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Frequently Asked questions - Blepharoplasty

You may have a lot of questions when it comes to considering options to help with heavy, puffy eyelids. We’ve tried to answer some of the most common questions about Blepharoplasty here. If you have additional questions, we suggest you make a list of them, so that when you arrive for your consultation with Dr. Singh, she can take the time to address your questions specifically.

Blepharoplasty or cosmetic eyelid surgery, is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both, and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert.

In the upper eyelid, Blepharoplasty can treat puffiness and loose or sagging skin that creates folds or disturbs the natural contour of the lids. This can sometimes improve vision. In the lower eyelids, Blepharoplasty can remove or reduce bags or excess fatty deposits that cause the lids to appear puffy.

Heredity, sun damage, smoking, stretching from swelling or obesity, and the war and tear from blinking and rubbing all contrite to a radial deterioration in the eyelid’s tissues and their support.

Since the unwanted appearance of the eyelids can be hereditary as well develop over time, age is generally not a factor as long as the patient is physically and psychologically healthy. Dr. Singh will discuss whether a Blepharoplasty will balance the face so as to add to other facial features and overall quality of the facial skin.

Each eyelid surgery procedure is unique. Depending on the scope of the case and whether just the uppers, lowers, or all lids are done, procedure time will vary between one to three hours.

Procedures are done in our AAAHC outpatient surgery center with a board certified anesthesiologist present to keep patients comfortable and safely monitored.

MAC, or monitored anesthesia care is used which combines iv medications to treat discomfort or anxiety, along with local anesthetic. This type of anesthesia reduces the risks associated with general anesthesia and results in less bleeding, increased safety, enhanced precision, and faster recovery.

The majority of patients report mild aching or burning, which is usually well controlled with Tylenol and cold compresses.

Excessive pain, bleeding, infection, dry eyes or visual loss is extremely rare. In most cases, some asymmetry of the eyelids is present both before and after surgery. A thorough discussion will take place with Dr. Singh during your consultation.

Though there is individual variation in patient responses to Blepharoplasty, the average patient can expect that the swelling and bruising will peak 2 to 3 days after surgery, and diminish over the following one to two weeks as long as heavy exertion is avoided.

Most daily tasks can be resumed after 2 to 3 days, but strenuous exercise should be avoided for at least two to three weeks.

For conservative measure, the procedures are generally spaced about 2 months apart.

While duration of results depends on lifestyle, genetics, and ongoing skin care and sun protection, eyelid surgery is one of the most durable facial cosmetic procedures. It is not uncommon for results to last well over 10 years before touchups are required.

As a board certified ophthalmic surgeon who has spent four years training in surgery and diseases of the eyes and orbit after completing medical school and internship, Dr. Singh is comfortable and knowledgeable in the anatomy and physiology of the eyelids and ocular structures and knows how to avoid an “overworked eyelid”. She has devoted her practice solely to this area, unlike a general cosmetic or plastic surgeon. This level of specialization and dedication allows for superior results and satisfied patients.

While cost is obviously important, the quality of your care and outcome are most crucial. After a thorough consultation, cost and payment plans will be discussed. The total cost of surgery will include surgeon, facility and anesthesia fees. In some cases where it can be proven that a deficit in vision exists due to overhanging upper eyelid skin, insurance may cover the surgery cost.

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