We can perform blepharoplasty to correct sagging eyelids, bags or pouches beneath the eyes, as well as excess folds around the eyes. This surgical procedure involves the removal of excess skin and fat on upper and lower eyelids and is often performed in conjunction with other surgical procedures including facelifts, eyebrow, and forehead lifts. A blepharoplasty can be done under general anesthesia (with you asleep) or under IV sedation. Both are very comfortable options. Premedication is utilized prior to surgery to decrease swelling after the operation.
Dr. Neuwirth will trace the natural lines and creases of your face and make incredibly fine incisions from the inner to the outer edge of the eyelid. Surgery on the upper eyelid is performed first with the incision made in the fold of the lid. The incision is made below the eyelash or inside the lower eyelid. Any excess fat and skin are removed from the underlying compartments. The amount of fat excised is determined by the degree of protrusion of fat when pressure is applied to the area. The surgery can take up to two hours.
To better understand your overall health, we will evaluate your medical history prior to surgery. Once Dr. Neuwirth has determined that you are a candidate for the procedure he will then discuss the surgery and benefits in detail. Our objective is to create a natural appearance that is pleasing to you. Photographs and computer imaging can be performed to determine the amount of improvement after surgery.
During your consultation you will be provided with a cosmetic estimate that will be honored for up to 6 months.
At this time we can provide you with preoperative instructions that may include the elimination of specific drugs containing aspirin several weeks before surgery to minimize excess bleeding and bruising. A final consultation is typically scheduled to sign consent forms and take preoperative pictures. At this time we encourage each patient to have any final questions answered by Dr. Neuwirth or a staff member.
Initially, drying of the eyes can occur after blepharoplasty. This condition can be alleviated with medication. In addition, you may be sensitive to bright light and wind for a period of time. Numbness and itching may also occur during the healing process. Pain is moderate and controlled with oral medications.
It is mandatory that you have a responsible adult to drive you to and from your surgery and stay the first 24 hours with you. Typically a follow-up appointment is scheduled within the first 24 to 48 hours and repeated throughout the first year after the procedure.
It is recommended that you avoid vigorous activity for the first 3 weeks following your surgery. Healing is gradual so you will not notice results for up to six months. Improvement varies, depending on your initial condition. In most cases, a single procedure achieves the desired results.
Your insurance company may pay a portion of the cost of surgery if the procedure is performed as a result of visual impairment. Because every insurance carrier is different, it is recommended that you check with your own insurance company to determine the level of coverage.