The eyes will often be left uncovered. Sometimes a dressing will be placed over the eyes: if both eyes have been done then one eye will be uncovered after an hour, prior to going home. Any remaining eye pad should be removed the next day. Once you are home you should rest for the next 24 hours.
If you have had sedation, do not drive, operate machinery, take alcohol or sedative drugs for 24 hours. It is advisable to keep the operated area relatively dry for 7 days although showering is permitted after 48 hours. This is normal and may get worse in the first hours before it starts to get better.
Icepacks or frozen peas wrapped in a hand towel can be used to help reduce the swelling. Hold the icepacks over the closed eyes for 10 minutes and repeat hourly for the first 3 days.
The bruising and swelling often takes weeks to settle. There is usually no significant pain and most patients find panadol or panadeine is all that is needed for any discomfort. Take 2 tablets every 4 hours as necessary maximum of 8 in a day. Do not be worried if the lids look too low or too high or have an odd shape in the first week while they are swollen as this usually improves over a few weeks.
Your vision may be slightly blurred in the first couple of weeks while the lids are swollen: this will improve once the swelling settles. This form of blepharoplasty can also be called levator advancement. After they make an incision in the front of the eyelid skin, they shorten the levator muscle by reattaching it to the tarsus — the connective tissue inside the eyelid.
After post-operative recovery, the patient should be able to lift the affected eyelids to a much more normal height. The external approach is often performed under sedation instead of general anesthesia, similar to what you might expect during a root canal or wisdom teeth removal.
Internal levator resection surgery can be similar to external surgery but with a different way of accessing the eyelid muscles. Instead of operating through the top-side eyelid skin, the surgeon shortens the muscle from the underside of the eyelid.
Like the external approach, the internal approach can also be performed under sedation, but the surgeon may opt for general anesthesia instead. During frontalis suspension, the levator muscle is not targeted. Instead, a tiny silicone sling is used to connect the eyelid to the muscle above the eyebrows called the frontalis muscle.
This ensures comfort during the entire procedure. During the procedure, Dr. Baylin will need brief cooperation from the patient to ensure proper tightening of the eyelid muscles.
On average the procedure lasts about an hour. Recovery from surgery will involve swelling, bruising and mild discomfort. Ptosis is the drooping of the upper eyelid. While it is usually the result of aging, some people develop ptosis after eye surgery or an injury and sometimes the condition is congenital. Because ptosis may be present due to serious causes, patients with this disorder should be checked by a doctor. Ptosis typically results from a weakening in the muscle responsible for raising the eyelid or from damage to the nerves that control the muscle.
A droopy eyelid can sometimes occur after eye surgery, trauma, or long-term use of hard and sometimes soft contact lenses. In some cases, ptosis may simply be caused by drooping eyelids or loose eyelid skin on the upper eyelid. Occasionally the reason for ptosis can be more serious. As well as being a congenital disorder or as a result of injury or surgery, ptosis may be caused by:.
In rare instances, ptosis can occur due to a brain tumor or other malignancy that affects the reactions of muscles or nerves. Ptosis is typically diagnosed by an ophthalmologist, who can also determine the cause of the problem. In order to perform a comprehensive eye examination, the doctor may test your visual acuity, perform visual field testing, a slit-lamp examination, and, possibly, a tension test for myasthenia gravis.
If there is a suspicion of an underlying systemic disease, you will be referred to an internist or another physician for further investigation.
Ptosis appears as the drooping of one or both eyelids and often one or more of the following symptoms:. As ptosis caused by aging is usually gradual, a sudden onset of symptoms is greater cause for concern. Droopy eyelids may be treated for cosmetic or medical purposes.
Severe drooping may obstruct vision as the eyelid gradually droops lower and lower, eventually covering the eye. If ptosis interferes with your vision, a blepharoplasty will be performed to eliminate the drooping. Young patients with mild to moderate ptosis should be examined regularly to check for other vision problems including amblyopia, refractive errors and muscular diseases.
As a Board-Certified Oculoplastics and Reconstructive Surgeon who specializes in performing non-surgical facial rejuvenation treatments and cosmetic eyelid tightening surgery, Dr. Baljeet Purewal has the artistic vision and extensive knowledge of facial structure as well as the skills necessary to provide you with beautiful, natural-looking results from your eye skin surgery. Further diagnostic testing may be required.
If the drooping is secondary to a mechanical issue, such as a stretching or disinsertion of the muscle, there are two different types of surgeries we can consider.
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