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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.
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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. |