Sunday, September 9, 2012

Blepharoplasty Surgery (Eyelid Surgery)



Q: What is commonly involved in a blepharoplasty procedure?


A: Anesthesia: Upper Blepharoplasty procedures are commonly performed under general anesthesia. I find that patients are often most comfortable under general anesthesia during an eyelid surgery.

The Incision: Incisions are made in pre-existing eyelid creases. Occasionally, if the creases are at different heights, then creases are set to a level close to approximating each other. The incision is then typically closed with sutures, skin adhesives or surgical tape.

After Surgery: Some swelling or bruising may occur, but will subside. The result will be a refreshed, younger looking you.

Q: What is the recovery time for upper blepharoplasty?


A: I typically tell patients that if surgery is done on Friday, they are fine going back to work on Monday...meaning e-mails, cell phone, phone conference meetings, or paperwork. Typically, I prefer if patients wait for a full two weeks before performing any heavy lifting or straining.

Patients are instructed to sleep with the head of their bed elevated for 48 hours to reduce swelling. Bruising can occur and can be visible for anywhere from 3 days to 3 weeks.

There is usually one suture placed on each eyelid that is removed at approximately 5 days following surgery.

All patients are given pain pills such as Percocet or Vicodin. Typically, patients do not complain of any pain following upper eyelid surgery and can easily convert to Tylenol or Motrin within a day or two.

Tuesday, September 4, 2012

Facelift Surgery and CO2 Laser: A Powerful Combination

 
 

Facelift Surgery is one of the more commonly performed operations for facial rejuvenation. Facelift surgery focuses on improving several signs of aging. When the fractionated CO2 laser is used in combination with a facelift, the results can be quite dramatic.
1.       Of all the areas on the face associated with facial aging, the neck is almost invariably the region that patients would like corrected. As we age, the platysma muscle in the neck becomes more lax. As the muscle becomes more lax, a banding appearance appears on either side of the midline of the neck. One of the most important maneuvers in facelift surgery is to improve the appearance of these bands.
2.       Another common area on the face that patients would like to improve are the jowls. As we age, the cheek tends to fall. As the cheek falls, the skin and subcutaneous tissue tend to hand below the level of the mandible. In the mid-portion of the mandible, the retaining ligaments are loose. This areas tends to lead to an ill-dfined mandibular border.  When a facelift is performed, attention is placed on lifting this area of the cheek so that the border of the mandible can be more readily seen.