Our eyes are the centerpieces of our face. Eyelids come in various shapes and sizes and change as we age. The needs of one patient’s eyelids may be entirely different from another’s.
The goal of both upper and lower eyelid surgery should be to restore the youthful appearance of the eyes and to allow additional light to enter and reflect against the eye itself. By doing so, patients look more refreshed and awake.
Your Personal Consultation
During the initial consultation, you may be asked to look in a mirror and point out exactly what you would like to see improved. This will help Dr. Boss to understand your expectations and determine whether they can realistically be achieved.
Maintaining a Relationship with Dr. Boss
You will return to Dr. Boss' office for follow-up care at prescribed intervals, at which time your progress will be evaluated.
Please remember that the relationship with Dr. Boss does not end when you leave the operating room.
If you have questions or concerns during your recovery, or need additional information at a later time, you should contact him.
How Aesthetic Eyelid Surgery (BLEPHAROPLASTY)is Performed?
When assessing the eyelids, it is important to address the position of the brow, the amount and degree of skin laxity, fine wrinkles, position of the eye fat, and vision. There are multiple approaches to eyelid surgery and each patient’s needs should be considered when choosing the correct procedure.
Dr. Boss may recommend additional procedures to complement the blepharoplasty and provide the best results.
Incisions are always camouflaged, whether it is placed inside the eyelid or just below the eyelash line. Redundant skin and/or muscle is removed and the underlying fat is either removed or placed back into its original youthful position.
Dr. Boss then meticulously closes the incisions using fine sutures to avoid a scar. Depending on the individual patient needs, the procedure takes 1-2 hours.
Upper blepharoplasty can be performed under local anesthesia. Lower blepharoplasty is done under conscious sedation or general anesthesia. Together with Dr. Boss, the appropriate anesthetic plan will be determined.
I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and Dr. Boss. Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia.
Following the surgery, there can be a feeling of dryness or irritation in the eye that requires treatment. There is a possibility of a temporary decrease in sensation of the eyelid skin or impaired eyelid function that sometimes may need to be corrected by additional surgery. You can help minimize certain risks by following the advice and instructions of Dr. Boss, both before and after your eyelid surgery.
Your Surgical Experience
The goal of Dr. Boss and his entire staff is to make your surgical experience as easy and comfortable for you as possible.
How should I prepare for surgery?
If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. Your surgeon will provide you with additional preoperative instructions.
Aesthetic eyelid surgery is usually performed on an outpatient basis. If this is the case, be sure to arrange for someone to drive you home after surgery and to stay with you at least the first night following surgery.
How will I look and feel initially?
When can I resume my normal activities?
Most patients can expect to return to work within 1 week of surgery. Eyelid swelling and bruising is common and generally disappears within 10 days. Bruising around the eyelids can be hidden with use of makeup. During the acute post-operative period, you will be asked to clean the incisions and apply a moisturizing ointment. Cold compresses and head elevation while sleeping will help to expedite the healing process. Sutures are removed within 7-9 days.
Fortunately, significant complications from aesthetic eyelid surgery are infrequent. Every year, many thousands of people undergo successful eyelid surgery, experience no major problems and are pleased with the results.