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Introduction
The following is a presentation to explain both upper and
lower eyelid surgery, which describes how you can best prepare
for your procedure, how it may be performed, and your recovery
process along with before and after photos of some of our
patients. An interesting question and answer section can also
be viewed. This presentation is not intended to take the place
of a physician's consultation.
Surgery of the eyelids, also known as blepharoplasty, is
frequently performed in conjunction with other facial
procedures. As people age, muscles weaken, skin stretches and
fat accumulates around the eyes giving a tired and stressed
look. These are the reasons some people seek eyelid surgery.
The ideal candidates for this procedure are 35 and older, but
if a loss of elasticity in the eye area is a hereditary trait,
you may decide to have eyelid surgery at a younger age.
An eye lift can give you a younger, firmer eye area by
removing excess fat and muscle. However, it cannot remove
"crow's feet," eliminate dark circles, or lift sagging
eyebrows. |

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Procedure
What happens during the procedure?
Eyelid surgery may take one to two hours depending on the
extent of surgery.
Transconjunctival Blepharoplasty
If you have fat pockets beneath your eyes but don't want skin
removed, your surgeon may perform what's called
transconjunctival blepharoplasty. In this case, the incision
is made inside your lower eyelid so it will not leave a
visible scar. After surgery, your eyes will be lubricated with
ointment and a bandage may be applied.
Upper Eyelid Surgery
An incision will be made along the natural lines of your
eyelids, such as the crease of your upper eyelid. The skin
will be separated from muscle and fatty tissues and excess fat
will be removed. Sagging skin and muscles will be trimmed if
needed before closing the incisions with very fine sutures.
After surgery, your eyes will be lubricated with ointment and
a bandage may be applied.
Lower Eyelid Surgery
An incision will be made below the lashes on the lower eyelid.
The incision will run along the smile creases under your eye.
The skin will be separated from the muscle and fatty tissue
and excess fat will be removed. Sagging skin and muscles will
be trimmed if needed and the incisions will be closed with
very fine sutures. |
Preparation
Preparing for surgery.
Your initial consultation is extremely important. You should
be able to speak freely with your surgeon about your goals and
desired outcome. Remember to discuss options such as whether
to do all four eye areas or just the upper or lower ones,
whether skin as well as fat will be removed, and/or whether
any other additional procedures would improve your results. Be
prepared to provide your medical history and inform your
surgeon of any vitamins and medications (including
over-the-counter) that you are taking. Make sure to tell your
surgeon if you smoke or have any allergies. In this
consultation, your surgeon or nurse may test your vision or
assess your tear production. If you wear glasses or contacts
be sure to bring them along.
Review With Your Surgeon:

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Do Not Take Aspirin® Or Products
Containing Ibuprofen for two weeks before or
after your procedure. These medications thin the blood,
interfere with normal blood clotting and increase the
risk of bleeding and bruising. Instead, use medications
containing acetaminophen, such as Tylenol®. |
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Discontinue Smoking for two weeks before and after surgery.
Smoking constricts small blood vessels and inhibits the
healing process. |
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Avoid
Alcohol for two weeks before and after surgery. |
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Decreasing Salt intake
will help diminish swelling after surgery. |
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Drink Plenty Of Water
to help flush toxins from your body. |
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Stop Taking All Vitamins And Herbs
two weeks prior to surgery. |
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Fill Your Prescriptions
before your surgery date, especially any pain medication
your doctor has prescribed for this procedure. |
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Arrange For Someone To Take You
Home and to assist you for 24 hours
after surgery. |
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One Week Before Surgery Stop
sun bathing (including tanning booths), facials,
steaming masks, and other skin irritants. |
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Post Surgery
What to expect post surgery.

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Work:
Most people feel ready to go back to work in one
to two weeks. |
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Swelling And Brusing:
The stitches will be removed several days after
surgery. Small white heads may appear but can be cleared
by your surgeon with a very fine needle. Expect
temporary swelling at the corner of the eyelids for a
few days. Keep your head elevated for several days
following surgery while applying cold compresses or
small ice packs to help reduce swelling and discomfort.
Bruising reaches its peak during the first week and
generally lasts anywhere from two weeks to a month,
although this varies from person to person. |
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Eye Care: You
will be instructed on how to clean your eyes. Your
surgeon may recommend eye drops. |
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Contact Lenses:
Contact lenses may be worn two weeks after surgery or
when comfortable. |
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Showering: You
may shower on the second or third day following surgery. |
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Make-up:
You may wear make-up beginning a week after surgery. |
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Discomfort:
Your eyes might feel tight as you awake. Take the
medication prescribed by your surgeon and the pain will
be alleviated. Your eyes may feel dry and itchy and you
may experience excessive tearing, sensitivity to bright
lights, or temporary changes in your sight such as
blurred vision. This is normal. The amount of discomfort
experienced varies from person to person. If you feel
any severe pains, notify your surgeon immediately. |
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Recovery:
Although you should be up and about following the
procedure, plan on taking it easy for the first week
after surgery. After two to five days, you should be
able to read and watch television. Most visible signs of
the surgery should fade within three weeks. You may be
sensitive to sunlight and wind for several weeks.
Remember to wear sunglasses and sun block made for
eyelids when you go out. Avoid activities that will
raise blood pressure such as lifting, sports, bending,
and alcohol for about three weeks. Healing is a gradual
process and scars may remain slightly pink for six
months or more after surgery before healing to a nearly
invisible white line. |
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Results: Results
should be long lasting and seen within several weeks. |
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Premier Plastic Surgery
Locations |
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Palo
Alto |
1795
El Camino Real , Suite 200 |
Palo
Alto, CA 94306 |
Tel:
650-321-7100 |
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San
Mateo |
50
South San Mateo Drive, Suite 320 |
San
Mateo, CA 94401 |
Tel:
650-340-7200 |
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Half Moon Bay |
625 Miramontes, Suite 105 |
Half Moon Bay, CA 94019 |
Tel: 650-560-4842 |
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