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| Blepharoplasty
(Eyelid Surgery) |
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Cosmetic eyelid
surgery is designed to improve
puffiness on upper and lower
eyelids and drooping of the
skin of the upper eyelids.
This operation also reduces
wrinkles around the eyes,
which can be further improved
by laser resurfacing. Stop
looking tired all the time! Eyelid surgery performed by a top Bay Area
cosmetic surgeon can make your eyes look larger and more alert. Call our
Bay Area cosmetic surgery
center today for a free
private consultation with Dr. Zandi.
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| Who
is a Good Candidate? |
| Anyone
who has any one or combination of the following: |
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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. When
they are an illusion caused by
excess puffiness, circles can be improved
with eyelid surgery. |
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Occasionally
sagging of the eyebrows can exaggerate
the droopy appearance of 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 Dr. Zandi your past and
present medical conditions and current
medications. 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 the use of artificial tear
drops or eye creams. You should reveal
any past surgeries, personal habits such
as smoking and drinking, or 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 the
consultation and physical examination, the
fees will be discussed with you by the
doctor and his staff.
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| 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, 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.
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 prescription
medication with a small amount of water
and brush your teeth the morning of
surgery. Wear a loose fitting shirt or
garment that does not pull over your
head when coming for surgery.
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 they will be available
when you arrive home from surgery.
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| The
Procedure: |
Eyelid surgery can be performed under
local anesthesia with conscious sedation
or under general anesthesia as an
outpatient. On the upper eyelid, the
incision is placed over the natural
folds so that it will be least
noticeable. The incision on the lower
eyelid can be placed below the lash line
or placed inside the lower eyelid
without any noticeable scar. Inside
incisions are made when no skin excision
is necessary and only puffiness is the
problem. Laser resurfacing of lower
eyelids can improve wrinkles when inside
incisions are used. However, laser
resurfacing cannot be performed on the
eyelids and around the eyes at the same
time, since doing so would increase the risks
of the operation. The procedure
takes approximately 90 minutes for upper and lower eyelids together.
The results of this
surgery are long lasting. Removal of fat
is fairly permanent, but excess
skin may recur after a while, depending
on lifestyle and individual hereditary
skin conditions.
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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 eyes with a lubricant
such as Lacrilube before sleeping.
There will be sutures and tape on the
eyelid. A slight fever and some bleeding
or oozing from the surgical site are
normal. You will have an appointment to
have the sutures removed in three to
seven days. Use of ice packs is
optional.
Social activity can be resumed in approximately
one week or so when the swelling and
bruising have subsided. 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.
You are encouraged to call the office
if you have any questions.
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| Fees: |
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Eyelid surgery fees are customarily
paid two weeks prior to surgery to
ensure the patient is sincere in her motivation. The fees include the
cosmetic surgeon's fee, the facility
charge for a private and fully
accredited Bay Area cosmetic surgery
center, and the anesthesiologist or
certified nurse anesthetist's fee, if
general anesthesia is used. Also
included are any laboratory tests
performed in the office, or use of
special equipment.
Insurance plans rarely cover cosmetic
surgery, but please feel free to ask the
office staff if you have any questions
in that regard.
We understand that the decision to
undergo eyelid surgery is a major one, and we are here to
address your concerns and questions.
Please call our cosmetic surgery center
near San Jose to talk to knowledgeable
staff or to set up a free private
consultation about your specific
procedure. Dr. Zandi is a top-rated,
board certified Bay Area cosmetic
surgeon whose eyelid surgery patients come from all
over the greater San Jose and San
Francisco regions.
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