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Frequently Asked questions - Blepharoplasty

You may have a lot of questions when it comes to considering options regarding heavy or puffy eyelids. Here you can find answers to some of the most frequently asked questions regarding Blepharoplasty. If you have additional questions you may wish to make a list for Dr. Singh.  This way she can take the time to address your questions specifically during your consultation.

Blepharoplasty or cosmetic eyelid surgery, is a surgical procedure to improve the appearance of the upper and lower eyelids.  It can provide 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 natural wear and tear from blinking and rubbing all contribute to a radial deterioration in the eyelid’s tissues and support.

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

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 are individual variations in patient response to Blepharoplasty, the average patient can expect that the swelling and bruising will peak 2 to 3 days after surgery.  However this will diminish over the following one to two weeks provided that 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.

Dr. Singh is 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, 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 extremely 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 even insurance may cover the surgery cost.

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