Encyclopedia

Prior to Procedure

Your doctor will likely do the following:

• Physical exam
• Vision tests

In the days leading up to your procedure, your doctor may recommend that you:

• Follow a special diet.
• Take certain medications.
• Avoid certain medications.
• Arrange to have someone drive you to and from the procedure, as well as for help when you arrive home.

Anesthesia

You will be given a local anesthetic to numb the area around your eyes and sedatives to help you relax. In some cases, general anesthesia will be used, and you will be asleep for the duration of the procedure.

Description of the Procedure

Your surgeon will make incisions in your eyelids. In the upper eyelid, this is usually done within the crease. In the lower eyelid, this is usually done either just below the lashes or on the inside of the eyelid. He or she will then likely separate the skin from the tissue beneath, remove excess fat, and trim excess skin and muscle. Your surgeon will usually close the incision with sutures.

After Procedure

Your doctor will apply ointment and possibly a bandage to your eyes.

How Long Will It Take?

½-3 hours

Will It Hurt?

You may feel some tightness and soreness as the anesthesia wears off.

Possible Complications

• Infection or reaction to anesthesia
• Temporary blurred vision
• Temporary swelling of the eyelids
• Temporary bruising of the eyelids
• Asymmetry in healing
• Scarring
• Difficulty closing eyes
• Dry eyes
• Ectropion (a pulling down of the lower lids)
• Decreased or loss of vision

Average Hospital Stay

You will usually be able to go home after your procedure.

Postoperative Care

• You will receive instructions about restricting your activity. You may also be advised to avoid alcohol and certain medications.
• Your doctor will likely recommend that you keep your head elevated for several days. You can use cold compresses to reduce swelling and bruising. Your doctor will show you how to clean your eyes and may recommend using ointment.
• You will be able to read and watch television after the procedure.
• You will not be able to wear contact lenses or participate in strenuous activity until cleared by your surgeon.
• Your stitches will likely be removed anytime from five to seven days after surgery.
• Since you may be sensitive to sunlight, wind, and other irritants, your surgeon may recommend sunglasses and a special sun block for your eyelids when you go out.