Upper Eyelid Blepharoplasty
What is Upper Eyelid Blepharoplasty?
Blepharoplasty is the medical name for eyelid surgery, but there are several different types of Blepharoplasty, depending on what needs to be corrected. If your upper eyelids are drooping, puffy, or have excessive skin, you might be a good candidate for Upper Eyelid Blepharoplasty in St. Louis.
Full upper eyelids, referred to as dermatochalasis or sometimes blepharochalasis, can make you look tired and older than you are. Blepharoplasty surgery is straightforward and almost immediately restores a youthful appearance that will accentuate your eyes. The results are usually very natural-looking so that your friends and family are likely to only notice that you look more relaxed or rested.
If your upper eyelids are causing problems due to visual obstruction, you may be a candidate for Functional Upper Eyelid Blepharoplasty, which is covered by health insurance.
Upper Blepharoplasty Consultation
When you arrive, you will need to provide a medical history, as we need to know about major illnesses and problems such as heart disease and hypertension. Prior surgery, especially facial surgery, is important. Medication history, including medications or supplements that thin the blood are vital to disclose. All over-the-counter pain/fever reducers (except Tylenol) and non-steroidal anti-inflammatory drugs (NSAID) are off limits for a week before eyelid surgery. Herbal medications such as ginkgo biloba and St. John’s Wort or high doses of fish oil, flax seed oil, or vitamin E must also be avoided.
Dr. Holds will ask you about what aspect of your eyelids bothers you and will discuss how this may relate to aging changes in nearby parts of your face. Eyebrow position is particularly important in relation to upper eyelid surgery. He will discuss with you exactly what your surgical goals are, what is attainable, and will create a plan to accomplish that. A mutual understanding of the goals, expectations, and outcomes is essential to a great result!
During your consultation, an examination is also performed to look at any eye conditions such as dry eye, which could limit or alter the surgical plan or be a concern after your procedure. As a board-certified ophthalmologist (eye surgeon), as well as an ophthalmic plastic surgeon, Dr. Holds is attuned to eye diseases and concerns. He is routinely referred patients by some of the best facial and cosmetic surgeons in the area because of this expertise and ability to safely operate on patients at higher risk for complications.
What is Cosmetic Upper Eyelid Blepharoplasty like?
Taking into account all of the various types of facial and cosmetic surgeries, blepharoplasty is one of the most frequently performed surgeries today. The procedure is performed on an outpatient basis under local anesthesia with a sedative to help you relax or perhaps even sleep during the surgery. You generally experience no significant pain. A short general anesthetic can be performed for patients who are having concurrent bigger procedures or who cannot tolerate a local anesthetic.
The incision is made in the crease of your upper eyelid so that the small scar is hidden. Depending on what is causing the drooping of the lids, fat pockets or excess skin are removed to create a normal, symmetrical lid. Of course, Dr. Holds and his associates are careful to optimize symmetry to make sure that your eyes match as closely as possible after surgery.
Sometimes, Upper Eyelid Blepharoplasty is performed at the same time as additional procedures to enhance the beauty of other parts of the face. For example, you may want to improve the appearance of your lower lids as well. In that case, see Lower Eyelid Blepharoplasty for more information. If the drooping lid is the result of a weakened muscle in the eyelid, called Ptosis, you may need Ptosis Repair surgery.
Recovery from Upper Eyelid Blepharoplasty
Since you will be sedated during the procedure, you will need to have someone available to drive you home. Your sutures will be removed after 6-8 days, although dissolving sutures are used in some situations.Some bruising, swelling, and soreness may develop after the anesthetic wears off. You can take pain medication, if necessary, and you will be asked to sleep with your head elevated and apply ice packs to your eyes periodically to keep inflammation down. You may also be given eye drops or ointments to apply for one to two weeks.
The bruising usually lasts no more than two weeks, but sometimes, it can last a bit longer. You should be able to return to work after a week to ten days, at which time you can cover any remaining bruises with makeup.
Upper Blepharoplasty Before and After
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