Tuesday, April 16, 2024

Before And After Double Eyelid Surgery

How Do The Doctors At Eyesthetica Approach Double Eyelid Surgery

Getting Upper Blepharoplasty (Eyelid Surgery)

Our doctors at Eyesthetica are aware that there is not a standardized approach to double eyelid surgery, because no two people have the exact same anatomy. Before surgery, our doctors examine your eyelids carefully to document the presence of a crease, crease asymmetry between sides, segmented creases, or multiple creases as this is important to surgical planning. Our doctors are aware that the Asian ideal aesthetic may be different from Western ideals. Some of our doctors have spent time training in Seoul, South Korea, to work on perfecting the latest techniques that may fit your aesthetic ideal. Our doctors believe in customizing minimally-invasive techniques to your specific goals and aesthetic preferences.

What Is The Surgery Like

Most patients have surgery in our office. This method is performed using a local anesthetic with no sedation given. This makes for a quick recovery, and limits any sedation-related risk. Some patients may choose to do surgery in an operating facility under mild sedation. This sedative will relax you during your surgery and local anesthetic will also be used to numb your eyelids.

Prior to beginning surgery, Dr. Dewan will confirm the surgical plan with you. Once the surgery begins, Dr. Dewan will carefully place marks on your eyelids for surgery and then numb them using a local anesthetic. You may be asked to open and close your eyes a few times to ensure evenness during surgery, and then sutures will be placed to close the incision. Dr. Dewan will place a bandage over the incisions and you will have a post-operative visit 1 week after surgery.

Incisional Double Eyelid Surgery

Traditional double eyelid fold creation relies on an incision along the line of the desired eyelid crease. The advantage of this technique is in its versatility. By creating an incision, Dr Ahn is able to reduce skin excess and remove excess muscle and orbital fat that is preventing upper eyelid fold creation.

Assessment of whether this technique is suitable for you is conducted during your consultation. If you have concerns about your eyelids feeling heavier or blocking your vision, or have always disliked how puffy your eyes appear, chances are that you may require an incisional Asian blepharoplasty by Dr. Chris Ahn. Although less common in younger patients, due to its ability to adjust multiple factors in the upper eyelid, the incisional double eyelid surgery can sometimes be the best choice for you to achieve beautiful, natural eyelid shape with permanent results.

Unlike the non-incisional technique, the reason that incisional surgery is permanent is that it creates an adhesion plane between the skin and the deep tissues of the upper eyelid that forms a tether point for the upper skin to fold over thereby creating an eyelid crease. This adhesion is created through your body’s own healing from the surgery and therefore does not rely on a suture only to create the fold. Sutures inevitably will fail with time, whereas these adhesion tether points are permanent and will not fail. The technique allows scar formation between the skin and the tarsal plate

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Upper Blepharoplasty & Lower Blepharoplasty

There are two main areas where a blepharoplasty is performed. They can each be performed in conjunction with one another or only as a single procedure when needed.

Upper blepharoplasty is performed to the upper eyelid and involves removing the extra skin or tissue of the upper lid, which causes a heavy type of appearance to the eye.

Lower blepharoplasty targets loose skin, prominent wrinkles, and excess fat of the lower eyelids. Patients who suffer from these issues often appear tired, even when they are not, or older than they really are.

Will Eyelid Surgery Lead To Scarring

Double Eyelid Surgery in Korea for bigger, well

The scars that result from eyelid surgery are apparent only during the time when the eye is either swollen or bruised. This usually happens a few days after the surgery. Once the swelling/ bruising subsides, the scars begin to heal and eventually become invisible.

However, the quality of care that follows the surgery highly determines the permanency of the scar. If you take adequate care, follow the post operative instructions given by the doctor, you can expect invisible scars.

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Is Double Eyelid Surgery Painful

There is no pain or discomfort during the procedure since its performed under local anesthesia with LITE IV sedation. Our patients tell us when they wake up from LITE IV sedation anesthesia that they feel wide awake and rested. During surgery, the patient will be asked to open their eyes to see how the eyelid crease has formed, usually sitting up under normal gravity, to ensure best results.

