Eyelid Plastic Surgery in Tampa

Eyelid Plastic Surgery in TampaCosmetic Eyelid surgery, also known as blepharoplasty, is a common plastic surgery performed at Marcadis Plastic Surgery and Medical Spa.  An eyelid surgery (blepharoplasty) is designed to increase satisfaction with eyelid appearance by changing the shape through cosmetic surgery; At times, this surgery is performed to improve vision. Eyelid surgery (blepharoplasty) can help reduce the bags under eyes, excess skin of the upper eyelid, or other concerns with the appearance of your eyes. This surgery helps reduce the amount of skin and fatty tissue in the eyelid area and help you look less tired and more refreshed.

While some patients elect for an eyelid procedure (blepharoplasty) alone, most patients desire to do this surgery along with other facial procedures to balance the aging process of the face. Although the reasons vary, the goal is always the same: feeling more confident about the way you look. At Marcadis Plastic Surgery and Medical Spa, Dr. Marcadis offers 25 years of experience, compassion and professionalism to provide the look you want.

Cosmetic Eyelid Surgery Consultation:

During your consultation, Dr. Marcadis will listen to your concerns and the outcome you want to achieve. Dr. Marcadis will also discuss the advantages and disadvantages of the eyelid procedure (blepharoplasty) and will go over the incision site and scars. We know that having an eyelid procedure (blepharoplasty) is a very personal decision therefore, it is important that Dr. Marcadis understand your goals, desires, and expectations during your consultation. He will discuss the procedure and risks of undergoing an eyelid surgery. Depending on your goals, Dr. Marcadis will discuss combining an eyelid procedure (blepharoplasty) with other facial surgical or non-surgical procedures to accommodate patient’s goals.

Pre-operative appointment:

At Marcadis Plastic Surgery and Medical Spa, we take our patient’s health very seriously. During your pre-operative appointment, we will review the procedure, your goals, and expectations, and discuss your care after surgery. At this appointment, we will again review your medical history and perform routine preoperative laboratory testing.

Eyelid procedure:

An eyelid procedure (blepharoplasty) is a procedure that is done under a light general anesthesia. Incisions for an eyelid procedure (blepharoplasty) depends on if it is done in the upper eyelid or the lower eyelid. The goal of an eyelid procedure (blepharoplasty) is to remove excess skin, fat and muscle of the eyelid to give the patient a more refreshed look. This procedure is performed in our Joint Commission (JCAHO) accredited surgical facility. The procedure takes about 2 hours to perform. Anesthesia is provided by board certified anesthesiologists with many years of experience and on staff at major local hospitals.

Recovery after an eyelid surgery/ blepharoplasty:

Immediately after surgery, a special ointment will be placed over your eyelid stitches. You will be asked to keep your head elevated over your heart for 72 hours immediately after your eyelid surgery. Expect some swelling and bruising in the area of your surgery. You may resume all your normal non-strenuous activities as soon as discomfort allows. Most of our patients resume to their work about 3-5 days post surgery. Most swelling will gradually dissipate over 6 weeks. We will continue to see you during your follow-up until healing is assured. All recovery expectations will be discussed during your initial consultation and at your pre-operative appointment.

Call (813) 878-0089 to schedule your consultation with Dr. Marcadis to determine if an eyelid surgery (blepharoplasty) is right for you. At Marcadis Plastic Surgery and Medical Spa, we pride ourselves with over 20 years of experience, professionalism and personalized patient care. Dr. Marcadis is one of the most experienced board certified plastic surgeons in the area; he is well known in the Tampa Bay area including Clearwater, St. Petersburg, Sarasota, and Orlando.

Eyelid Surgery – Blepharoplasty

Procedure, Risks and Limitations

Purpose: Increase satisfaction with eyelid appearance by changing the shape through surgery; at times improve vision.

