Blepharoplasty - Overview

A patient can elect to have either the lower lids or upper eyes done, or both at once, depending on their situation. This procedure is usually performed in the office.

For the upper eyelids, Dr. Berman carries out a traditional Blepharoplasty, removing skin and sometimes fat.

For the lower lids, Dr. Berman does something different than most surgeons: He makes an incision on the inside of the eyelids, (so there is no scar) to remove the fat.

When either an upper or lower Blepharoplasty or both is done in the office, an oral sedative is given and that is all that is required (besides the local anesthetic). You must have someone accompany you as you cannot drive yourself.

Sometimes, Dr. Berman will recommend that facial fillers be injected to hide the puffiness, instead of doing surgery to reduce the fat pads in the lower eyelids.

Lateral Forehead Lift

For some patients, their lateral eyebrows have descended. They will receive additional esthetic improvement, if a 3-4 cm incision is made behind the hairline (lateral to and above the lateral eyebrow) that will allow Dr. Berman to elevate the lateral eyebrow. This can be done at the same time as the upper Blepharoplasty.
1What post-op care is required for Blepharoplasty?

After a Blepharoplasty, your eyes should have a more relaxed, open appearance, and the skin around your eyes should be smoother.

Immediately following the surgery, the skin around your eyes could be slightly bruised for a few days. If you get a bruise (and not every patient will bruise), it will usually last 2-3 weeks. It is very important that you do a lot of icing for the 2 days after surgery. Ideally apply an ice pack for intervals of 20 minutes with a 20 minute break between each. This is a great opportunity to catch up on movies or TV shows that you have missed during the year. It is helpful to elevate the head off your bed for a week (use 3-5 pillows) to decrease swelling.

For the lower eyelid Blepharoplasty, you will be given Tobradex ointment to use for 3-5 days on the inside of your eye.

Although patients are given a prescription after surgery, most patients do not require more than a couple of tablets and many patients do not need any.

The upper eyelid suture is one long suture that is easily removed in the office approximately 6 days after surgery. Normally, there are no sutures to remove from the lower eyelid.

You can shower the day following surgery, wash your hair and face as well. You can resume full exercising after 10 days. Everyone will have some swelling. You should expect it to keep improving for 3-6 months. Dr. Berman will see you during this time period in the office.

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    I love Dr. Berman and his entire team! He does excellent work and they are always there to help in anyway they can! I have had multiple procedures w/ Dr. Berman over the years and wouldn't trust anyone but him!
    BeBe Parkes
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