Eyelid Surgery in Scottsdale & Avondale
Blepharoplasty is performed to correct sagging eyelids, bags beneath the eyes, and redundant skin folds. This surgical procedure involves the removal of excess skin and fat of upper and lower eyelids and is often performed in conjunction with other cosmetic procedures including facelifts, eyebrow and forehead lifts, and even dental implants. Blepharoplasy is performed in our licensed state-of-the-art surgical suite. Normally IV sedation is the technique of choice but general anesthesia is also available and recommended in rare circumstances.Both are very comfortable options. Pre-medication is utilized prior to surgery in order to minimize swelling and bruising after the operation.
Dr. Guyette will trace the natural lines and creases of your eyelid and make very fine incisions from the inner to the outer edge of the eyelid. Surgery of the upper eyelid is performed with the incision hidden in the fold of the lid. The incision is made below the eyelashes of the lower eyelid and excess fat and skin are removed in both. The amount of fat removed is determined by the degree of protrusion of fat prior to surgery. Small sutures are used to close the incision and special ointments and dressings are applied. The surgery can take up to 2 hours. In certain cases, lower eyelid incisions are made inside the lid. Laser may be used at the time of the Blepharoplasty to reduce wrinkles. The decision of where to place the lower eyelid incision is made based on the patient age, amount of excess skin and fat and elasticity of the skin.
If you think you may be a candidate for Eyelid Surgery, please call our office to schedule a consultation. Dr. Guyette will be happy to answer any questions you have about the procedure and our office.
Before Blepharoplasty (Eyelid) Surgery
Preoperative Instructions for Patients Undergoing Intravenous (IV) Sedation
- The patient may not have anything to eat or drink (including water) for six (6) hours prior to the appointment except to take normal medication or medication prescribed by our office.
- It will be necessary that you arrange to have a responsible adult accompany you to drive you home after your surgery. It is strongly recommended that you have someone in attendance with you at home following surgery.
- In order to place surgical monitoring equipment, we ask that your wear loose, comfortable, short sleeved clothing. We also ask that you do not wear contact lenses.
- Women, please arrive with your face free of make-up and mascara.
- If pre-operative antibiotics and medication to limit swelling have been prescribed, please take them as directed with a minimal amount of water.
- Do not take Vitamin E or Ibuprofen (Advil) or similar medication for two weeks prior to your surgery as these may increase bleeding and bruising. Tylenol can be taken.
Post-operative instructions after Eyelid Surgery
- For the first week it is best to keep your head elevated as this will minimize swelling and bruising. When you return home from surgery, sit in a reclined position with your head elevated with ice packs on your eyes. (20 minutes on, 20 minutes off). Crushed ice in a baggie or frozen peas will work well. Ice is helpful up to 36 hours after surgery. It is not necessary to stay up all night to change the ice packs. When sleeping, keep your head elevated above the level of your heart (you do not need to sleep upright). Extra pillows under your head or a blanket or two under your mattress will work well.
- Beginning the night of surgery, clean the eyelid incision 2-3 times per day. Dab the incision and stitches with a Q-tip soaked in 3% Hydrogen Peroxide, if dried blood is present. (if dried blood is not present, just use the soap and water) Then clean the incision and stitches with a Q-tip and liquid soap. Next, wipe the incision and stitches with a Q-tip and liquid soap and water. Dry the incision line and place a light coating of antibiotic or A&D ointment.
- Swelling and bruising are a normal response to surgery. Swelling usually peaks the second or third day after surgery, then begins to decrease. Most of the swelling will be gone by two weeks, but the remainder takes months to resolve. Bruising can last from 7-14 days. Taking the medications prescribed and following these instructions will help minimize swelling and bruising.
- Good Nutrition is very important in optimizing healing after surgery. Make sure you eat a well balanced diet.
- Light exercise, such as evening walks, can begin the day following surgery. Do not lift heavy objects, bend over, or return to strenuous activity until instructed by Dr. Guyette or his staff. On average, moderate exercise can begin 7-10 days after surgery, and vigorous exercise 3-4 weeks after surgery.
- If you are able to take Ibuprofen, take over-the-counter Ibuprofen (Advil, Motrin) 200 mg tablets, 3 tablets, 4 times a day, for 3 days after surgery. Do not drive for 4 hours after taking narcotic medications.
IF YOU HAVE ANY QUESTIONS REGARDING YOUR SURGERY OR YOUR RECOVERY, PLEASE CONTACT OUR OFFICE.
“On the night of my procedure, Dr. Guyette called me to see how I was feeling. I thought that was magnificent and it was greatly appreciated! I felt very cared for!” Gordon Stein