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Many people have hidden fears about anesthesia. Many patients who know they have to get anesthesia are more worried about going under than the actual surgery itself. While there have been some cases of anesthesia problems reported, this is rare. Plus, it’s virtually impossible to perform invasive surgery without giving the patient anesthesia. This is [...]
Archive for the ‘Recovery’ Category
Are there side effects to anesthesia?
Wednesday, September 12th, 2012Can I work out after a Cosmetic breast surgery?
Thursday, May 24th, 2012After you’ve had your cosmetic breast surgery, your doctor may tell you to wait three weeks or more before beginning exercise again. But this doesn’t mean you have to completely refrain from doing any exercise. With some thought, care, and planning, you can have your workout and stay healthy without disturbing the results of the surgery. [...]
Bruising after two month of blepharoplasty recovery
Tuesday, December 20th, 2011Question:I had blepharoplasty nearly two months ago and I still have horrible bruises beneath my eyes. Is this normal? When should they be gone and what can I do in the meantime? Answer:Some bruising and swelling after eyelid surgery will be present because the eye area is extremely delicate. The more involved your blepharoplasty surgery [...]
Bruising and discoloration following blepharoplasty
Saturday, December 3rd, 2011Question:How much discoloration such as bruising and redness will there be after blepharoplasty? How long does this last? Answer:The recovery following blepharoplasty is typically two weeks. It is important to take it easy for the first week following blepharoplasty and gradually increase activity during the second week. Most people are able to go back to [...]
Can I wear corrective lenses after my blepharoplasty?
Tuesday, August 30th, 2011Question:I’m contemplating getting eyelid surgery, however I wear contacts and I was wondering if I would be able to put my contacts in immediately following surgery. Answer:You will want to refrain from wearing contact lenses for two weeks following surgery. Eyeglasses are okay after your procedure, provided that they’re cleaned and disinfected prior to use. [...]
How will I know if a bump is a hematoma following my ethnic eyelid surgery?
Thursday, August 25th, 2011Question:I had an Asian double blepharoplasty 8 days ago. Yesterday I noticed a small bulge under my right eyelid and I’m nervous that this might be a hematoma. What are the signs of a hematoma? Answer:It could be a little hematoma, or small collection of blood. Alternating warm and cold packs can help. Eye pain [...]
Will supplements help bruising in a light skinned eyelid surgery patient?
Tuesday, August 23rd, 2011Question:I’m very fair skinned and tend to bruise easily. I would like to get an estimate on the length of time that the bruising lasts for after blepharoplasty surgery. Are there any supplements that can be taken to help the bruising heal? Answer:Some bruising and swelling after eyelid surgery will be present because the eye [...]
What eye drops are safe to use after my eyelid procedure?
Tuesday, August 9th, 2011Question:I am a 48-year-old woman who had blepharoplasty 6 weeks ago. My eyes have been very dry since the surgery. What types of eye drops are safe to use? Answer:Typically, the best thing for your eyes following blepharoplasty surgery would be “artificial tears.”This is a lubricant available over the counter, and typically used with patients [...]
I wear corrective lenses, when can I go back to wearing them after my eyelid surgery?
Monday, August 8th, 2011Question:I have terrible eyes and can’t see without my glasses or contacts. After my blepharoplasty surgery will I be able to immediately wear my contact lenses? Answer:You will want to refrain from wearing contacts for at least 2 weeks following surgery. Eyeglasses are okay following your procedure, as long as they are cleaned and disinfected [...]
Can I drive after my surgery?
Tuesday, August 2nd, 2011Question:Post eyelid surgery, will I be able to drive home? Answer:Following your surgery, you will need to have someone drive you to your destination and remain with you for the next 24 hours. If you do not have a family member or friend available, it would be best for you to have an aftercare nurse [...]
