Blepharoplasty at Las Vegas Laser And Lipo
The Eyelid Aging Process
As your skin ages, it gradually loses its elasticity. This lack of “snap-back”, combined with the constant pull from gravity and thinning of both the skin and underlying tissues over time, causes the redundant skin to gather in and around the upper and lower eyelids. Excess skin on the lower eyelid causes wrinkles and bags, while an extra fold of skin on the upper eyelids can hang over the eyelashes and obstruct vision. Fat that cushions and supports the eye can also bulge – or appear to bulge forward because the surrounding brow and cheek fat have receded and deflated. Membranes that hold fat in place weaken and stretch with age, allowing the fat to protrude forward and down into the lids and cheeks.
What is Blepharoplasty?
Sometimes called an eye lift, this surgical procedure involves the removal of excess skin, muscle, and underlying fatty tissue from the area around your eyes. While it’s primarily a cosmetic procedure, an eye lift is also an effective method for improving obstructed vision in older patients with sagging upper eyelids. Having severely baggy skin around your eyes not only makes you look older, but it can also impair your peripheral vision.
Blepharoplasty at Las Vegas Laser And Lipo can reduce or eliminate such impaired vision and restores a youthful appearance to the eye area, helping you to look more rested and alert. It’s true that your eyes are the windows to your soul, and eyelid surgery can dramatically rejuvenate your appearance and improve the symmetry of your lids. Blepharoplasty at Las Vegas Laser And Lipo is sometimes performed at the same time as a brow lift, face-lift, volume enhancement or laser skin resurfacing. Laser resurfacing or chemical peels may be used to decrease the dark discoloration and tighten the thin, creepy skin of the lower eyelids.
Blepharoplasty is felt to be a safe and proven operation for carefully selected patients, treated appropriately by experienced physicians. Because of its relatively modest cost and rapid recovery, many individuals choose blepharoplasty as one of their first elective, surgical rejuvenation procedures. Other patients need eyelid surgery to pull or push the edge of the lids tighter against the eye to restore proper lubrication and help treat “dry eye” syndrome.
Are You a Good Candidate for Eyelid Surgery?
Optimal candidates for an eye lift are patients with good physical and mental health who have realistic expectations and a positive outlook. The treatment works best for healthy, non-smoking individuals who do not have life threatening illness, serious eye conditions or other medical conditions that can impair the healing process.
Most patients are 35 years or older, but if baggy or droopy eyelids are hereditary, you may decide to have the surgery at a younger age. Eyelid surgery can enhance your appearance and help build your confidence. It will not alter your facial structure, however.
Eyelid Surgery Consultation
A consultation with your surgeon is necessary to decide whether the procedure is able to offer you the benefits you’d like. Your surgeon will ask questions about any medical conditions you may currently have or have had in the past. Tell your surgeon about your current prescriptions, over-the-counter medications and any herbal supplements you may be taking as some of them may cause bleeding problems.
A physical examination will be performed to test your tear production and take measurements of your eyelids. Your eyes will be photographed from different angles. These photos help with planning the surgery and assessing its immediate and long-term effects.
An honest discussion with your surgeon will help set the stage for a satisfactory outcome. You should be prepared to talk about your motivation for seeking this procedure, and what you hope the results will be. Your surgeon can tell you whether your expectations are consistent with typical results.
Blepharoplasty is most commonly performed under local anesthesia with oral sedation in our Las Vegas office operating room, and takes a few hours for upper and lower eyelids. Cosmetic eyelid surgery requires a demanding level of precision and it is important for the surgeon performing blepharoplasty to have patient feedback in real-time. Having you awake or lightly sedated during the procedure actually works to your advantage and is helpful to your doctor.
Local anesthesia also makes it much easier for your surgeon to avoid an unexpected or undesirable result. Be assured that you can comfortably undergo blepharoplasty without having to contend with the added risks, disadvantages, and cost of a full general anesthesia.
Dr. Zimmerman has successfully performed hundreds of blepharoplasty surgeries in Las Vegas since his initial training at the Jules Stein Eye Institute in the early 1990’s. He performs blepharoplasties with a Super Pulse, CO2 Laser. The CO2 Laser has some distinct advantages over traditional scalpels and scissors. Laser incisions tend to bleed less because the Laser seals small blood vessels and nerve endings as it cuts. This may also reduce inflammation, bleeding and discomfort after the operation. About 30 percent of blepharoplasties in the US are performed with laser for these reasons, even though laser technology is a significant additional expense to the physician.
Correction of the upper eyelid requires an incision which follows the natural fold of the eyelid and allows for the tailoring and repositioning of fat deposits and tear glands, tightening of muscles, and removal of excess skin. The incision is closed with tiny stitches, surgical tape or skin adhesives that leave a nearly invisible scar over time.
Through a procedure known as laser assisted, trans-conjunctival blepharoplasty, under eye fat removal is achieved through an incision just inside the lining of the lower eyelid without creating an external scar. Lasers can also be used (with different parameters) to tighten skin and improve wrinkles under the eye or the whole face and neck.
Recovery after Eyelid Surgery
You will be in recovery/observation for a brief time after your surgery then discharged to convalesce at home. A lubricating ointment is prescribed for a week or two after surgery to protect your eyes and prevent dryness. This ointment may cause temporary blurred vision. You may also experience excessive tearing, light sensitivity and double vision just after the surgery.
The post-operative effects are minimal and temporary. Stitches are usually removed within a week. Minor swelling, bruising and discomfort should disappear within two weeks. Ice packs or cold compresses will help alleviate these side effects. Pain is usually minimal and you may be given a pain reliever, such as acetaminophen, for mild discomfort.
The results of eyelid surgery are progressively seen, as swelling and bruising subside, to reveal a smooth, better defined eyelid and surrounding region, along with an alert and rejuvenated appearance. Scars from the incisions may take several months to fade. Many patients express great satisfaction with the results of blepharoplasty. They once again appear youthful and rested which enhances their self-confidence and appearance.