Cosmetic Eyelid Surgery Technique
The skin incision in the upper eyelids is hidden in the natural eyelid crease so that it will not be noticeable when it heals. The extra skin and fat are removed and the skin is closed with fine stitches. In lower eyelid surgery, Dr. Ebroon usually makes a hidden incision on the inside of the lower eyelids. This method, called a transconjunctival blepharoplasty, is ideal for patients who have excess puffiness of bulging underneath their eyes. Dr. Ebroon may also make a hidden incision under the eyelashes of the lower lid. Excess skin is then trimmed away before the incision is closed. Under normal conditions, blepharoplasty (cosmetic eyelid surgery) of the upper eyelids or under eye bags takes about one hour. Surgery usually lasts one and
half to two
hours when surgery is performed on both the upper eyelids and the lower eyelid bags together.
Where is the Surgery Performed?
Patients interested in cosmetic upper eyelid surgery can choose between having their surgery in the off
ice surgery suite or in the surgery center. Dr. Ebroon only performs surgery in Medicare approved surgery centers like the
Lynn
Eye
Surgery
Center
or the
Westlake
Eye
Surgery
Center
. The advantage of the surgery center is that an IV is started and sedative medications are given (generally Versed, Fentanyl, and Propofol.) These medications put the patient into a twilight state that allows maximal comfort without having to be put to sleep. An MD anesthesiologist is present at all times to monitor a patient’s health and to ensure optimal care during IV sedation. The patients that choose surgery in the surgery center are generally those that would like to be as unaware as possible during the surgery, without having to be put to sleep.
On the other hand, patients can choose to have upper eyelid surgery in the office surgery suite. In order to maintain maximal patient safety, no IV sedation is given in the office surgery suite, althou
gh dose of oral valium can be given for relaxation. Patients do feel a slight discomfort when the eyelids are numbed with lidocaine. This process takes about 30-45 seconds. Once the lidocaine has been administered, patients are quite comfortable. The advantage of having surgery in the office surgery suite is that the patient is not charged a separate fee by the surgery center or by the anesthesiologist.
Patients who are interested in lower eyelid blepharoplasty or in brow lifts all have their surgery done in the surgery center. For these procedures the extra sedation in the IV is necessary for good patient comfort and an excellent surgical experience.
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Copyright 2005-Daniel Ebroon, M.D.
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Cosmetic Eyelid Surgery
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All Rights Reserved