How Is Blepharoplasty Performed

When you come in for your blepharoplasty Bellevue facial plastic surgeon Dr. Yirae Ort will first analyze your eyelids and under-eye exam in order to make a professional recommendation. Blepharoplasty can be performed using local anesthesia and IV sedation for your comfort. It involves making an incision along the natural creases of the upper eyelids, and just beneath the lash line of the lower eyelids.

Dr. Ort offers scarless eyelid surgery to address the bulge under the eyes. Stitches are typically removed 5-7 days after the surgery. Once healed, most patients have no visible scarring, and easily conceal bruising or incisions during their recovery.

For patients undergoing double eyelid surgery, the incision or approach may vary slightly. Youll be able to discuss any details with Dr. Ort during your consultation for blepharoplasty in Bellevue to ensure that you are fully prepared and understand the blepharoplasty approach.

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Showering And Applying Makeup

You can take showers from the neck down any time after your surgery. Dont take full showers until your surgeon tells you its safe to do so. This is usually 5 days after surgery. You may gently wash below your eyes with wipes or a soft washcloth. You can use dry shampoo for your hair. Once you can take full showers, you can wash your eyelids and shampoo your hair with mild products, such as baby shampoo.

Dont apply creams or makeup to your surgical sites for 2 weeks after your surgery. You can use creams and makeup on the rest of your face.

How Much Does Eyelid Surgery Cost

Double eyelid and Epicanthoplasty surgery experience | Korea

The cost of eyelid surgery varies with what needs to be done and the type of anesthesia utilized. Standard eyelid surgery includes the removal of excess skin and fat, but sometimes there are other problems that require correction.

If the upper eyelids sag and threaten to block vision, additional surgery may be performed to tighten the muscles that open the eyelids. If the lower eyelids have poor tone, a lid shortening procedure may be needed to prevent the eyelid from moving away from the eye.

If the eyelids are aging together, often the upper and lower blepharoplasty can safely be performed together. This can provide a cost savings. An exception is patients with dry eyes prior to surgery. In these cases, the upper and lower eyelid procedures should be separated to decrease the risk of chronic dry eyes.

Local anesthesia costs less than general anesthesia. So having the procedure under local can save you money, but only if you can tolerate it. Local anesthesia means you are awake. Sedation can be added to help you relax. This is given intravenously just before the numbing-up process. For your safety, IV sedation requires careful monitoring.

It is important to note that sedation does not mean asleep. If you want to be asleep, general anesthesia is the better option for you. Patients who are extremely nervous do better with the help of an anesthesiologist. In general, half my patients prefer sedation and half prefer general anesthesia.

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Know More About Eyelid Surgery

Upper blepharoplasty surgery uses incisions to remove skin and fat. A thin stitch is then used to bring the skin together to create an eyelid crease.During lower eyelid surgery your doctor will make cuts in the lower eyelid and then remove excess skin and fat. Then he or she will sew the skin back together to create a smoother, lifted look.

Take a look at our eyelid surgery before and after photos to get an idea of the dramatic results you can achieve.

Upper And Lower Eyelid Surgery Reduces Puffiness

This lovely lady who is in her 30s was unhappy with the puffiness in her upper and lower eyelids. Some patients have genetic excess of the fat pads around their eyes and that becomes evident at a young age, like in this lady. This patient underwent upper and lower eyelid surgery which gave her a more refreshed and yet natural result. The pictures are before surgery and 6 weeks after her surgery.

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How Long Does Double Eyelid Surgery Last

The results of double eyelid surgery can last 5-10 years, or even longer. There are factors that determine the longevity of results, such as age at the time of surgery. The results of a patient in their 30s will last longer than a patient who had their surgery in their 50s because aging factors, like eyelid skin stretching, and fat accumulation behind the eyelid, would be slower for a younger patient than an older one.

What Is Suture Degradation

Double Eyelid Surgery in Korea for bigger, well

The sutures used in DST can deteriorate over time owing to regular wear and tear even though they are strong, non-absorbable sutures made to form the eyelid crease.

