blepharoplaslty eyelid surgery chat and group discussion board

Bulletin Board for Patient's Questions and Answers
Cosmetic Eyelid Surgery (Blepharoplasty)

Explore what others have to say about cosmetic eyelid surgery with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

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Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Cosmetic Eyelid Surgery (Blepharoplasty)

Subj: Re: Lower eyelid surgery

On the average, at what age do you recommend lower eyelid surgery being performed outside versus inside the lid? I am 49 and am considering the lower eyelid surgery. I have probably what is considered average for my age bagginess. Inotherwords, I look my age. Also, at what average age do you consider the elasticity of the skin to be a factor in this decision? Any info would be appreciated.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

The type surgery depends on the problem. Blepharoplasty for excess skin of the lower lids is best done with an external incision. Minimal excess skin with an internal incision needs to be addressed with something like laser resurfacing. Without an examination and evaluation, I could not comment on your case.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD
http://plasticsurgery4u.com


Subj: Re: Blepharoplasty

Dr. Bermant

1.I am interested in know about the fees of blepharoplasty.
2.Please send me more information about this operation.

Thank you
E

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

There are many types of blepharoplasties, lower lids alone, upper lids alone, both upper and lower lids, with or without laser resurfacing, deep planer blepharoplasty with malar pad lift (among many others). Each type of surgery has a different price. My office staff can give some preliminary prices. The best way to determine the cost of surgery is through an in office evaluation and consultation. First find out what needs to be done. Our office consultation is designed around the patient's educational experience. We can then understand what you are asking us to do and we can give you a price quote.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: Re : eyelid

Dear Dr. Bermant

Having just experienced my first cosmetic surgery I am unsure as to how pleased I am about the results. Can you advise me of the extent of improvement I can expect. I suffered with real baggy eyes top and bottom at the moment they are healing but still look baggy to me. Will this improve with time or is this it. !!!!
regards
A

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

A good question for your doctor (or for me if you were my patient!) Eyelid surgery does evolve over time. However it usually goes from a tightened state to one that is less swollen and looser. Tissue does change with healing and if you were my patient I would be unhappy that you felt the need to ask another doctor this question and not let me know about your concerns. Without seeing you, I really cannot comment about the specifics you ask.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: bleph

Hello Doctor,
After reading some pages of your web site, I was impressed by your credentials. I am looking for an expert in the area of bleparo- plasty. Maybe you can comment on my situation. I had at one time what I perceived as sagging upper eyelids. After having an upper blepharo- plasty done, I have a deep concavity on each side just above the tear duct. It is as if much more fat was removed in that area than rest. The result is an "uptight" expression, (so I have been told). Is this common? Is there a corrective procedure that you are aware of or that you have performed to revise (too much) fat having been removed from the upper eyelid area?

Thanks in advance for your consideration.
S

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon. Thank you for your kind comments.

Problems of the upper lid may include extra skin, drooping of the brow or lid, and a bulging of fat from around the eye. Each problem has different solutions that can combine into a blepharoplasty operation.

Upper eyelid surgery can reduce excessive bulging of tissue (usually a relaxation of the material holding the fat in the orbit). This reduction is commonly done with removal of the fat as well as other manipulations. Excessive removal of fat can leave a hollowed out look.

Without seeing a patient, I cannot comment about a specific possible problem or potential solutions.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: bleph comp

