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Female Plastic Surgeon Miami

 

EYELID LIFT

BLEPHAROPLASTY

Eyelid lift (also called blepharoplasty) is a procedure to remove fat and excess skin and muscle from the upper and lower eyelids. Eyelid lift surgery can correct drooping upper lids and puffy bags below your eyes. These characteristics make you look older and more tired than you feel. However, eyelid surgery won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

THE BEST CANDIDATES FOR EYELID LIFT

Blepharoplasty can improve your appearance, your self-confidence and make you look younger.

The best candidates for eyelid surgery are men and women who are physically healthy and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.

SURGICAL RISKS

When eyelid lift surgery is performed complications are infrequent and usually minor. Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia. You can reduce your risks by closely following Dr. Chavez's instructions both before and after surgery.

The minor complications that occasionally follow blepharoplasty include double or blurred vision for a few days; temporary swelling at the corner of the eyelids; and a slight asymmetry in healing or scarring. Tiny whiteheads may appear after your stitches are taken out; your surgeon can remove them easily with a very fine needle.

Following surgery, some patients may have difficulty closing their eyes when they sleep; in rare cases this condition may be permanent. Another very rare complication is ectropion, a pulling down of the lower lids. In this case, further surgery may be required.

PLANNING YOUR EYELID LIFT SURGERY

The initial consultation with Dr. Chavez is very important. She will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform her if you have any allergies; if you're taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.

In this consultation, you and Dr. Chavez should carefully discuss your goals and expectations for this surgery. You'll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Dr. Chavez will explain the techniques and anesthesia she will use, where the surgery will be performed, and the risks and costs involved. (Note: Most insurance policies don't cover eyelid surgery, unless you can prove that drooping upper lids interfere with your vision. Check with your insurer.)

PREPARING FOR YOUR EYELID LIFT SURGERY

Dr. Chavez will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.

While you're making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a few days if needed.

EYELID LIFT SURGERY AT AN OUTPATIENT CENTER

Eyelid lift surgery will be performed at an outpatient surgery center, Outpatient surgical centers are certifed by the same agencies that certify hospitals, so you get hospital quality care at a lower price.

ANESTHESIA FOR YOUR EYELID LIFT

Dr. Chavez prefers to use general anesthesia;so that you'll sleep through the operation.

EYELID LIFT SURGERY

Blepharoplasty usually takes one to three hours, depending on the extent of the surgery.

Dr. Chavez usually makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, she separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.

AFTER YOUR EYELID LIFT SURGERY

After your eyelid lift surgery, Dr. Chavez will lubricate your eyes with ointment and may apply a bandage. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your surgeon. If you feel any severe pain, call her immediately.

Dr. Chavez will instruct you to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. (Bruising varies  from person to person: it reaches its peak during the first week, and generally lasts anywhere from two weeks to a month.) You'll be shown how to clean your eyes, which may be gummy for a week or so. . For the first few weeks you may also experience excessive tearing, sensitivity to light, and temporary changes in your eyesight, such as blurring or double vision.

Dr. Chavez will follow your progress very closely for the first week or two. The stitches will be removed a week after surgery. Once they're out, the swelling and discoloration around your eyes will gradually subside, and you'll start to look and feel much better.

RECOVERY AFTER EYELID LIFT

You should be able to read or watch television after two or three days. However, you won't be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while. Most people feel ready to go out in public (and back to work) in a week to 10 days. By then, depending on your rate of healing and your doctor's instructions, you'll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sunblock made for eyelids when you go out.

Dr. Chavez will tell you to keep your activities to a minimum for three to five days, and to avoid more strenuous activities for about three weeks. It's especially important to avoid activities that raise your blood pressure, including bending, lifting, and rigorous sports. You may also be told to avoid alcohol, since it causes fluid retention.

AFTER YOUR EYELID LIFT

Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they'll fade to a thin, nearly invisible white line.

On the other hand, the positive results of your eyelid lift surgery-the more alert and youthful look-will last for years.