Am I A Good Candidate For Blepharoplasty Surgery?
The best candidates for blepharoplasty are in good general health and also have good ocular health. Dr. O’Connell will carefully evaluate your eyelid anatomy in the context of your overall facial aesthetics along with anticipated recovery times, costs, and risk tolerance to help you determine which procedures might provide the best results for you and best fit your lifestyle.
What Can I Expect During My Consultation?
During your consultation, you and Dr. O’Connell will review your aesthetic concerns and the individualized goals of your blepharoplasty. Your medical history, allergies, medication, vitamin and supplement use, and especially any prior eye problems or surgeries, will be reviewed in detail.
After a careful examination of your eyelids and adjacent facial structures, such as the forehead, eyebrows, and cheeks, the various surgical and non-surgical options for blepharoplasty will be reviewed along with their risks, recovery times, and likely outcomes. In most cases, photographs and computer graphics will be used to help you understand your anatomy, the aging process, your aesthetic goals, and how the procedures are performed.
How Do I Prepare For My Eyelid Surgery?
Before your procedure, you may be asked to:
- Provide us with the results of a routine eye exam (within a year) performed by your ophthalmologist or optometrist
- Stop taking aspirin, anti-inflammatory drugs, vitamins, supplements, and other medications that can increase the risk of bleeding
- Obtain a medical evaluation that sometimes includes an EKG and lab testing
In all cases, a responsible adult must drive you home from your surgery and stay with you for the first night.
How Is Eyelid Surgery Performed?
Depending on the patient’s needs, upper eyelid surgery, lower eyelid surgery, or both can be performed.
- Upper eyelid surgery: A gently curved incision along the crease of the upper eyelid is made to remove excess, hooded skin and displaced fat. The aesthetic goal is not a hollow appearance but rather a full, youthful, volumized upper lid without hooding and with adequate space for eye shadow.
- Lower eyelid surgery: Lower blepharoplasty commonly involves an incision located just below the lashes to provide access for bag removal and skin tightening. Sometimes, Dr. O’Connell utilizes a less-invasive means of removing skin, known as a pinch excision. Alternatively, fat can be removed through an incision on the inside of the lid; this is called the transconjunctival approach. Dr. O’Connell often softens wrinkling and tightens lower eyelid skin using laser or radio frequency techniques. Dr. O'Connell was a pioneer of the “no touch” blepharoplasty technique.
Are There Any Complications Associated With Blepharoplasty?
As with all surgical procedures, blepharoplasty carries some risks and potential complications, some of which may include:
- Difficulty closing the eyes
- Unfavorable scarring
- Dry eyes
- Anesthesia risks
- Chronic pain
What Type Of Anesthesia Is Used For Blepharoplasty?
Dr. O’Connell performs most upper eyelid surgeries under only local anesthesia and he has demonstrated his technique on the CBS Morning Show. This saves our patients risk and cost. In most cases, lower blepharoplasty is performed under local anesthesia alone or with the addition of monitored intravenous sedation. Non-invasive approaches are performed with local anesthesia or without the need for any anesthesia whatsoever.