Blepharoplasty Table
FAT REPOSITIONING
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| Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). | Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity). |
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| Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. | Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye. |
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| Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye. | Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye. |
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| Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. | Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye. |
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| Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye. | Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye. |
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| Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye. | Figure 11 Fat granuloma of the right lower eyelid following fat repositioning. |
| RESULTS | |
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| Figure 12a Before | Figure 12a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 12b Before | Figure 12b After |
| B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity. | |
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| Figure 13a Before | Figure 13a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 13b Before | Figure 13b After |
| B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty. | |
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| Figure 14 Before | Figure 14 After |
| Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity. | |
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| Figure 15a Before | Figure 15a After |
| Frontal of before (left) and after (right). | |
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| Figure 15b Before | Figure 15b After |
| Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved. | |
Blepharoplasty HTML Table
FAT REPOSITIONING
|
|
| Figure 1 Frontal of a female patient following traditional transconjunctival removal of lower eyelid herniated orbital fat with resultant tear-trough deformity (nasojugal fold). | Figure 2a Frontal of a patient with midface decent and a double-convexity contour deformity (lower eyelid herniated orbital fat convexity followed by the cheek/malar mound convexity). |
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| Figure 2b One year post operative photograph demonstrating improvement in lower eyelid contour following lower eyelid transconjunctival fat repositioning and an endoscopic sub-periosteal midface lift. An endoscopic brow lift and upper blepharoplasty were also performed. | Figure 3 Transconjunctival incision at the inferior edge of the tarsus using a Colorado needle – right eye. |
|
|
| Figure 4 A preseptal dissection is performed bluntly keeping the septum intact – right eye. | Figure 5 Sharp dissection between the medial fat pad and the inferior oblique muscle using scissors – right eye. |
|
|
| Figure 6 The medial and central fat pads are grasped with forceps and a “see-saw” movement is made allowing free movement of the fat pads from the inferior oblique muscle – left eye. | Figure 7 A retractor is used to retract the lower eyelid and the orbicularis oculi muscle exposing the inferior orbital rim and arcus marginalis – left eye. |
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|
| Figure 8 A suture and needle is passed through the skin and orbicularis oculi muscle medial to the nasojugal groove and retrieved in the subperiosteal pocket – right eye. | Figure 9 The medial fat pad pedicle is splayed-out prior to placement of suture – left eye. |
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| Figure 10 The central fat pad is repositioned inferolateral to the medial fat pad – left eye. | Figure 11 Fat granuloma of the right lower eyelid following fat repositioning. |
| RESULTS | |
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| Figure 12a Before | Figure 12a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 12b Before | Figure 12b After |
| B, Right (oblique), before (left) and after (right). A 55-year-old-woman with dermatochalasis and herniated lower eyelid fat. Before (left) and 1 year post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow lift and bilateral upper blepharoplasty. Notice the improvement of the lower eyelid contour and tear-trough deformity. | |
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| Figure 13a Before | Figure 13a After |
| A, Frontal of before (left) and after (right). | |
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| Figure 13b Before | Figure 13b After |
| B, Left (oblique), before (left) and after (right). A middle-aged woman with brow and midface ptosis, dermatochalasis and herniated lower eyelid fat. Before (left) and 20 months post-operatively (right) following lower eyelid transconjunctival fat repositioning, endoscopic brow and midface lift and bilateral upper blepharoplasty. | |
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| Figure 14 Before | Figure 14 After |
| Frontal of before (left) and after (right). A 38-year-old female complaining of “a deep groove under her eyes and heavy upper eyelids.” The before photo on the left reveals minimal herniated lower eyelid fat with a moderate tear-trough deformity. Following lower eyelid transconjunctival fat repositioning and an upper blepharoplasty, the after photo on the right shows improvement of the tear-trough deformity. | |
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| Figure 15a Before | Figure 15a After |
| Frontal of before (left) and after (right). | |
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| Figure 15b Before | Figure 15b After |
| Right Frontal Close Up, before (left) and after (right). A 35-year-old male complaining of “deep groove below my eyes.” The before photo on the left demonstrates minimal to no visible herniated lower eyelid fat with a moderate tear-trough deformity, especially of the right eye. Following lower eyelid transconjunctival fat repositioning, the hollowness is improved. | |
