Upper Eyelid Procedures - Blepharoplasty - Eyelid Lift/Tuck
Dr. Lensink has performed tens of thousands of eyelid operations over the past two to three decades. Most of these procedures have been blepharoplasties. Thanks to many years of patient feedback, he has developed and evolved his techniques to provide what we believe are uniquely natural results, leading to subtle but significant improvements in appearance.
We individualize each upper and lower eyelid procedure for each patient, often combining several procedures to accomplish your desired results. This will be discussed at the time of your consultation.
Where do you perform eyelid surgery?
We can perform blepharoplasty in either our private office surgery suite, or in an ambulatory surgery center. Which location we will jointly choose depends upon a number of factors including health status and insurance requirements. Most cosmetic procedures are performed in the office, which saves the patient a great deal of money through avoidance of surgery center and anesthesiology fees.
What type of anesthesia do you use?
The type of anesthesia we used depends on the facility where we do the surgery. At surgery centers, an anesthesia specialist will provide intravenous sedation without putting you completely to sleep. In the office setting, we can’t legally or safely use intravenous sedation so we offer pills in the category of Valium to improve patient relaxation and reduce anxiety. In all facilities, we then use local anesthetic gently injected around the eyes.
How do you go about the surgery?
We hide the blepharoplasty incision in the crease of the upper eyelid. From there, we remove the excess skin above the incision line. Thereafter we sculpt the tissues beneath, based on body habitus and whether the patient is male or female. The last step of the procedure is to close the incision with very small, tan self-dissolving sutures. It will take the sutures about a week to dissolve on their own.
What happens after surgery?
Following surgery, you will need to have someone else drive you home. You will need to be restful the remainder of the day, resting with your head elevated and cold compresses applied. The day after surgery you may resume driving in a limited manner, and willneed to use cold compresses intermittently.
Cold compresses will need to apply pressure to the entirety of the upper lid including the inner and outer corners. To accomplish this we will recommend frozen peas rolled up in a food storage bag, and applied to the eyelids over gauze or a washcloth, in such a manner that the entire eyelid is contacted with mild pressure from the compresses.
By the third day, you will be able to somewhat get on with your life. You should expect to have significant bruising and swelling which should largely resolve in about two weeks. While at the end of two weeks, most can go out and about without people wondering what happened to them, it will take several months for the surgical wounds to mature. In fact, it will take a year or more for the wounds to completely mature.
What will I need to do beforehand to prepare?
It will be necessary to avoid medications before surgery that increase risk for bleeding during or after surgery. At the time of your consultation, we will go over with you any prescription you might take that can increase risk for bleeding. We will also discuss over-the-counter medications and nutritional supplements which can increase bleeding risk. Please understand that we will expect you not to stop any such medications without first consulting the doctor or other health-care provider who may have prescribed or recommended them.
To see before and after photos, CLICK HERE.