Eyelid surgery in La Jolla California

Eyelid Surgery

Eyelid surgery, technically called Blepharoplasty, is a procedure to remove small amounts of fat--usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel. Over time the drooping effect can lead to interference with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. View eyelid surgery before and after photos.

Blepharoplasty surgery can be done alone or in conjunction with other facial surgery procedures such as a facelift or browlift. Eyelid surgery is especially popular because many people first show signs of aging or of being "tired looking" (even when they aren't) because of their appearance around the eyes. This makes a lot of sense due to the eyes being the focal point of attention when communicating face to face.

Estimated Cost: $2000-$4500
Recovery Time: 1-3 Weeks (downtime being 6-9 days)

Candidates suitable for the eyelid surgery:
Blepharoplasty can enhance your looks and give you self confidence but won’t make you look entirely different.

  • The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable.

  • Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have have it done at younger age.

Candidates NOT suitable for the eyelid surgery:
The medical conditions which make blepharoplasty more risky are thyroid problems such as hypothyroidism and graves’ diseases, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, and cardiovascular disease.  If you have a detached retina or glaucoma, check with your ophthalmologist before you have surgery.

Risks following the surgery:
When an eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your surgeons about the pros and cons involved.

  • The minor complications after the surgery include double or blurred vision for a few days.

  • Temporary swelling at the corner of the eyelids.

  • A slight asymmetry in healing or scarring.

  • Following surgery, some patients may have difficulty closing their eyes when they sleep.

  • Another complication is ectropion, a pulling down of the lower which require further surgery.

Pre-surgery planning:
The initial planning with your surgeon is very important. The surgeon will need your complete medical history. Be sure to inform your surgeons of any previous diseases and allergies. The most important thing is to inform Dr. Rechnic if you’re a smoker or not.

  • Eye test is done to test vision and also tear produce, and provide all recent eye test records.

  • Most insurance policies don’t cover eyelid surgery, unless you can prove that, drooping upper lids interfere with your vision.

The surgery:
The surgery is usually done on an out-patient basis and so does not require an in-patient or overnight stay.

  • Eyelid surgery is performed under local anesthesia, which numbs the area around the eyes.

  • You’ll be awake during the surgery, but relaxed and insensitive to pain.

  • Surgery timing:
    Blepharoplasty may take 1 to 3 hours. For this procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in your lower lids. The incisions can extent into the crow’s feet or laughs line at the outer corners of your eyes. If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, your surgeon may perform a transconjunctival blepharoplasty. In this procedure the incisions made inside your lower eyelids, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.

    Care after the surgery:
  • Your surgeon will instruct you to keep your head elevated for several days

  • Cold compresses are used to reduce swelling and bruising.

  • This lasts between like several weeks to a month.

  • Eye drops may be recommended to reduce any burning or itching sensation.

  • For the first few weeks you may also experience excessive tearing, and sensitivity to light.

  • Once the stitches are removed the swelling and discoloration around your eyes will gradually subside.

Getting back to normal:

  • Television is one thing which you will be permitted to watch.

  • As you may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sun block made for eyelids when you go out.

  • Take it easy for five days at least and avoid activities that tire you easily for three weeks.

  • Scars will take time to fade, but will disappear over time.


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