I had upper and lower eyelid surgery on July 2. Coming into recovery, my family noted that my left lower lid was pulled down. In recovery, my blood pressure felt ("through the floor" the nurse said) and I had vomiting after I regained consciousness. While vomiting the left lower incision bled a sheet of blood down my cheek. This lid is very low, pulled down and the incision is thick and lower on my face than the other side. Also, the eyeball itself is very red on the bottom. My Dr says that this is due to swelling and will resolve itself, but I am worried. I want to understand why this eye is so much worse than the other 3 incisions. He says that there was nothing different about it surgically. Also the upper right lid has a droop in it. Although my doctor is board certified, are these normal complications? The incisions are not at all symetrical either. Like on the upper left, the cut goes straight into my nose, on the right upper, it curves down following the eye shape. The lower incisions are jagged: up and down jags as it moves across my face and then the left one is way lower on my cheek than the right which more closely follows my eyelash line. I am planning to have a full facelift after I lose 15 more pounds, and I am concerned about making a good choice of physician. I need some advice about whether these complications may be indicative of a less-than-desired skill level in my physician. Or are these issues outside surgical control? I know that my vomiting didn't help things, but I did exert vomiting pressure on all my eyelids, not just the one, so I don't understand. Thanks for your help.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Bleeding after surgery CAN happen. Coughing, and vomiting can raise some one's blood pressure and a tiny vessel that had been stopped during surgery just let go. It takes very little after surgery bleeding to cause much swelling and bruising. Bruising of the white surface of the eye turns bright red as this blood in the superficial tissues easily gets oxygen. No surgeon, no matter how good can have such complications. I (as do all good plastic surgeons) take extra time to minimize such bleeding and am glad to not have seen such a problem for many, many years. I try to make my incisions symmetrically but some tissue deformities just need a sculpturing modifications that result in incisions that seem different. I cannot comment on your case, I have not examined you. Your questions are better directed to your surgeon.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Thank you very much for your response.
S

Subj: Re: eyelid surgery makeup

Hi,
I like your site a lot. It has provided me with a lot of information. My question is this -
I am 35. I had upper eyelid surgery done on Aug. 20 and so far so good. I have a little yellow bruising under my eyes, but that is pretty much it. Tomorrow I go in and have my stitches removed. How soon before I can start wearing makeup? I am a little worried that I might tattoo my eyelids if I start too soon, but I am really sick of wearing sunglasses. I should have had the surgery right before Halloween and then pretended that I had just decided to extend my costume wearing for a few days! Also how long before I can start exercising? I went for a little walk today and I feel fine.
I am going to ask my M.D. these questions tomorrow when I see her, but I always like to get as much information as I can.
Thanks,
M

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Each doctor has his / her own preferences when patients may start wearing makeup. It also depends on the type of surgery and healing. I advise my patients individually depending on many factors. For my patients, I prefer the wounds to be sealed before they apply makeup. Early application must be done carefully as the wounds can be very weak. Other factors include patient's vision, dexterity, and needs. We have a staff aesthestician to help our patients learn what they can do for themselves with camouflage makeup. Good luck with your doctor's visit.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: eyelid surgery

I would appreciate any information as to the possibility of the eyelid not completely covering the eye after surgery. I have heard of such cases and wondered what the chances are of that occuring. How long does the surgery take?
Thank you.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Depends on the problem being treated, type of eyelid surgery, and how the surgery is performed. There are just too many different types of "eyelid surgery" to make a sensible comment. In certain types of eyelid surgery however there can be an early after surgery difficulty in eyelid closing over the eye that tends to go away when the swelling goes down, and eyelid function is restored. In other cases, like eyelid ptosis (drooping eyelid), the lid is elevated such that eyelid can get out of the way for vision. Some failure for closure can be predicted in certain ptosis correction cases and is one of the options discussed about that type of surgery. There are many other possibilities, but in standard blepharoplasty surgery eyelid closing is usually not much of a problem.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: eyelid surgery

Dr. Bermant writes:


Thank you very much for your response doctor. I really appreciated it.


Subj: Re: Post Blepharoplasty 9/1

I have been reading your bulletin board with interest. Do you recommend either aloe vera or vitamin E (or anything else) to be applied to the eyelid area after the initial 48 hours after a blepharoplasty? I have had mild bruising from this procedure.

Thanks.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

You should check with your own doctor. I do many types of blepharoplasty eyelid surgery and design the after surgery wound care for the specific patient. My patients have specific clear after surgery instructions and long term scar care information. Certain types of closure benefit from specific care. Early eyelid wounds are very weak and can be disturbed with too much manipulation (again depending on closure technique). I can easily help my patients, because I know what I did and have evaluated that patient. I would not like a doctor telling my patients what to do after surgery by me.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD



Subj: Re: Post Blepharoplasty

Many thanks. My surgeon said do nothing after the stiitches come out (today). Others dissolve. But I had seen something on the internet mentioning vitamin E and/or aloe vera.

Again, thanks for your time.

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