Information provided is intended to inform clients of expected procedures and outcomes. However, not all patients, procedures or surgeons are the same, and information may not be applicable to all procedures. The hospitals reserves the right to vary the way that a procedure is performed or which technique is used.
PRICE (THB) 28,000
Blepharoplasty Surgical/Procedure Name Blepharoplasty
Common Name Eyelid surgery
Introduction Blepharoplasty is the procedure used to remove fat--usually along with excess skin and muscle from the upper and lower eyelids. Eye lift - You can Sur can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. As people age, the eyelid skin stretches, muscles weaken and fat accumulates around the eyes causing “bags� above and Below However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a face lift or brow lift. Blepharoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon. The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.
PRICE (AUD) $ 1,050.00
AUD$ prices are correct as of 18th June 2009 and can change according to currency rate fluctuations.
Surgical Appointment You and your surgeon should carefully discuss your goals and expectations for this surgery. You'll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate. The surgeon will, according to how
a patients presents, remove the excess fat of a baggy eyelid and possibly tighten the muscles, and or remove excess skin. Your surgeon will explain the techniques he or she will use, , and the risks and costs involved.
Hospital Admission Out Patient procedure. No admission necessary
Duration of Operation Two to three hours
Anaesthetic Normally, it is done under local anesthetic injection to save the cost of surgery, save from anesthetic risk and being awake gives the surgeon a dynamic assessment of the surgical adequacy. You'll be awake during the surgery, but relaxed and insensitive to pain. (However, you may feel some tugging or occasional discomfort.) This surgery can also bee d done one un on u under nde nd der er ge g general ne era ral ess).). e anesthesia (cost increases).
The Surgery Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. If you're having all four eyelids done, the surgeon will probably work on the upper lids first, then the lower ones. In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon then separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.
Pre-operative Care Inform your surgeon of any drug allergies, all medical conditions and any medications that you are taking both prescription and non-prescription. Patients who suffer from hypertension must control blood pressure to the normal level before getting the surgery. 2 Weeks prior to surgery : To prevent the occurrence of abnormal bleeding that will cause many adverse consequences such as difficult surgery which can prolong operative time, post operative hematoma that will worsen the surgical result (ectropion, infection), prolonged post-operative pain and swelling you should avoid consumption of any bleeding promoting medications (Aspirin, Ibuprofen, anticoagulants, Vitamin E, Estrogen hormonal derivatives).
Medication : You will be provided with oral antibiotics, anti-swelling and pain reliever tablets. Take the medications as directed by your surgeon. Note that it is important to complete the full course of antibiotic therapy. Cold compression : In the first 3 days to prevent further bleeding from the wound. Warm compression : After 3 days to promote decrease in swelling. Don't have it on the first 3 days otherwise it will increase the bleeding and swelling. Suture Removal : Will be done on the 5th or 7th day post-op. Follow-up appointments : Scheduled on the 7th day following surgery. Showering : Keep the suture site dry and away from any sweat and dirt 'till stitches are removed. You may apply Chloramphenicol ointment over the suture line before getting a shower. Activity : It is advised to have bed rest in a cool and dry room. Avoid activities that can increase heart pumping in the first 3 days. You should be able to read or watch television after two or three days. However, you won't be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while
The Recovery 6 Hours prior to surgery : No food and liquid intake if general anesthesia is planned. No eye make-up, mascara and clean the face from any cosmetic.
Post operative care After surgery, the surgeon will probably lubricate your eyes with ointment and may apply a bandage. Your eyelids may feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed by your surgeon. If you feel any severe pain, call your surgeon immediately
Dressing : Apply the compressive adhesive tape over the lower eyelid for 3 days then clean the sutured area twice daily with non irritating substance like saline solution and Chloramphenicol ointment. Lying position : In the first few days it is best to lay in a high-head position to lessen the leakage of blood to the wound area
In the first 2 days following the procedure, pain will be most intense and bruising and swelling will be maximum. This will start to subside after 3 days, 80% recovery in 3 weeks and will become normal in 2-3 months. Scar will be hidden very close to the lower eyelash. Most people feel ready to go out in public (and back to work) in a week to 10 days. By then, depending on your rate of healing and your doctor's instructions, you'll probably be able to wear makeup to hide the bruising that remains. You may be sensitive to sunlight, wind, and other irritants for several weeks, so you should wear sunglasses and a special sunblock made for eyelids when you go out. You may also be told to avoid alcohol, since it causes fluid retention. Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they'll fade to a thin, nearly invisible white line. On the other hand, the positive results of your eyelid Surgery-the more alert and youthful look-will last for years. For many people, these results are permanent.
Risks and Complications
When to Call
Not everyone is a good candidate for blepharoplasty. As we stated on the previous page, you need to have realistic expectations and be in good health. In addition, there are some medical conditions which increase the risk of complications from blepharoplasty. These risk factors are: * Hyperthyroidism * "Dry Eye" or problems with your tear ducts. * Graves' disease * Hypertension (high blood pressure) * Glaucoma * Diabetes * Cardiovascular disease * Detached retina Risks are inherent to any surgical procedure. The most common risks are swelling, bruising, bleeding, infection, fluid, scarring. Ectropion or the eversion of the lower eyelid rim may happen in some cases that have very weak eyelid and have no lateral canthoplasty done together with lower blepharoplasty. Most of the cases will subside in 3 weeks. You can reduce your risks by closely following your surgeon's instructions both before and after surgery.
It is important that you know the signs of infection. This includes fever temperature over 37.8 C), pain not relieved by meds, increased redness along the incision, yellowish or greenish fluid collection on the wound edge, excessive swelling, excessive tenderness. When signs and symptoms of infection is noted or there is bleeding from the incision that is difficult to control with light pressure, call the staffs, nurse or your doctor without hesitation.
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