Eye bags occur when the fat around the eyes droops or sags, making the eyes look swollen or puffy. While there are quite a number of cosmetic products and devices that claim to be able to fix eye bags, a surgical procedure will still be needed to address serious cases. In Dr. Amiya Prasad’s practice, special attention is always given to ensure that the patient recovers well and heals fast after lower eyelid blepharoplasty.
In some cases, eyes can look tired due to droopy upper eyelids and puffy under eye bags. As a practicing cosmetic Oculofacial plastic surgeon with experience that spans over 20 years, Dr. Amiya Prasad has attended to many corrective surgery cases, restoring not only the look of the eyes but their overall condition as well.
Dr. Prasad emphasizes that surgery of the eyes has a substantial influence on the function and health of eyes, and it is important that patients seek out an experienced surgeon to do the task. It is easy to be swayed by impressive terms like “Board Certified Plastic Surgeon”; however, one must keep in mind that this alone is not suggestive of any specialized training or proficiency in the area. Dr. Prasad recommends patients to do their own research and seek out a surgeon with expertise in eye surgery, artistic skill, and wide-ranging experience.
In Dr. Amiya Prasad’s practice, blepharoplasty is performed with intravenous LITE™ IV sedation, which permits patients to experience speedier recovery periods.
Upper eyelid blepharoplasty addresses problems of the eyelid crease, as well as extra skin that may be present on the eyelids. In some cases, fat and soft tissue can be added and sculpted into the area to improve the overall appearance of the eye.
Lower eyelid blepharoplasty deals with droopy, swollen and tired-looking skin under the eyes. This procedure can be executed either from a transcutaneous approach (from the outside) or a transconjunctival approach (from the inside).
When contemplating which type of procedure to have, make sure you choose a surgeon with advanced eyelid surgery skills as lower eyelid surgery can adversely affect the lower eyelid if not done properly.
Aside from the typical risks associated with surgery, such as bleeding and infection, there are risks involved in eyelid surgery that can affect the function and health of the eyes and could lead to complications. These complications may include: (1) drooping of the upper eyelids after surgery, (2) skin shortage that prevents full eyelid closure, (3) unwanted scarring, (4) lower eyelid retraction, and (5) ectropion. Other complications may also include dry eyes and corneal ulceration.
Before having eyelid surgery, make sure to have a full proper medical and physical examination of the eyes in order to lessen the risk of complications. A full examination should include a proper diagnosis of any existing eye issues such as ptosis or lacrimal gland prolapse.
To minimize any post-operation scarring, detailed planning, a minimally traumatic surgery and immediate post-operative care are necessary. When performing lower blepharoplasty, Dr. Amiya Prasad favors the transconjunctival approach, so as not to create any external incisions on the skin. A certain level of artistry is required when addressing excess skin on the upper eyelid, as these incisions need to be positioned in such a way that even when the eyes are closed, they are scarcely noticeable. At the end of the surgery, Dr. Prasad chooses an optimal suturing technique and makes use of an advanced wound healing mixture (platelet-rich plasma or PRP), in order to speed up the healing process. This combination, along with proper home aftercare, helps patients recover quicker with less scarring.
In preparation for eyelid surgery, patients must remember to disclose the following information to their surgeon: (1) the patient’s overall health (prevailing conditions, ailments, prescriptions or supplements) and (2) if they have or had any eye ailments such as dry eyes or blepharitis. It is important to first address these conditions before undergoing surgery in order to prevent any further complications. Keep in mind that the more detailed you are about your medical history, the more beneficial it will be for both you and your surgeon.
Although eyelid surgery is a popular type of cosmetic surgery, many people still end up with undesirable results due to poor surgery jobs. Many of these unwanted results include (1) droopy upper eyelids, (2) skin shortage that hinders the eye from closing properly, (3) lower eyelid scleral show, (4) lower eyelid retraction, and (5) ectropion.
To avoid these complications, it is extremely important to seek out the services of a surgeon who specializes in this particular type of eye surgery, as this requires a deeper and more extensive level of training and specialization. It also helps to seek out a surgeon who displays a meticulous dedication in studying your medical history and who will be committed to understanding your aesthetic goals, as well as the kind of results you want.