Goals: To change eyelid contours to one that you find more appealing and in harmony with your facial features. Your goals should reflect realistic expectations as to what is possible to achieve with surgery that changes eyelid contours.

Condition: Eyelid shape can have a significant impact on appearance. Excess upper eyelid skin can create a fold that hides the upper lid and sometimes interferes with vision. It can be more difficult to apply makeup. Lower eyelid fatty tissue may become more pronounced giving the eyes a tired and less youthful appearance. Excess eyelid skin or fatty tissue can develop over time or be inherited as a normal part of body anatomy.

Being unhappy about eyelid contours can reduce one’s quality of life and can lead some to feel self-conscious and less confident about their appearance. Some feel less comfortable in or avoid social, recreational, occupational or intimate activities. Blepharoplasty can reshape eyelid structures that cause undesired contours and can allow people to feel less concerned and more confident about their appearance. It can restore quality of life and well being in ways that are not possible by any other means.

Limitations, Tradeoffs and Side Effects: Results of a blepharoplasty may be limited by factors we cannot change.

Blepharoplasty is an excellent but a very specific way to remove or reshape excess skin, fat and muscle of the eyelid. If your appearance is due to any other reason, blepharoplasty will be ineffective or only partially effective in achieving your goals.

Other causes of undesired eyelid appearance most commonly include poor skin quality, skin pigmentation, dynamic muscular wrinkles, face or forehead sag, eyelid muscle weakness, and bony prominences. Bone anatomy or facial asymmetry cause eyelid asymmetry and the eyelids never look identical. The aging process is progressive and parts of your appearance may return with time after surgery. Blepharoplasty will have no effect on any of these conditions.

Blepharoplasty involves surgery and the downside that is common to all surgical procedures. This includes use of anesthesia, bruising, swelling, pain, scars, recovery period, financial cost, risk of complications and possibly unpredictable results.

To get the most benefit from your surgery you must set a broad enough target for your goals so that the surgery will be successful.

Other conditions: Smile or frown lines are dynamic wrinkles that are due to poor skin elasticity in combination with muscle activity. Botulinum toxin (Botox) can reduce muscle activity and reduce dynamic wrinkles. Altering corrugator muscle function at the time of blepharoplasty can also reduce dynamic wrinkles.

Drooping eyebrows can give the appearance of excess eyelid skin and requires browlift to correct.  Facial tissue sag or cheek puffiness near the eyelid requires a facelift to correct.

Eyelid droop (ptosis) caused by altered muscle function will not be improved with cosmetic blepharoplasty alone. Pigmentation from thin, translucent or pigmented skin will not improve with blepharoplasty.

Treatment for poor skin elasticity, fine lines or pigmentations is sometimes required to get the best results from surgery. Medical skin care programs, skin peels or resurfacing can sometimes have effects that surgery alone does not have.

Alternatives to blepharoplasty: Cosmetic blepharoplasty is a purely elective procedure and is not required for functional reasons. Please consider the risks / benefits of blepharoplasty carefully. You may decide that blepharoplasty is not for you. Occasionally medical skin care programs (i.e. Retin A, glycolic acid treatments), non-surgical treatments such as chemical peel or laser, or injection techniques with hyaluronic acid (Restylane), collagen, fat, or Botox, or a change of makeup or hairstyle may give you some of your desired appearance and achieve your goals without surgery.

These alternative treatments may improve your appearance but will not remove excess eyelid skin or fatty bags.

Operation: Each blepharoplasty procedure is different and is personalized to reflect your desires and anatomy. Blepharoplasty is an outpatient procedure and takes approximately 1-2 hours. A light general anesthesia or sedation is used. The incisions are in the upper eyelid skin crease and on the lower eyelid just below the lashes. Excess skin, fat and muscle are reshaped and the incisions are closed. Incisions are usually inconspicuous however occasionally a pink scar is noticed until it fully matures.

