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| Dr.
Zandi has a great deal of experience with
cosmetic surgeries performed on Asians and
has been performing them since 1974. |
Blepharoplasty
(Eyelid Surgery)
Cosmetic Surgery of Asian Eyelids |
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| Most
Oriental have single eyelids.
It means that there is no
fold on the upper eyelid to
divide it into two sections,
which is usually seen in Caucasians
called double eyelids. The
Oriental eyelid operation
is also called double eyelid
procedure. |
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| Who
is a Good Candidate? |
| Anyone
who has any one or combination of the following:
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No
fold on the upper eyelid. (Single
eyelid) |
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Drooping
of the skin of the upper eyelids. |
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Puffiness
on upper and lower eyelids. |
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Circles
around the eyes can be caused by pigmentation
changes in the skin and may be improved
by bleaching solutions or chemical
peel. It can also be illusional due
to excess puffiness, which can be
improved with this operation. |
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Occasionally
sagging of the eyebrows can exaggerate
the saggy upper eyelids. In this situation,
a brow lift is recommended. (See Brow
Lift or Forehead Lift Procedure) |
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| Private
Consultation: |
During
your initial consultation you will discuss
with your plastic surgeon your past and
present medical conditions and current
medications used. He should be made aware
if you have hypertension, thyroid problems,
diabetes or if you may be pregnant. It
is of utmost importance for the surgeon
to know if you have a condition called
"dry eyes" so he can prevent
complications with use of artificial tear
drops or eye creams. You should reveal
any past surgeries, personal habits, such
as smoking and drinking or if you have
any allergies to medications. A physical
examination will be performed and preoperative
photographs will be taken. You may be
shown before and after photographs. Lab
tests, x-rays or EKG may be ordered depending
on your general health. At the conclusion
of your consultation and physical examination,
the fees will be discussed with you by
the doctor and his staff. Translator and
transportation are provided upon request |
| Preparation: |
Stop
all non-prescriptive medication, diet
pills, herbs, and garlic two weeks before
surgery.
It is advisable to stop smoking two
weeks prior to and two weeks following
surgery. Do not drink any alcoholic
beverage two days prior to and one week
following surgery.
Avoid taking aspirin
and aspirin
containing products such as Advil and
avoid garlic and garlic products two
weeks prior to surgery. These products
can prolong bleeding and increase bruising.
Tylenol may be taken during this period.
For a period of two days before surgery
you wash your face, neck, chest, scalp
and hair for 15 minutes twice a day
with Betadine soap. An additional wash
should be done right before the surgery.
No skin product should be used two days
prior to the surgery. You may wear regular
make up or skin care products following
these washes, except the last wash before
surgery, when no make-up or skin care
products should be used. Do not eat
or drink anything after midnight before
surgery. You may, however, take prescriptive
medication with a small amount of water
and brush your teeth the morning of
surgery. Wear a loose fitting blouse
or dress that does not pull over your
head when coming for surgery. Loose
sweats are recommended as you will be
in a compression garment after surgery
and they may be difficult to get on.
Do not wear jewelry or bring valuables.
Please plan to have someone bring you
to and take you home from the surgical
facility and stay with you the first
24 hours. Notify the office staff of
this person's name and his or her telephone
number prior to surgery.
Have all prescriptions filled a few
days before surgery, so it will be available
for you when you arrive home from surgery.
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| The
Procedure: |
The
difference between double and single eyelids
is that there is no connection between
the muscle that opens the eyes and the
skin. Double eyelid operation includes
removing excess loose skin, excess fatty
tissue causing puffiness, and making the
connection between the system that elevates
the upper eyelids and the skin forming
the proper fold. Correction of puffiness
on lower eyelids in Orientals is the same
as in Caucasians and may be performed
through an incision below the lashline
externally or through an internal incision
on the inner portion of the lower eyelid
with no visible scar. The operation of
upper and lower eyelids in Orientals may
be performed at the same time. The length
of the surgery for all four eyelids is
approximately 1 1/2 hours. Patient may
be discharged approximately two hours
following the surgery. No bandage is necessary.
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| Postoperative
Care: |
Rest
with your head elevated on two or more
pillows the evening after surgery.
It
is of utmost importance to lubricate the
globes of the eyes with lubricants such
as Lacrilube before driving before sleeping.
There will be sutures and tape on the
eyelid. You may notice some bleeding or
oozing from the surgical site, this is
normal. A slight fever is normal during
the first few days following surgery.
You will have an appointment to have the
sutures removed in three to seven days.
Use of ice packs is optional, but not
necessary.
You
are encouraged to call the office if you
have any questions.
Make
up can be worn one week following surgery
after the sutures are removed.
Social
activity can be resumed in approximately
one week or so when the swelling and black
and blue are mostly gone and you can wear
make up. You may return to work after
one week. Traveling is allowed after two
or three weeks. Driving is allowed after
3 or 4 days providing you do not use Lacrilube
before driving, which may cause temporary
blurred vision. |
| Fees: |
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It
is customary that the fees for surgery
to be paid two weeks prior to surgery.
This assures that the patient is sincere
in his or her motivation. The fees include
the surgeon's fee, the facility charge,
which is private and fully accredited
with high tech equipment, and anesthesiologist
or certified nurse anesthetist, if general
anesthesia is used. Also included in the
fees are any laboratory tests performed
in the office, use of special equipment
such as laser, etc. It is very rare that
insurance plans cover cosmetic surgery.
Please feel free to ask the office staff
if you have any questions in that regard.
We
understand this is a very important decision
in your life and you would like to do
this for yourself. In your private consultation
with Dr. Zandi, who is a Board Certified
plastic surgeon, you may discuss your
needs and also obtain additional information.
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