Eyelid Surgery in New England
The eyes are a special feature of the human face, and most people say the eyes are the focal point of the face when meeting a person for the first time. The eyes have also been called the “windows to the soul.” Too bad they are also one of the first places to show signs of aging of the facial region. The skin around the eyes is some of the thinnest on the entire human body, making it more prone to sagging and loosening.
This results from sun damage, personal habits such as smoking, and the decreasing amounts of collagen that come with aging. Fortunately, eyelid surgery with Dr. Khatri can reverse these signs of aging and take a decade or more off your face.
WHAT IS EYELID SURGERY?
A blepharoplasty, also called an eye lift, is an eyelid surgery that removes excess skin and fat. It tightens the underlying muscles as necessary to give the patient a younger, more rested appearance. The procedure is popular with both women and men because the signs of aging are so obvious in the eyes. Also, the results are very dramatic, yet at the same time subtle. Most people don’t realize a person has had eyelid surgery; they only feel as though the person looks somehow younger.
WHO ARE IDEAL CANDIDATES FOR EYELID SURGERY?
Due to their constant exposure to the sun and the environment, the eyelids and surrounding tissues can lose elasticity and begin to sag. Anyone with one or more of the following conditions would benefit from the surgery:
- Droopy eyelids
- Saggy eyelids
- Bags under their eyes
WHAT ARE THE DIFFERENCES BETWEEN LASER BLEPHAROPLASTY AND TRADITIONAL BLEPHAROPLASTY?
In traditional blepharoplasty, a surgical blade is used to cut the skin and remove the excess fat. With laser-assisted blepharoplasty, a micro-focused CO2 laser is used to cut the skin and remove the fat. Laser blepharoplasty causes less bleeding and bruising, which leads to a faster recovery.
CAN BLEPHAROPLASTY BE DONE ON BOTH THE UPPER AND LOWER LIDS?
Eyelid surgery can be done on either the upper or lower eyelids, or on both in one procedure. The surgery generally involves removing excess skin and removing or repositioning underlying fat. It is done under local anesthesia and in an outpatient setting. Typically, upper and lower eyelids can be done in about 2-3 hours. In the upper eyelid, Dr. Khatri makes the incision in the natural crease of the eyelid. This hides any visible scarring. Excess skin is removed, fat repositioned or removed, and the underlying muscles, which have lost some of their tautness, are tightened. Dr. Khatri pays particular attention to fat, preferring repositioning it to removing it. He believes that removing too much fat can leave the patient with a hollowed outlook.
For the lower eyelid, Dr. Khatri has two options for the incision location. It can be made just below the eyelash or inside the lower eyelid. On the lower eyelid, fat herniation is often the problem. The removal of fat and excess skin will eliminate puffiness and bags.
Does eyelid surgery fix or impact a patient’s vision in any way?
Blepharoplasty can affect vision both temporarily and permanently. For a short time after surgery, patients may experience blurry or double vision. This is a normal side effect that may be coupled with light or wind sensitivity. The temporary vision changes may be caused by the minor inflammation that occurs after surgery or also by the lubricating ointment that is applied to maintain adequate moisture in the eyes. As inflammation decreases and tissue heals, vision should return to normal.
In some cases, blepharoplasty can positive and permanently improve vision. This happens when the procedure is performed to remove sagging tissue from the field of vision. Some people live with such severe eyelid laxity that tissue hangs over their lashes or at the outside corners of the eyes, impairing peripheral vision. Trimming tissue not only rejuvenates the eyes but can enlarge the patient’s field of vision.
How to prepare for Eyelid Surgery?
It is necessary to begin planning for a safe surgical procedure and optimal recovery weeks before the big day. Some of the recommendations patients may receive include:
- Stop smoking. To qualify for surgery, patients who smoke must quit several weeks before their procedure to allow time for the body to regain necessary cardiovascular capacity. Smoking interferes with circulation and can significantly increase surgical risks such as poor wound healing.
- Managing pain before surgery. Everyone gets aches and pains now and then. Before surgery, it is necessary to rethink how those are managed. Patients must avoid taking anti-inflammatory medication and aspiring beginning 1 to 2 weeks before surgery. During our consultation, we ask patients what medications and supplements they are taking so, if needed, exchanges or modifications can be made.