Post-operative period and Recovery: The results are not seen immediately because of swelling and the time it takes for skin to adapt to the underlying contour. Bruising and swelling will be present and most will resolve within 1-2 weeks. Sutures are removed in 3-5 days. Some bumps under the surface may become visible temporarily as the swelling subsides. Scars though usually imperceptible are present and permanent after all surgery. Most of the results are visible at 2 weeks but the appearance will continue to improve for several months after your blepharoplasty.

There are minimal restrictions on your activity after surgery. Get back to usual non-exertional activities including bathing as soon as possible. Soreness is expected to improve rapidly. Avoid running or strenuous exercise for 2 weeks at which time you can resume all activities.

Predicting exact postoperative appearance with fine detail or precision is not possible after any operation. Setting a broad target for your goals will allow you to get the most benefit from your surgery.

Remember, the full effects of blepharoplasty may not visible for 3 – 6 months.

Risks and possible complications:

Although the complications associated with blepharoplasty are uncommon, all surgery carries some uncertainty and risk. In extremely rare instances this may even include death, disability and deformity. Most complications that develop will improve without treatment or are treatable.

Some complications may require additional surgery and cost to you.

The complications most specific to blepharoplasty include but are not limited to:

Anesthesia risk – Administering of any type anesthesia required for surgery involves risk.

Delayed bleeding – After surgery may cause blood to accumulate under the skin and around the eyes – may require immediate procedure to relieve pressure. Late bleeding is associated with high blood pressure, anti-inflammatory medication (including aspirin), alcohol intake, exertion or straining after surgery.

Infection – Unusual – Treatment with antibiotics or additional surgery may be necessary.

Asymmetry – The human face is asymmetrical and one eyelid will always be slightly different than the other side before and after the operation. Occasionally additional surgery may be desired for improved results.

Malposition / Ectropion – Lower lid may pull away from eye due to swelling or loss of eyelid tone. Usually temporary – if persists may require secondary procedure.

Ptosis – Upper eyelid sag present preoperatively may become more apparent postoperatively – can be surgically treated if occurs.

Dry eye – Decreased tear production requiring frequent eye drops. Not entirely predictable.

Milia – Tiny skin cysts (whiteheads) or bumps along scar. Usually go away on their own or are easily treated.

Frown line recurrence / Forehead numbness – After corrugator muscle surgery to reduce frown lines is possible.

Poor scarring – Scar thickness is unpredictable. Visible scars may benefit from makeup or scar revision.

Eye problems/loss of vision – Damage to eye or deeper structures has been reported – extremely rare.

Unhappy with result – Eyelid appearance or degree of improvement may not be exactly what you desired preoperatively. This may be due to inherent limitations of your anatomy such as bone structure, skin texture or elasticity, eyelid ligament attachments, undercorrection or overcorrection or unrealistic expectations as to what can be accomplished with blepharoplasty. Occasionally additional surgery may be desired for improved results. Broad, flexible goals allow for the most successful surgical outcome.

* It is very important that during the preoperative consultation you are certain about the expected result and ask for additional information if you are uncertain.

* Even though the risks and complications noted above occur infrequently they are the ones that are specific to blepharoplasty or are of the greatest concern. Other unforeseen risks and complications can occur.

* Any complications that develop can result in additional surgery, time off work, hospitalization, and expense to you. Additional surgery including touch ups, revisions, or complications requiring an operating facility would incur additional facility fees.

* Insurance does not cover cosmetic blepharoplasty. Treatment of complications may or may not be covered by insurance.

* No guarantee – The practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied, by anyone as to the results that may be obtained.

Do not take anti-inflammatory medications such as aspirin, ibuprofen, naproxin, herbal medications or diet pills for at least 2 weeks before and after surgery to help avoid bleeding problems. Tylenol (acetaminophen) is permitted. If you are unsure about your medication, please check with us.

NO SMOKING or other tobacco or nicotine products for at least 2 weeks before and after surgery.

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