Dr. Massry tells all his patients that having any elective cosmetic surgery procedure is a big decision which requires a commitment of time, energy, and money. It is a decision that should not be taken lightly. This is especially true when it comes to eyelid surgery (blepharoplasty).
Eyelids Are Delicate Structures
The eyelids are delicate facial structures which are more prone to bruising, swelling, and prolonged recovery than other areas of the face. This is because the eyelid tissue is thin and there are many small, yet vital, layers and structures within the eyelids which must be manipulated during all types of eyelid surgery (blepharoplasty, canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.). The surgical procedure is a form of trauma (although controlled) and the eyelids do not handle trauma as well as other arrears of the face.
Recovery After Cosmetic Eyelid Plastic Surgery
So what can you, the patient, do or not do to attain the best final result from blepharoplasty or other kinds of eyelid surgery (canthoplasty, ptosis repair, eyelid fat grafting, eyelid fat repositioning, etc.)? These are Dr. Massry’s recommendations for the best results:
Ice the eyelids
First, you want to do all you can to reduce bruising and swelling. This is important so as not to stretch or potentially stain (discolor) the thin eyelid skin. The most important thing you can do to achieve this is to apply ice to the eyelids at frequent intervals for the first two days after the eyelid surgery. Applying ice for 10 minutes every hour while you are awake is an appropriate icing regimen. Dr. Massry recommends using frozen peas as they contour to the eyelids well.
Refrain from strenuous exercise
Dr. Massry asks patients to refrain from strenuous physical activity for the first week after eyelid surgery. Obviously this means absolutely no gym activity. In fact, his basic tenant is no bending, stooping or lifting for this time period. Dr. Massry will let you know when you can resume your exercise routine.
In addition to reduced physical activity, sleeping with two pillows at the head of the bed is also of benefit as it reduces swelling in the surgical area during sleep.
Over the counter treatments
There are a number of over the counter homeopathic medications which may speed up the post-operative recovery (reduce bruising/swelling) after blepharoplasty and other forms of eyelid surgery. At your pre-operative appointment, Dr. Massry and his staff will explain which supplements to take and the healing benefits of these products.
It is very important to reduce the risk of infection after surgery. The eyelids are such a well vascularized area (good blood supply) that infections are rare. That being said, Dr. Massry feels applying topical ocular (appropriate for eyes) antibiotic ointment (with a Q-tip) three times a day and at bedtime to the stitches is important. Dr. Massry prefers Erythromycin ophthalmic ointment, but others are also useful. Washing your hands before applying ointment to or touching the eyelids is important.
Showering after cosmetic eyelid plastic surgery
Dr. Massry does not feel taking a shower is a "don't," as long as care is taken not to put pressure on the eyelids or get them overly wet. Use similar judgment when washing your face.
Other activities after cosmetic eyelid surgery
Dr. Massry feels it is ok to go out, watch TV, and read as you feel comfortable. You should only drive a car when it feels safe. In this instance, refrain from applying ointment to the eyelids for a few hours before driving as this can blur vision.
Finally, following the post-operative instruction regimen, informing the Dr. Massry of any questions or concerns about surgery or healing, and using common sense in regards to wound care is important.
When patients follow the above recommendations closely, Dr. Massry feels recovery from surgery becomes easier. Remember, having surgery is a big deal, so be diligent about healing so that the outcome will be what you expect.
Talk To An Eyelid Surgery Expert Today!
If you have been thinking about eyelid surgery, now is the time to schedule your consultation with Dr. Massry! Call us today at 310.657.4302.
Below are some of the most frequently asked questions about cosmetic eyelid surgery. We hope these help you with your research. However, if you have more specific questions, please do not hesitate to call 310.657.4302 and schedule your consultation with cosmetic eyelid surgery specialist, Dr. Guy Massry!
1. What is an Ophthalmic Plastic Surgeon?
An Ophthalmic Plastic Surgeon is a board certified ophthalmologist with separate specialized (fellowship) training in cosmetic plastic surgery of the forehead/eyebrows, eyelids, midface (cheeks), and reconstructive surgery of the same areas, tear duct and orbits (bones which protect the eyes). This is a highly specialized field within plastic surgery with specific expertise in the eyes and areas around the eyes.