- Managing postoperative pain. Before surgery, patients receive a prescription for painkillers. This prescription should be filled in the week or so before surgery to ensure it is on hand when they return from the surgical center.
- Arrange transportation. Patients receive anesthesia or a sedative for their blepharoplasty procedure and cannot drive themselves home. It is necessary to make proper arrangements before the day of surgery.
- Prepare for recovery. In addition to picking up medications, patients can prepare for recovery by taking time off work, purchasing other necessary medical supplies, arranging childcare and pet care, and preparing healthy meals and snacks ahead of time so there is no pressure to cook while recovering.
Eye Surgery procedure
During the initial consultation, the procedure, expected results, and complications are all discussed with Dr. Khatri. Along with addressing all questions and possible concerns, we provide patients with their necessary prescriptions. Skin measurements are taken to ensure that the right amount of skin is removed. Surgical lines are marked followed by the injection of local anesthesia and the application of anesthetic drops into the eyes. Once the anesthesia has taken effect, laser and/or surgical knife are used to cut and remove the skin. Once we remove the skin, we identify the fat pads and remove them. We make sure there is no active bleeding. Once the procedure is complete, the incisions are stitched up and bandaged.
One week later, patients return for their one-week suture removal. Patients are then seen one, three, and six months after the procedure for follow-up.
Dr. Khatri performing eyelid surgery on a patient.
WHAT IS THE DOWNTIME AFTER SURGERY?
It’s easy to assume that eyelid surgery, with its need for delicacy, would be difficult to recover from. Recovery from eyelid surgery is not overly painful and doesn’t require an extended amount of time. All patients experience bruising and swelling of varying degrees which can usually last about a week are so. However, in some patients, it can last longer. After your surgery, we’ll provide you with a cold compress and lubricating eye drops. If you use the compress diligently, your swelling and bruising can be kept to a minimum.
Usually, Dr. Khatri will remove your stitches in about one week and your eyes will already look better. There will be some residual swelling, but that is minimal. Scarring is very minimal, due to the ability to hide the incision locations so effectively.
HOW LONG WILL MY RESULTS LAST?
The changes made with your eyelid surgery are permanent and take about 3-6 months to see the final results. It’s generally thought that upper eyelid surgery shows its best results for the next seven years or so. Lower eyelid surgery may even longer. If more sagging occurs in the upper eyelids, a brow lift can often address it.
“Dr. Khatri provided excellent care to me. I am extremely pleased with his work, his kind and gentle demeanor, and his world renown skills. I trust Dr. Khatri above all others for keeping my skin healthy, glowing, and youthful.” – Jamie
Eyelid surgery before and after
Does the Blepharoplasty procedure differ based on the patient’s ethnicity?
It can. Traditional blepharoplasty is performed to rejuvenate tired-looking eyes. This procedure refines and trims excess tissue that has become loose and saggy. It is done through incisions in the natural crease or lash line of the upper or lower eyelids. Ethnic blepharoplasty is often referred to as Asian blepharoplasty. An estimated 50 percent of Asian people do not have natural upper eyelid creases when the eyes are open. This can create a heavy, hooded appearance. The objective of Asian blepharoplasty, also known as double eyelid surgery, is to create the natural crease so the eyes appear lighter, wider, and more expressive.
What are the potential risks of getting Eyelid Surgery?
Blepharoplasty is generally considered a safe and satisfying plastic surgery procedure. As a surgical procedure, it carries some degree of risk. Though complications rarely occur when eyelid surgery is properly performed by a board-certified physician. Dr. Khatri is a Harvard trained dermatologist and cosmetic surgeon specializing in laser techniques. He has decades of experience performing eyelid procedures using state-of-the-art laser technology.
Potential risks associated with eyelid surgery include infection, bleeding, skin discoloration of the eyelid, dry eyes, and inability to fully close the eyelid. Dr. Khatri’s conservative and precise surgical technique reduces these risks and has consistently achieved outstanding results.
Schedule a Consultation Today!
To learn more about Eyelid Surgery, please schedule a consultation with Dr. Khalil Khatri at our one of our three New England offices. Call (617) 381-1717 for our Revere, MA location, (978) 453-5559 for our Chelmsford, MA location, or (603) 886-5506 for our Nashua, NH location. Or, you can click here to send us a Consultation Request Form, and our talented staff will get back to you at the earliest! We look forward to serving you!