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At Hughes Plastic Surgery in Los Angeles and Beverly Hills, Dr. Kenneth Hughes, MD has a multitude of techniques to address your aging eyes with a variety of upper and lower blepharoplasties (eyelid surgeries).
Upper and lower eyelid droopiness, fat bulging, and wrinkling are frequently the first signs of facial aging. Dr. Hughes can perform correction of the both eyelids (blepharoplasties) together or separately depending upon patient preference and needs. These are frequently performed in conjunction with face and neck lift and/or brow lift to improve the entire face. Upper and lower eyelids can be performed on an outpatient basis in less than one hour.
The upper and lower eyelid surgeries remove excess skin and fat that may have developed as a result of heredity or during the aging process. The scars are hidden in natural skin crease for the upper eyelid procedure. The scars are hidden in the shadow of the lash line for the lower eyelid procedure. Upon scar maturation, the scars are virtually undetectable.
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The recovery process is short for the eyelid procedures (blepharoplasties), including a few days of minor bruising and swelling with return to work shortly therafter. The results of eyelid surgery frequently last for a decade or more.
Frequently, the eyelid surgeries produce nice, age defying results without any complications. Those with poor eyelid tone may need additional suture techniques called canthoplasties or canthopexies to tighten the lower eyelid. These people are also at greater risk for lid malposition, ectropion (or lid eversion), and dry eye symptoms. Dr. Hughes will discuss with you the risk category into which you fall.
View Before and After Upper and Lower Eyelid Surgery Photo Galleries
BEFORE & AFTER GALLERY
Dr. Kenneth Hughes, MD has a multitude of techniques to address your aging eyes with a variety of upper and lower blepharoplasties (eyelid surgeries).
- Article 1: Principles of Youthful Restoration in Upper and Lower Eyelid Surgery
Article 2: History and Exam in Upper and Lower Eyelid Surgery Patients
Article 3: Traditional Upper and Lower Eyelid Surgery Techniques
Article 4: Preserving Eyelid Shape and Tone in Eyelid Surgery
Article 5: The Transconjunctival (Scarless) Eyelid Surgery
Article 6 : Complications of Upper and Lower Eyelid Surgery
PREPARING FOR SURGERY
- STOP SMOKING: Smoking reduces circulation to the skin and impedes healing. It is best to avoid smoking, second hand smoke and cigarette replacements, such as nicotine patches or gum, in the perioperati ve period. While you should ideally stop smoking for 2 weeks before and after your surgical procedure, YOU MUST NOT SMOKE FOR A MINIMUM OF 24 HOURS BEFORE AND 24 HOURS AFTER SURGERY.
- TAKE MULTIVITAMINS: Start taking multivitamins twice daily to improve your general health once you have scheduled your surgery.
- TAKE VITAMIN C: Start taking 500 mg of Vitamin C twice dai ly to promote healing.
- START TAKING AN IRON SUPPLEMENT: A good iron supplement, such as Feosol Spansules, is required starting one week before surgery and four weeks following surgery. Bowel movements may appear darker than usual as a result. Feosol is available without prescription.
- DO NOT TAKE ASPIRIN OR IBUPROFEN: Stop taking medications containing aspirin or ibuprofen. Review the list of drugs containing aspirin and ibuprofen carefully. Such drugs can cause bleeding problems during and after surgery. Instead, use medications containing acetaminophen (such as Tylenol).
- LIMIT VITAMIN E: Limit your intake of Vitamin E to less than 400 mg per day.
- FILL YOUR PRESCRIPTIONS: You will be given prescri ptions for medications. Please have them filled BEFORE the day of surgery and bring them with you.
- CONFIRM SURGERY TIME: We wi ll call you to confinn the time of your surgery. If you are not going to be at home or at your office, please call us to confirm at (310) 275-4170.
- PRESCRIPTIONS: Make sure that you have filled the prescriptions you were given and set the medications out to bring with you tomorrow. Make sure to have the number for your pharmacy ready so that if Dr. Hughes and associates need to call in any special medications for you on your day of surgery they wi ll have that infonnation readily available.
- CLEANSING: The night before surgery, shower and wash the surgical areas with an antibacterial soap such as Dial, Safeguard, pHisoHex, or Phase II I.
- EATING AND DRINKING: Do not eat or drink anything after 12:00 midnight except for a small amount of water to rinse your mouth while brushing your teeth.
- SPECIAL INFORMATION: Do not eat or drink anything! Ifyou take a daily medication, you may take it with a sip of water in the early morning.
- ORAL HYGIENE: You may brush your teeth but do not swallow the water.
- CLEANS ING: Shower and wash the surg ical areas again with an antibacterial soap such as Dial, Safeguard, pHisoHex, or Phase Ill.
- MAKE-UP: Please do not wear moisturizers, creams, lotions, or makeup.
- CLOTHING: Wear only comfortable, loose-fining clothing that does not go over your head. NO TIGHT PANTS. Remove hairpins, wigs, and jewelry. Please do not bring valuables with you.
- CHECK IN/PREPARATION: Surgery Time:
- You should plan to arrive 45 minutes earlier than your scheduled surgery time. Patients less than 18 years old must be accompanied by a parent or legal guardian. When you arrive at our office on the day of your surgery, give the receptionist the phone number of the pharmacy you would like us to call for any spec ial medications Dr. Hughes and associates might prescribe.
- CARETAKER: Someone must spend the first night after surgery with you.
BLEPHAROPLASTY POST-OP INSTRUCTIONS
- The first week you will need to rest frequently. You need to walk around the house every 2 hours as tolerated. Avoid stairs if possible.
- For the first week post-op sleep on your back with your head elevated.
- Avoid picking anything up greater than 1-2 lbs the first two weeks. Do not exercise or strain for 2 weeks.
- You may not drive the first week or while you are taking pain medication. After that it will depend on your ability to handle a car without causing any discomfort. You should wear your seatbelt at all times.
- No smoking. This will interfere with your healing.
- Eat light the first 24 hours, clear liquids advancing to a regular diet as tolerated.
- If you have persistent nausea, stick to a bland diet until it subsides.
- The pain medicine may cause constipation. Drink plenty of fluids. You may take any over the counter laxatives or stool softeners as needed.
- It is normal to have numbness over the surgical sites for several weeks or months.
- You may use a cold compress for the first 24 hours, 10 minutes on and 10 minutes off. Remember to use a towel on your face, so that the compress will not cause a burn.
- You may shower, but avoid rubbing eyes as this may cause incision to open.
- You may use artificial tears during the recovery period for dry eyes.
- Take your antibiotic until it is completed. Antibiotic should be taken with food at each dose.
- If the pain medication is a narcotic it should be taken as prescribed. Do not take any Tylenol while on pain medication. The medication we prescribe may already have Tylenol in it.
- Do not drink alcohol or drive a car while taking pain medication.
- The pain medication may cause nausea and should be taken with food at each dose.
- You may resume your regular medication after your surgery except for Vitamin E, Fish oil and Aspirin (wait at least 5 days post-op).
- If you take aspirin or coumadin check with the doctor to see when you may resume them.
CALL THE OFFICE IF YOU HAVE:
- A temperature greater than 101.5 degrees.
- Excessive bleeding from the incision.
- Loss of vision
- A sudden increase in drainage, pain, or swelling around the incision site or the surrounding area.
- If you have persistent vomiting.