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This procedure
is designed to remove excess skin and fullness from the upper lid to
reveal a more youthful appearance of the lid. The lower lid procedure
removes the fullness or fat that causes "bags" and the dark circle
shadow that makes one look tired.
Procedure
Upper Lids
- After appropriate sedation (see Anesthesia for details), the upper lid
crease and the amount of skin to be removed is marked, the lid is then
anesthetized with local anesthetic. Skin and some fat is removed and the
incision is closed with a suture that is removed one week later. The
resultant small scar is hidden in the natural crease above the lid. This
can be performed at the same time as lower lids or any other procedure.
Lower Lids -
After appropriate sedation (see Anesthesia for details) the lid is
anesthetized with local anesthetic. An incision is made at the lash line
to allow both fat removal and some skin excision. An incision is then
sutured with an absorbable dissolving suture.
Recovery
There are
no bandages, tape or dressings in the recovery period and there is very
little discomfort. Patients sleep and rest for two days while applying wet,
iced gauze intermittently and keeping their head slightly elevated.
Bruising and swelling usually occurs and maximizes at two days after
surgery. A lubricating ointment is placed in the eye at night for one to
two weeks to keep the eye moistened. Sutures are out at one week and
patients may then wear makeup and resume some physical activity.
Bruising lasts one to two weeks in most cases. Incisions are slightly pink and
the lids may be numb for weeks to months. Photos are taken at
approximately three months.
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