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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.
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