Dr Archie Lamb - Eye Surgeon
 
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Dr Archie Lamb - Eye Surgeon
Dr Archie Lamb - Eye Surgeon
Dr Archie Lamb - Eye Surgeon Dr Archie Lamb - Eye Surgeon
Dr Archie Lamb - Eye Surgeon
 
Understanding Eyelid Surgery
Making the decision to have Eyelid Surgery
Ptosis - Weakness of the Upper Eyelid Muscle
What to expect after surgery
Understanding Eyelid Surgery

Droopy and baggy eyelids can make you look older, tired and can also impair vision. Surgery can correct these problems. Eyelid surgery is often performed as a single procedure. Dr Lamb may also recommend combined procedures. Erbium Laser skin resurfacing is often combined with eyelid surgery to reduce wrinkles and improve skin texture. Pre-operative injections of Botox soften frown lines and crow's feet and combined with resurfacing helps to achieve the best result. A brow lift can also be combined with eyelid surgery.

 
Blepharoplasty   Blepharoplasty
Before Treatment
 
After 4 Lids - Blepharoplasty + Full Face Resurface using Erbium Laser
Making the decision to have Eyelid Surgery

During the pre-operative consultation, you will be examined and asked questions concerning tear production, use of lenses, eye drops and your expectations of surgery. Dr Lamb will examine your eyes and eyelids to exclude any problems that could affect a good functional result. He will also demonstrate what to expect from eyelid surgery. Factors to be considered include age, skin type, ethnic background and degree of vision obstruction. The function of the upper eyelid muscle will be assessed and if the upper lid margin is lower than normal, surgery to tighten that muscle may also be necessary. This would be repaired at the same time as blepharoplasty surgery.

In upper lid eyelid surgery, Dr Lamb first marks the individual lines and creases of the lids in order to keep the scars as invisible as possible along these natural folds. The incision is made and excess fat, muscle, and loose skin are removed using CO2 Laser. The use of laser greatly reduces swelling and bruising. Fine sutures are used to close the incisions, thereby minimizing the visibility of any scar.

In lower eyelid surgery, the incision is usually made inside the lower eyelid. Excess fat is removed using the CO2 Laser and this leaves no visible scar. The lower eyelid skin usually requires to be tightened using Erbium Laser. Sometimes surgery is required. Frequently, the lower eyelid is loose and requires tightening at the outer corners of the eyelid. This is called a canthoplasty. Under normal conditions, both blepharoplasty and canthoplasty can take from one to two hours.

 
Blepharoplasty   Blepharoplasty
Before - 4 Lids - Blepharoplasty and Full Face Resurfacing
 
After Full Face Resurfacing using Erbium Laser and Upper & Lower Lid Blepharoplasty.
Ptosis
This is true drooping of the upper eyelid. Weakness and stretching of the upper eyelid muscle causes the margin to sit at a lower than normal level. When severe, the pupil can be partially or totally covered. This will obstruct vision and repair of this muscle can be performed at the same time as blepharoplasty. As this problem is functional the surgery will attract a benefit from your private health insurance and Medicare.
 
Ptosis  
Ptosis
 
 
 
What to expect after surgery
A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and discomfort. Dr Lamb will prescribe medication for discomfort. For up to a week following surgery, your eyes may feel sticky, dry, and itchy. Eyedrops and ointment will be prescribed. Private insurance and Medicare does not cover surgery that is done purely for cosmetic reasons. If vision is affected, ptosis is present or there is deformity of the eyelids, surgery is likely to attract a benefit.
 
 
 
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This page was last updated on Sunday May 26, 2002.
 
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