It usually takes place many years after the treatment and is not always the case. By that time, scar tissue should have formed sufficiently to retain the eyelid crease, and the appearance of your double eyelids should have hardly changed.

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What Are The Temporary Side Effects Of Eyelid Surgery

There are a few complications that you might have to face in the days the following an eyelid surgery. However, they are all temporary and can be dealt with, without the assistance of a doctor.

  • Difficulty in closing the eye when sleeping. The incision can feel itchy or dry.

Additionally, a number of risks relating to the procedure should also be acknowledged. These include:

  • Changes in sensation

To treat the temporary risks, apply ice on the affected area and keep the head elevated. In addition, do not exert the eye by reading or focusing on a screen. Do not smile or exercise your facial muscles it can cause bleeding. In case you experience any of the risks such as bleeding, get in touch with your doctor right away.

Performed By Philadelphia Surgeon John Jw Lee Md

Procedure performed:REVISIONDouble Eyelids or Asian Crease Surgery Approx. procedure time: 2.0 hrs Description: This patient had surgery in Korea and was not happy with the unnaturally high and harsh/very deep crease. The previous surgeon also removed too much fat and caused a sunken look that is not aesthetically pleasing especially for a man. Fortunately, the patient had some excess skin so Dr. Lee was able to remove the scar created by the previous surgery, lower the crease height and also relocate fat around the eyes to the crease line to help resolve the sunken appearance. The result is a crease height that is more appropriate for an Asian anatomy and a softer more natural appearance.

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What Is The Post

  • There might be some lingering effects of sedation after the surgery. Make sure that there is someone to take you to your hotel after the surgery. Additionally, do not drive or make major decisions for at least 24 hours after the surgery.

  • The eyelids tend to get swollen and bruised after the surgery. This subsides naturally during the recovery stages, but you can facilitate the process by applying ice cubes and keeping your head elevated.

  • Sometimes, there is discolouration around the surged area, or even in the white of the eye. This condition doesnt cause any pain or impair vision and subsides naturally in a week to ten days.

  • Avoid bending, straining the eyes, or lifting heavy objects till week 1 stage of the healing. Do not smile or yawn excessively. This can cause unnecessary strain on the muscles around the treated area or cause the stitches to open.

  • Sleep in an upright position and keep your head elevated. Use extra pillows for the same.

  • In case you experience pain, take doses of Tylenol or any other after care medication prescribed by the doctor. Do not take aspirin, motrin or aleve. These can increase bleeding.

Will Insurance Pay For Asian Blepharoplasty

Asian Blepharoplasty (Monolid to Double Eyelid Surgery)

Insurance companies have specific criteria for covering upper eyelid surgery. These criteria include specific eyelid measurements and documentation of vision blockage. A visual field test will be performed by Dr. Dewan to measure any blockage of vision. These findings are sent to your insurance company for approval following your consultation. If you meet their requirements, your insurance company will cover your operation. Typically, epicanthoplasty is not a covered procedure, and other cosmetic surgeries, such as lower eyelid blepharoplasty are not covered by insurance. Dr. Dewan is happy to provide a cost estimate for you regarding any surgery that may be cosmetic.

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What Is Asian Double Eyelid Surgery

Double eyelid surgery or “Asian blepharoplasty” creates an eyelid crease resulting in a larger and more symmetric, almond-shaped eye. The height from your upper lash line to the new eyelid crease is customized to your preference and existing anatomy.

Typically, individuals of North Eastern descent prefer a smaller eyelid height ranging from 3-6 mm. Whereas, individuals of South Eastern descent prefer a taller eyelid, ranging from 7-10 mm. Fat removal and excision of excess eyelid skin may also be necessary to achieve optimal results.

This procedure may also be performed with an epicanthoplasty, where the inner corner of your eye is extended medially towards your nose. The combination of these two procedures will lengthen the width and height of your eyes to enhance aesthetic appearance.

How To Get Rid Of Droopy Eyelid

A number of factors can result in the weakening of eye muscles which lead to sagging upper eyelids or under eye bagginess. With increasing age, eye muscles get fatigued causing loose folds in the eye lids. This loosened skin impairs the vision. This also results in difficulty while wearing contact lenses. Other medical conditions include irritation due to excess folds of eyelid skin rubbing together or forehead discomfort from the overused muscles holding the sagging skin.