2. Why Should I See An Ophthalmic Plastic Surgeon?
You should see an Ophthalmic Plastic Surgeon (also known as an oculoplastic surgeon) because you should only trust your eyes to the most experienced and best trained specialist within the field of eyelid surgery. If you were to need an evaluation of your heart for medical reasons – you would see a heart specialist (a cardiologist) – not a generalist.. The same should hold true with your cosmetic surgical needs. You should only put yourself in the hands of an expert in the field to make sure you have the safest and most successful results.
3. Why Should I See Dr. Massry For My Eyelid Surgery?
Dr. Massry is a well respected and experienced ophthalmic plastic surgeon. His reputation among both his colleagues and patients is that of honesty, integrity, and compassion. Dr. Massry strives for “natural looking” surgical results and has a track record of consistently achieving this outcome. Dr. Massry performs thorough patient evaluations and is straightforward in his opinion regarding what is best for the patient – whether it be surgery or not having surgery. Dr. Massry feels having surgery is a serious decision which should not be taken lightly. Sometimes it is better to do nothing than to potentially cause a problem. Dr. Massry has a passion for his work, and is only satisfied when the patient is satisfied.
4. What Do I Need To Have Done?
This is the most common question Dr. Massry is presented with. There is no “black and white” or "cookie cutter" answer. There are typically a variety of options available to most patients to attain their desired outcome. The best way to identify what is in the patient's best interest is to have a complete evaluation with Dr. Massry. We can assure you that you will leave the appointment satisfied, and with all the information you need to make the most appropriate decision for yourself.
5. Is Eyelid Surgery Painful?
In general, patients experience very minimal pain from their procedures with Dr. Massry. In the few procedures which are associated with a slight degree of discomfort, Dr. Massry administers appropriate medications intra-operatively and postoperatively to make the experience as comfortable as possible.
6. How Long Does It Take For Me To Recover From Surgery?
This depends on the procedures you are having done. As a general rule, most of the bruising and swelling from surgery are gone within 10 to 14 days after surgery. However, you are typically able to go about your daily activity (with the exception of exercise) within 2-3 days after surgery. There are no dressings or bandages placed after surgery.
7. Are Brow Lifts Lengthy And Involved Surgeries?
Modern brow lift surgery is performed in a minimally invasive manner (endoscopic brow lift). In the hands of an experienced endoscopic surgeon, surgery takes approximately one hour. Some of the benefits of endoscopic brow lift surgery including no hair is shaved, very few small incisions are made behind the hairline, and potential complications are very minimal. This is a significant advancement from the older techniques of surgery which gave the brow lift operation the reputation of being involved and complicated.
8. Is Cosmetic Eyelid Surgery Risky?
All surgery has inherent potential risks and complications. Cosmetic eyelid surgery has advanced to the point that it is a relatively straightforward and very safe surgery when performed by an appropriately trained person. In Dr. Massry’s hands surgery is typically quick, painless, uneventful, and successful. Dr. Massry’s patients are generally very pleased and, along with physicians in the community, are the primary source of referrals to his practice.
9. I’m Scared Of Looking Different After Cosmetic Eyelid Surgery. Can This Happen?
The best way to avoid the unnatural or operated look to the eyes is to see a specialist like Dr. Massry. There is no better way to ensure the best possible surgical outcome than to see a specialist within the field. In your consultation with Dr. Massry, he will explain to you why unnatural results occur and how he avoids them.
10. Am I Going To Have Visible Scars After Eyelid Surgery?
Anytime an incision is made it heals by forming a scar. For this reason it is especially important to see a specialist in eyelid surgery when having surgery in this delicate area. Dr. Massry artistically places the fine incisions necessary for surgery in locations which are typically not visible after healing from surgery takes place. Brow lift and mid-face surgical incisions are small and hidden (behind the hairline and inside the mouth respectively) where they can never be seen. Upper eyelid incisions are very fine and within the natural upper eyelid crease; while lower eyelid incisions are typically inside the eyelid. For these reasons scars are well-hidden and rarely even noticed. Dr. Massry prides himself on his ability to make the results of his surgery “natural appearing” and without evidence of ever having been done.
11. Can I Get Hollow Under My Eyes After Surgery?
To avoid the “hollow look” of lower eyelid surgery, Dr. Massry can perform surgery in such a way as to preserve your natural lower eyelid fat (puffiness) and place it in areas which are deficient in fat. This surgical procedure is called lower lid fat repositioning. Dr. Massry can tell you if you are a good candidate for it in your consultation with him.
