Procedure Options Ideal Candidates Risks & Complications Recovery Time In/Out Patient

Hi! I'm Dr. John Farella; a board certified plastic surgeon. The decision to undergo Eyelid Surgery is an exciting one. It is my belief, that an educated patient allows you to determine your personal goals, and enables you to make an informed decision. I have developed this brochure as a patient information source. Hopefully, this information will prepare you for your consultation.

The aging eye often results in a tired, angry, or sad appearance. Eyelid surgery is commonly done for aging eyes, but in some people the traits are inherited requiring surgery at a younger age. In any case, this procedure will result in a more rested, alert, and energized appearance.

	Procedure

Eyelid surgery, also known as blepharoplasty, is a procedure that can be done on upper eyelids for excessive, wrinkled, drooping skin, or on lower eyelids for excessive skin or fat resulting in puffy bags. Eyelid surgery can be done alone, or can be performed in conjunction with a face-lift, or other facial procedures. The upper eyelid incisions are camouflaged in the natural eyelid fold. The lower eyelid incisions are designed just below the lash line. Through this incision excess skin, muscle, and fat are removed. In some cases, the underlying muscle will be tightened. The incisions eventually fade and blend into the natural creases of the eye.

	Options

Transconjunctival Blepharoplasty:
In this procedure the lower eyelid incision is placed inside the lower lid. This technique cannot remove excess skin and cannot be used with every patient. This can be discussed at the time of consultation.

In certain situations, a forehead lift (or brow-lift) may be needed to correct upper eyelid ptosis.

	Ideal Candidates

		Patients who are in good health
		Patients with realistic expectations
		Patients who are doing the procedure for the right reasons (i.e. for themselves)

Upper Eyelids:

		Patients with excess skin
		Patients with loose skin that hangs down from the upper eyelids
		Patients who have a tired look because of puffiness

Lower Eyelids:

		Patients with excess skin and fine wrinkles of the lower eyelids
		Patients with puffy "bags"

	Risks and Complications

The risks and complications may include, but are not limited to bleeding, infection, scarring, dry eye problems, asymmetry, difficulty closing the eyes, pulling down of the lower lids, allergic reactions, eyelash hair loss, delayed healing, risks and complications associated with anesthesia, and in rare instances blindness. Keep in mind that although complications can occur, they are rare.

Risks and potential complications of surgery are best discussed at the time of your consultation.

Smokers have a greater risk of pulmonary, and wound healing complications.

Care should be taken with the following conditions: "dry eye", glaucoma, circulatory disorders, diabetes, cardiovascular disease, and thyroid problems.

It is extremely important with this procedure to avoid aspirin and aspirin-containing medications two weeks prior to surgery. It is also mandatory to avoid situations that will raise the blood pressure post surgery.

	Recovery Time

Following surgery, you may temporarily experience blurred vision, tightness around the eyes, discomfort, bruising, and swelling (these symptoms vary among individuals). Within the first week stitches will be removed. You may resume non-strenuous activities. After two weeks non-strenuous exercise may be resumed, and you may wear contact lenses if needed. For several months the skin around your eyes should be treated with extra care. You should apply sun block on your eyelids and use sunglasses to protect your eyes from the environment. The results of eyelid surgery are long lasting; however, keep in mind that your eyes will continue to age through the years.

	In/Out Patient

Surgery can be done as an out-patient under local anesthesia, with IV sedation. This procedure usually takes one to two hours.

Call for a complimentary consultation: John F. Farella, MD., F.A.C.S (914) 241-7111 Lexington Avenue Suite 104 - Mount Kisco, NY 10549 (914) 997-9090 311 North Street Suite 408 - White Plains, NY 10605 (718) 548-5200 3333 Henry Hudson Parkway Suite 1-A - Riverdale, NY 10463 http://www.drfarella.com