The best way to determine the right doctor for you is by doing research. Proper eyelid surgery is a very complex procedure that requires skills and knowledge that most general surgeons do not possess; therefore it is essential to take a look at a doctor’s training background and area of expertise. Another important value to consider is the amount of experience a doctor has, as this speaks volumes about the skills of a surgeon. As a cosmetic Oculofacial plastic surgeon with over 20 years of experience, Dr. Amiya Prasad makes it his duty to educate patients about the different aspects of eyelid surgery so they can make informed choices.
While it is true that darker skinned people can be more disposed to the formation of keloids, it may not always be the case particularly if extra precautions and attentive care is given. In an article entitled, “Ethnic Considerations in Eyelid Surgery’’ written by Dr. Amiya Prasad, he discusses that keloid formation can be prevented, especially if the attending surgeon has a good understanding of the skin type, facial anatomy and optimal placement of incisions on darker skinned people. It is advisable to seek out a surgeon with substantial experience in treating darker skinned people and who devotes the necessary time needed to fully evaluate and understand a patient’s case.
The success of ptosis surgery relies on the following elements:
(1) The type of surgery
(2) If other surgeries are performed together with it
(3) The type of anesthesia
(4) The surgical team
(5) The surgical technique
(6) The post-operative recovery process
In his practice, Dr. Amiya Prasad prefers to use local anesthesia with intravenous sedation. He developed his own sedation technique which lets patients wake up feeling refreshed, without experiencing long downtime periods or grogginess that is characteristic of general anesthesia.
In order to make sure that his surgical team is efficient, Dr. Prasad makes sure each member of his staff is practiced and highly proficient in any given situation that they may encounter during a procedure. Furthermore, he performs surgeries in his own Joint Commission-accredited operating facilities, which makes it much more convenient and contributes to a better recovery experience for his patients.
With regard to surgical techniques, Dr. Prasad asserts that technical skill, experience and an artistic eye are all essential in his line of work. Having significant exposure to many cases helps a surgeon to make more accurate decisions and enables him to react well to different scenarios.
Lastly, Dr. Prasad favors enhancing the recovery process, and he does this by making sure that there is enough support staff to attend to the needs of every patient upon completion of their surgery. With this type of attentive care, most people are able to work after 5-7 days.
Eyelid surgery is accomplished by surgeons of several specialties. However, over the years financial interests have sparked a lot of inter-specialty competition and disputes, wherein one group of surgeons claims to be better over another.
With over 20 years of experience, oculofacial plastic surgeon Dr. Amiya Prasad regularly performs advanced corrective surgery on people from all over the world. Oftentimes, these people have already had surgery done by “board-certified” surgeons of several specialties. It is important to stress that within every specialty performing eyelid surgery, there will be inconsistency in the surgeon’s technical abilities, artistry, proficiency and experience.
Dr. Prasad also emphasizes that clear communication between you and your surgeon is extremely important when considering surgery. Choose a surgeon who will spend time with you and understand your personal aesthetic values and what you want to see improved.
Blepharoplasty refers to upper and lower eyelid surgery wherein the main goal is to improve the appearance and function of the eyes, and to sculpt extra skin and protruding fat pockets around the eyes.
As practicing oculofacial plastic surgeon with 20 years of experience, Dr. Amiya Prasad firmly asserts the importance of performing blepharoplasty with a profound understanding of eye health, as well as having the technical expertise to successfully accomplish the goals of the surgery.
Many of Dr. Prasad’s patients come to him to get revision surgery for surgeries that were improperly done by other surgeons. He treats patients in his Joint Commission-certified operating facilities, typically using local anesthesia with intravenous or IV sedation. Most of his patients are able to return to work within a week without experiencing much discomfort during the healing process.
Complications that can occur during or after a blepharoplasty procedure may include the following:
(1) Excessive bleeding
(3) Undesirable scarring
(4) Vision loss
(5) Double vision
The issue of excess skin and displaced fat pockets around the eyes are not considered “complications” but “enhancements”. Dr. Amiya Prasad often receives patients seeking corrective surgery to fix bad results from an earlier surgery done by a different surgeon. One of the most recurrent reasons why people seek out revision surgery is to address retraction after lower eyelid surgery. This is a complication wherein the eyes become irritated because areas that were once protected and covered are suddenly exposed. It is best to evaluate these complications with your surgeon in order to determine how to manage them.