Schedule Your Consultation With Dr. Massry Today!
We hope that the answers to these cosmetic eyelid surgery FAQs provided you with the information you were looking for. If you have been thinking about undergoing cosmetic eyelid surgery, now is the time to schedule your consultation with Dr. Massry! He can evaluate you in person, or over Skype if you live out of town, and recommend the best treatment plan for you. Call us today to schedule your consultation - 310.657.4302!
Dr. Massry consults with several new patients every day in the office about eyelid rejuvenation procedures. Below is a list of the top 10 questions he hears from patients during their consultations.
1. Am I a good candidate for cosmetic surgery?
Dr. Massry will evaluate every patient on an individualized basis to determine if they are a good candidate for cosmetic surgery. Every patient has a unique anatomy and their own personal reasons for seeking out plastic surgery. During your consultation Dr. Massry will examine you and ask you what your goals are for your eyelid surgery. By the end of your consultation Dr. Massry will be able to tell you if you are a good candidate for surgery.
In general, you must have the following to be a good candidate for surgery:
- You are motivated to have surgery
- You can set aside the time for healing
- You have no significant health issues
- You have realistic expectations
If you have been thinking about undergoing an eyelid plastic surgery procedure, schedule your consultation with Dr. Massry today to learn more!
2. At what age can I consider eyelid rejuvenation surgery?
This all depends on the procedure performed. But Dr. Massry likes to think more in terms of need for surgery and less in terms of a specific age. Everyone is unique and sees the signs of aging at different ages. So to say every 50 year old woman needs eyelid surgery, would be very incorrect. Most cosmetic eyelid procedures are not typically done until the patient is in their mid-thirties. However, patients may start with Botox and fillers in their 20s. Again, Dr. Massry will evaluate your need for eyelid rejuvenation during a consultation to determine if you are ready for surgery.
3. Can surgery be covered by insurance?
Every case and every insurance provider is unique. In some cases, eyelid surgery may be covered in those instances when the upper lids are heavy enough to reduce vision. In addition, some lid surgeries are reconstructive in nature and will be covered. Dr. Massry can provide you more information on this during your consultation so you can make an informed decision.
4. Is surgery painful?
Most patients tell us they are surprised with how minimal the pain is following surgery. It is unusual to have more than mild to moderate discomfort after surgery. If Dr. Massry feels there may be some pain after surgery, a pain medication will be prescribed.
5. How long is a typical recovery period?
In the majority of cases visible bruising and swelling after eyelid surgery will last 2-4 weeks. Normal physical activity can resume after 2 weeks. In some surgeries, like an upper blepharoplasty, people may return to work within a few days but will still have bruising and swelling. In most eyelid surgeries, taking a week off from work is reasonable. Dr. Massry will be able to elaborate on this during your consultation.
6. Is eyelid surgery performed in a hospital or surgery center?
Almost all cosmetic eyelid surgery is performed in an outpatient surgery center. There are many benefits to having your surgery at an outpatients surgery facility vs a hospital, including it is more cost efficient. On instances when overnight stay is necessary (ie. age or health issues) a hospital surgery is recommended.
7. What is the difference between cosmetic and reconstructive eyelid surgery?
A cosmetic eyelid procedure is done for appearance only, while a reconstructive eyelid or orbital surgery has a component of medical necessity. Insurance companies will pay, at least in part, for reconstructive surgeries. However, when performing reconstructive surgeries, Dr. Massry takes an aesthetic approach so that his patients look their best, in addition to restoring function.
8. Can I finance my surgery?
Yes, there are financing programs and Dr. Massry’s staff can discuss this with you during your consultation.
9. Does surgery leave unsightly scars?
When performed by an expert oculoplastic surgeon, you should not have visible scars. In most procedures, incisions are in hidden areas (creases, skin folds, etc.) so they are not noticeable. On rare occasion a scar may still develop. In these instances, oral and/or injectable medications, and sometimes minor surgical revisions may be needed.
10. How long will my results last?
Surgery improves appearance and restores a more youthful look. However, it does not stop the aging process. Depending on the procedure, the results of surgery will typically last 10 – 20 years.
Talk to Dr. Massry Today!
We hope reading the answers to these 10 most common questions asked during consultations are helpful to you. However, to get answers that are more specific to you and your concerns, please set up a consultation with Dr. Massry - 310.657.4302!