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02.05.2014
If you are tired of the loose excess skin of the upper eyelids and puffiness and bags of the lower eyelids making you look tired even when you are not, you are a great candidate for a blepharoplasty.
Incisions are made in the natural creases of the upper eyelids and can be combined with an incision just below the lower eyelid (transconjunctival) lash line to remove excess skin allowing for a scarless recovery.
Either upper or lower eyelid surgery is performed as an outpatient basis under local anesthesia, with light sedation. In many cases, it is not just the eyelids that are drooping, but the brow is drooping, and putting weight on the eyelid structures.
There is also the issue of differentiating between excess eyelid skin and upper eyelid ptosis, which is the drooping of the eyelid itself, making the eye look smaller than the other eye.
Lower eyelids could be plagued with saggy excess skin, protruding fat, dark circles, or a combination of them. Our eyes are also among the first regions of the face to demonstrate the sags and wrinkles of aging.
Other factors, such as heredity, excessive squinting, habitual eye rubbing, sun exposure, and chronic allergies can also lead to drooping upper lids and sagging lower lids. Upper and lower lid blepharoplasty can correct these unfavorable changes and restore the sparkle of your eyes.
Schedule for a Sculptra®Aesthetic Treatment Series and recieve the final vial for FREE!
Cosmetic surgeon Doctor Fox is committed to excellence in his facial plastic surgery services.
Call our Algonquin, Illinois plastic surgery office at 847-458-8808 to schedule your personal consultation with board certified plastic surgeon Dr. Also at the preoperative visit, your private preoperative photographs will be taken, the surgical consent form will be read to you, and you will have an opportunity to discuss with Dr.
You will need an adult driver on the day of your surgery to bring you and to take you home. Once there, you will be positioned comfortably on your back, with pillows behind your knees and under your neck.
Painless blood pressure and oxygen monitors will be placed on your arm and finger, and massaging air-filled stockings will be placed on your legs and thighs to encourage excellent circulation while you are lying down. While duration of results depends on lifestyle, genetics, and ongoing skin care and sun protection, lower eyelid surgery is one of the most durable facial cosmetic procedures. Blepharoplasty eliminates puffiness, sagging and excess skin around the eyes and creates subtle, natural results while making the eyes even more youthful. Both upper and lower eyelids take about 45 minutes, totaling an hour and half for all four eyelids. Schwarcz offers a comprehensive review of the patient's goals in undergoing the procedure and Dr.
In this case, you may benefit from a brow lift to restore the youthful appearance of your eyes. With regards to upper eyelid ptosis, the levator aponeurosis (the muscle that opens the eyelid) usually has slipped upward leaving the eyelid in a lowered position at rest. Fox, an experienced eyelid surgeon in Providence Rhode Island, and Dartmouth & Cape Cod Massachusetts. The graceful, rounded, unbroked contours of youth give way to the bags and deep valleys (“dark circles”) that characterize middle age.
Nayak will ask you what about your lower eyelids bothers you, and may also ask you to talk about other, related areas of your face, such as your upper eyelids, cheeks, and lower eyelid muscle strength. Nayak will then review your medical history form, and may ask for some additional information from you.


