For lower eyelid surgery, apply 2 drops of the antibiotic eye drop in each eye twice a day for one week. If an outside lower eyelid incision was required, apply Puralube with a Q-Tip to the incision for one week.
- Take the prescribed medications as directed by your doctor until finished.
- Sleeping or resting with your head elevated above the heart and on your back will help to reduce the degree of swelling around the eyes. Two pillows will provide adequate elevation. Do not sleep on your side.
- Avoid a high sodium diet.
- Eat a well balanced, healthy diet and drink plenty of liquids.
- Avoid hot baths and showers. You may keep the water temperature warm. No Jacuzzi tubs.
- Avoid bending, lifting, and straining during the first several weeks following surgery. Exercise is not recommended for 3-4 weeks or until the doctor authorizes it.
Concerns to notify the office for:
- Nausea or vomiting after surgery.
- Increasing pain not managed by the pain medication.
- Unusual swelling immediately following surgery once home. A moderate degree of swelling is expected and normal for several days after surgery.
- A fever of 101 degrees or higher 1-2 days after surgery.
***Please use the entrance to our surgery center, 100C for all post-operative appointments. Ring the doorbell and our office staff will assist you. This entrance allows us to accommodate your need for privacy and comfort.
***Your surgeon and medical staff may be reached at (949) 276-4141 during office hours. If you are calling after hours, please dial (949) 276-4141 and review the following options: 4 will page the surgeon, 5 will direct your call to the surgery center, 6 will direct your call to the overnight suite.