Inflammation that occurs after an eyelid surgery is often influenced by the following elements:
To help lessen post-surgery puffiness and swelling, Dr. Amiya Prasad developed his own sedation method—a light local intravenous sedation method that lets patients recuperate from blepharoplasty and return to work sooner. This type of sedation technique is so effective that patients are able leave the clinic and go home after surgery, without feeling that heavy characteristic fatigue that accompanies general anesthesia.
Eye shape is mainly reliant on genetic features, such as the dimension, prominence, and shape and position of bones, tissues and ligaments of the eye. All these features are different for each person, thus it is essential to discuss with your surgeon the best approach that will yield the most natural-looking results for you.
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:
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.
The end results of eyelid surgery can last for up to 5-10 years, depending on the following conditions:
In order to foster realistic expectations of what surgery can do for them, Dr. Amiya Prasad strives to help his patients gain an understanding of the way the face ages over the years and how this affects the appearance of the eyes and the effects of surgery.
In preparation for eyelid surgery, patients must remember to disclose the following information to their surgeon:
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
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 layer of fat under the facial skin is responsible for giving the face the volume and glow that are distinguishing of supple and youthful-looking skin. In order to regain this youthful appearance, people often turn to high heat radiofrequency devices, which tend to burn or even “cook” that essential layer of fat, rather than tighten it. This results in the speeding up of the aging process of the skin. Keep in mind that more heat does not necessarily mean more tightening of the skin. It is therefore more advisable to have upper eyelid blepharoplasty for hooded eyes, in order not to further damage the quality of your skin.
The position of the eyelid relative to the pupil is a key factor in determining whether you need blepharoptosis repair or blepharoplasty. Blepharoptosis pertains to the eyelid margin being lower than it should be and can be addressed by blepharoptosis repair. Dermatochalasis denotes excess skin over the eyelids, which causes that hooded, tired-looking appearance which can be corrected by undergoing a blepharoplasty procedure.
Unfortunately, it is common for ptosis to be overlooked because a plastic surgeon assumes that performing blepharoplasty will automatically improve the look of drooping eyelids. This leads to the eyelids still looking droopy, in spite of just having the surgery. On the other hand, it is not unusual for some people to have both dermatochalasis and blepharoptosis, which can sometimes pose a challenge when formulating a proper diagnosis and surgical plan.
During a preliminary checkup, Dr. Amiya Prasad determines whether a patient has ptosis by lifting up the excess skin to see if it improves the eyelid margin or not. If the eyelid margin is still low, then it is safe to assume that the patient has eyelid ptosis, which can be easily fixed with the proper surgery.
Eyelid lifts are done to address extra skin and fat around the eyelids. Blepharoplasty is a surgical procedure performed on the upper and lower eyelids to address extra skin, fat, and other structural issues. A patient may decide to undergo either an upper or lower eyelid blepharoplasty, or both. Ptosis surgery is a surgical procedure specifically performed to fix the position of the eyelid margin relative to the pupil. Other procedures may also include levator muscle advancement, levator resection, and frontalis sling.
If you have excess skin over your eyes, the first step is to determine what is causing it. When assessing a patient who is concerned about excess skin over the eyes, Dr. Prasad looks for descent of the eyebrows (brow ptosis), and excess skin over the eyelids or (dermatochalasis). Usually, if brow ptosis is present, then it is likely that dermatochalasis is also present.
Blepharoplasty can be the sole solution for sagging eyelids, or it can be part of the solution. Brow lifts, on the other hand, can only become a possibility if brow ptosis is present. The defining factor will depend on the source of the sagging skin, as well as the patient’s desired look.
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:
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.