An Eyelid Surgery can cure droopy eyelids.

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Upper Vs Lower Vs Double Eyelids

As mentioned, you can have this procedure done on one side of the eyelids or both, which is usually recommended to get a more balanced appearance.

  • Upper eyelid surgery
  • this is mostly done to address sagging or baggy upper eyelids. The eyelids can be causing vision loss, and often can even be paid for with insurance if the loss is dramatic enough. It also tends to make the biggest difference in opening up the eye.

    2. Lower eyelid surgery

    this procedure is done to remove wrinkles and sagging happening on the lower eyelid. It can be very effective at reversing the appearance of aging and exhaustion of the eyes. Because the lower eyelids usually do not cause vision loss, this procedure is generally not covered by insurance.

    3. Double eyelid surgery

    this surgery is both of the previous surgeries combined, and is often the most popular choice for patients. This way all concerns of aging signs around the eyes are addressed and a balance is achieved between both eyelids. If you are hoping to change your monolids to double eyelids this is also the preferred route for surgeons to take.

    Upper Blepharoplasty Upper Eyelid Lift Surgery

    Double Eyelid Surgery in Korea for bigger, well

    Blepharoplasty of the upper eyelids is often called upper blepharoplasty. While a variety of problems can be improved with upper eyelid surgery, the most frequent correction is the removal of excess skin. Upper blepharoplasty removes the redundant skin that accumulates on the upper eyelid and allows for a more awake and youthful appearance. Too much upper eyelid skin makes us look tired and inattentive. If you wear eye makeup, you know this extra skin can rub and distort even the most carefully applied cosmetics.

    Upper Blepharoplasty

    A thin, curved incision is made in the upper eyelid fold to remove extra skin. The removal is performed so that the closure will hide in the arch of the normal fold, and not be visible with the eye open. The upper eyelid has the thinnest skin on your body, so this incision normally heals quickly and is usually difficult to detect.

    Upper blepharoplasty can also be combined with ptosis surgery. Ptosis surgery is designed to correct an eyelid that droops down to, and sometimes over, the pupil, blocking vision. While too much upper eyelid skin can sometimes weigh the eyelid down and block peripheral vision, ptosis may be caused by stretching, weakness, or detachment of the main muscle that opens the upper eyelid. It is important to be checked for ptosis as part of your blepharoplasty consultation.

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    Do You Get Anesthesia For Double Eyelid Surgery

    The procedure is performed under local anesthesia with intravenous or IV sedation . Our patients are comfortable and appreciate being able to avoid general anesthesia.When appropriate, Dr. Prasad will have select patients open their eyes during the surgery to see how the eyelid crease has formed. This allows Dr. Prasad to adjust the procedure for best results.

    Patient Reviews on Asian Double Eyelid Surgery

    What Happens During Double Eyelid Surgery

    Before your surgery, youll meet with your doctor to discuss the look youd like to achieve and learn about any unique surgical issues based on your anatomy. The better idea you have about what youre trying to accomplish, the more helpful it is in making a surgical plan, says Nashville oculoplastic surgeon Dr. Brian Biesman. There are different types of upper-lid creases, and there may be cultural preferences for the look of the crease.

    To help guide your surgeon, bring in photos that show your desired outcome. This can be a good starting point, especially if you have some features in common with the person in the photo, says Dr. Lay.

    The surgery is performed on an outpatient basis, meaning you’ll go home afterward. Prior to the procedure, your surgeon carefully measures and uses a pen to mark the best place on your upper lid for a natural-looking crease.

    Theyll give you local anesthesia, to numb the area completely, and theyll sedate you so that you feel relaxed and comfortable. You should feel only minimal discomfort during the procedure, which typically takes about an hour.

    Your surgeon will use one of these techniques to create the crease.

    Youll be able to walk out on your own after your surgery, but youll be groggy enough that you will need to have a friend or family member accompany you home. Expect to take it easy that first day.

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