Eyelid surgery is performed in a certified operating suite with either local anesthesia, intravenous sedation, or general anesthesia. The upper eyelid blepharoplasty utilizes incisions that can be concealed within the natural structures of the eyelid. The lower eyelid may be corrected with an incision below the lower lash line. In addition, a trans-conjunctival approach is an alternate technique that allows the incision to be hidden inside the lower eyelid. This technique allows redistribution or removal of excess fat; however it does not allow for removal of excess skin. It is important that you work with your plastic surgeon to choose the best option for you depending on the outcome you wish to achieve. The goals of facial surgery are to produce a more rested and refreshed appearance through repositioning or removal of excess fat and removal of excess skin.
During the Preparation
Disclose medical conditions such as hypertension and any thyroid problems. Discuss your health related to your eyes such as glaucoma or dry eye syndrome. It is important to work closely with your plastic surgeon. Be prepared to discuss your expectations and desired outcome. Make sure all of your questions and concerns are addressed. Aspirin, Motrin, non-steroidal anti-inflammatory medications, and some over-the-counter herbal medications must be discontinued at least 2 weeks prior to surgery. These and other drugs and substances may cause excess bleeding and bruising. You can usually begin taking them again after a week or so. Your plastic surgeon will discuss this in detail with you and you will also be given a sheet with a list of common medicines to avoid for a short period. Your plastic surgeon will detail the risks associated with neck lift surgery.