Nayak will then examine your eyelids to determine exactly what must be corrected to achieve optimum results. Nayak’s staff will help you schedule your surgical date, and, about 2 weeks preceding that, a preoperative visit. You should have nothing to eat or drink (not even water, candy, or gum) after midnight the night before your procedure. Your companion may wait in our comfortable reception area, watching TV, reading, and enjoying coffee, soda, and snacks. Nayak’s staff will greet you and review your medical history, looking for any new changes since your initial consultation. Nayak will tell your companion how everything went, and he or she will have the opportunity to see you. Many patients find they nap intermittently the first afternoon, and are back to their regular energy the next day.
The vast majority of patients take Tylenol or nothing, but stronger medications are prescribed just in case, as all other over-the-counter pain relievers will be off-limits for 2 weeks. By this point, almost everyone may wear makeup, and is “presentable” to run errands or go back to work. Any lasered skin is generally mildly pink for a few weeks, but easily covered with regular makeup. Any and all e-mail messages received from Nayak Plastic Surgery SHALL NOT be considered SPAM.
Restore the youth to your eyes and correct the signs of aging that may cause your eyes to look half closed by seeking a consultation to explore the option of cosmetic surgery with Dr. One can expect bruising and swelling for up to one week, with sutures removed at five to seven days after the surgery. If you seek an overall dramatic yet subtle effect to improve the facial harmony, there are other cosmetic procedures available to you. This involves a ptosis repair, which is performed by disinserting the levator muscle and advancing it downward and reattaching it in a lowered position.
The cosmetic surgeon must evaluate the bony structure of the mid-face, skin quality, and prominence of the eyeball. Blepharoplasty is often combined with a brow lift in order to further open your eyes, brighten your outlook and enhance the youthful glow of your face.
Related areas, such as the skin of the lower eyelid and the apples of the cheek, often age similarly.
Previous eyelid surgery, LASIK surgery, and tendencies toward dry or runny eyes are important to mention to Dr. Finally, at the conclusion of this visit, the balance of your surgical, facility, and anesthesia fees will be due.
Alternatively, if your companion wishes to leave a cellular telephone number, we can call him or her with updates and also at the conclusion of the procedure. As the sedation takes effect, you will drift off to sleep and your lower eyelids will then be slowly, gently numbed with local anesthesia, and sterile towels will be placed around your face and neck. Nayak will call you the evening of the procedure to check on your progress, and you will also be given Dr.
A mild to moderate sunburn sensation may be felt on the lower eyelid skin if laser resurfacing was peformed, but this is easily treated with pain medication.
A patient who has undergone eyelid correction can generally return to work within one week. If there is poor mid-face support (sunken in, or flat bone) with a prominent eyeball, then fat must not be taken away because of the fear of looking skeletonized a few years after surgery or, even worse, the retracting or a pulling downward of the lower eyelid.


The muscles and membranes that hold fatty tissue around our eyes may weaken or stretch and cause the fat to protrude or bulge, leading to bags (puffy eyes).
In addition, most require replacement of missing fat to the valley, or tear trough, that creates the “dark circle”. During this visit, you will be educated on before instructions, after instructions, and prescriptions. Nayak prescribed antibiotics, oral sedatives, or if you take blood pressure medication in the mornings, you may take these with a small sip of clear water. Nayak and his staff will also confirm that they and you are in agreement about which procedures are to be performed, and those areas will be marked with you sitting upright in a chair. There are no bandages for lower eyelid surgery, and most patients will have no sutures or visible incisions. Nayak’s personal cellular phone number in case questions should arise after hours or on the weekends.
You will be asked to use intermittent cold compresses and keep your head elevated for the first few days.
If you are not self conscious about being seen with bruising, redness, or swelling, or if you work from home, expect to be back to work within 3-4 days! All information is considered private and used only for the purposes of providing information to our Preferred Patients. The Nayak Plastic Surgery and Skin Enhancement Center provides surgical procedures, injectable procedures and skin care services. These cases must be handled with care by repositioning the fat changing its contour so as not to look like bags, but rather a continuation with the cheek mound.
Some patients, with excessive skin wrinkling, may require laser skin tightening of the lower eyelid or conservative skin removal. Written copies of all of these will be given to you at this visit, as well, and you will be able to fill your prescriptions ahead of time. If you are a woman under 50 and have not been surgically sterilized, a urine pregnancy test may be performed. If laser resurfacing is performed, a thin layer of Vaseline will be applied to the lower eyelid skin.
If the eyes appear bulging, the doctor must also evaluate the patient for disease processes such as thyroid disease or other orbital processes. Nayak will also pay special attention to parts of your medical history that need to be considered carefully when undertaking eyelid surgery, such as uncontrolled high blood pressure, or any medications or supplements you may take that thin the blood.
You will also be reminded at this time to avoid for 2 weeks before and after surgery any medications and supplements that thin the blood. In any case, you will have one last opportunity to have last-minute questions answered and use the restroom, and will be escorted to our AAAHC-accredited surgical suite.
Schwarcz evaluates the bony structure of the mid-face, skin quality, and prominence of the eyeball.
Care must be taken with the lower eyelid skin, not removing too much to avoid a vertical shortening of the lower eyelids and not being able to close them.
Nayak will take a few moments to discuss these options with you to make sure they meet your personal esthetic goals. Popular procedures include nose jobs, face lifts, rhinoplasty, blepharoplasty, neck lifts, BOTOX® Cosmetic, JUVEDERM® Injectable Gel and Restylane injections that help people look young and feel rejuvenated!



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