Service Information

Surgical Procedure
For traditional lower lid blepharoplasty: An incision is made just beneath the lash line. Excess fat, muscle and skin are removed. Fine sutures are used to close the incision. Permanent stitches will be removed 3-5 days after the procedure.

If you have a pocket of fat beneath your lower eyelids, but do not need to have any loose skin removed, your surgeon may recommend a transconjunctival blepharoplasty. In this procedure the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with fatty lower eyelids. Transconjunctival blepharoplasty does not tighten the skin, reduces the puffiness in the lower eyelid region.

Duration of Operation
Half hour to one hour

Risks and Complications
Lagging of the eyelid is the abnormal position of the lower eyelid after surgery because of poor function of eyelid before surgery. This can be reduced by exercise eyelid muscle before surgery.

Retrobulbar hematoma (bleeding behind the eye) is rare, but can be serious. Symptoms include loss of vision.

Temporary problems with excessive tearing Decreased sensation in the eyelid.

Dry eyes or dryness, burning, stinging, gritty sensation in your eye(s).

Prominence or firmness of the scars.

Blurred vision asymmetry in healing or scarring.

Milia or whiteheads where the sutures emanate from the skin.

Difficulty closing eyes completely; in rare cases, this condition may be permanent.

After Care
The first evening after surgery, you should rest quietly with your head elevated. It will help to apply cold compresses to your eyelids.  (Avoid any compress heavier than one ounce. A Ziploc bag with a few frozen peas works well.) Your blood pressure should be monitored to avoid bleeding complications that can affect vision. And, although you can be up almost immediately, you should limit your activities.

Recovery
At first the incisions will probably be red and somewhat bumpy. Eventually, the resulting scar should become flat and inconspicuous.  Your sutures (stitches) will be removed sometime within the first week.

The swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel better each day. Swelling and bruising varies considerably from person to person.  Bruising typically disappears within seven to ten days. Within the first week you will be permitted to use makeup, if desired, to conceal any discoloration.

Your vision may continue to be somewhat blurry for a few days or longer. Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness. You may receive eyedroppers to help relieve any burning or itching.

Results
This surgery will make eyes look brighter, larger, and more rested by removing loose skin, stretched muscle, and excess fat. In some people this procedure will improve vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision. Eyes will look more youthful. The surgery of lower lids should smooth out bulges, take away fat bags from under eyes, and make the skin snugger. One will look rested, and people will see your face instead of focusing on your unsightly lower lids. The results tend to be long lasting. It is most common to have this surgery between ages 38 and 50.

Hospital Admission
This depends on your preferences as well as your surgeon's. Lower eyelid blepharoplasty can be performed on an out patient basis, in the hospital, or in an ambulatory surgical suite under either general or local anesthesia.

Anesthetic
General or Local Anesthesia.

Pre Operative Care
• Inform us about any allergies, any serious medical condition(s), and all medications you are taking (both prescription and non-prescription).
• Avoid aspirin and aspirin-containing medicines for two weeks prior to surgery.

Post Operative Care
For the first week, you'll need to avoid activities that dry the eyes, including reading, watching television, wearing contacts, and using a computer.  Also avoid excessive blinking, which leads to increased swelling. You should also wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation. The eyes may tire easily for several weeks; frequent naps are helpful.

For the first three or four weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports. Your surgeon will let you know when you are ready for exercise. Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.

Preparation

Passport and Visa
• Please forward the copy of your passport to us before the arriving date.
• For most tourists, a stay of no more than 30 days does not require a VISA. For further information on Thailand's entry/exit requirements, please contact the Thai consulate in your country or your travel agent.

Flight Arrangement
Our recommended airlines are Thai International, Northwest, Lufthansa, Singapore, and EVA, which has wide seats.

Extra Charge
If you are HIV positive, then you are a risk to hospital personnel.  For this reason you need to pay an extra 30% to the original charge.

Airport Immigration and Customs
Please present the supporting documents confirming the scheduled operation upon request.  Please do not carry any unnecessary drugs or dangerous objects in your luggage.

Appointment
The operation can be arranged once you have all required papers ready. Just inform us of your earliest convenient date prior to arrival, either by clicking at Contact Us or
e-Mail : info@phukethospital.com, or by calling +66(0) 7625 4425, or faxing us +66(0) 7625 4430

Service Inclusions

Surgical Fee
• Doctor fee
• Clinical interview/surgery consultation

Post Operative Care
• Cold compression should apply after surgery for the first few hours.
• Postoperative check-up at the center on a follow up appointment.

Travel Arrangements
For the first three or four weeks, you should avoid any activity that increases blood flow to the eyes, including bending, lifting, crying and sports.  Your surgeon will let you know when you are ready for exercise.  Also avoid drinking alcohol, which can lead to fluid retention and delay recovery.