Oculoplastic surgeons are ophthalmologists having completed 1-2 years of additional fellowship training following their ophthalmology studies. Ophthalmic plastic surgeons deal with a wide variety of disorders affecting the eyelids, the orbits (eye sockets), and tear drainage (or lacrimal) system.
Eyelid surgery can address excessively droopy eyes (ptosis) to improve vision as well as cosmetic appearance.
• Consult and make a preliminary assessment with an ophthalmologist.
• Arrange to have someone take you home.
• Clarify whether you need a local or general anesthesia during cosmetic surgery with a doctor.
• This initial consultation lasts around 45-60 minutes.
Preparation in the few days leading up to the surgery:
• See your primary care physician or internist before your surgery for standard preoperative clearance.
• Avoid certain medications (such as non-steroidal anti-inflammatory agents and warfarin) and over-the-counter supplements per your surgeon’s instructions.
• Stop using anti-coagulants 3-5 days before and after the surgery (consult your doctor).
• To aid with healing, stop smoking 2 to 3 weeks before and after surgery
The day of the surgery:
• Have slight breakfast and come to the hospital as scheduled.
• Take essential medications (such as for blood pressure and diabetes) as usual.
• Do not wear makeup of any kind on the day of surgery.
Immediately after the surgery:
• Have someone drive you home after surgery.
• Wear sun glasses or other eye protection when going out.
The post-operation examination
• Use medications/ointments as directed.
• Take care of eye as instructed by doctor.
• Return to the hospital for a stitches removal after 1 week.
• Expect mild discomfort during the immediate recovery period. But if pain is severe or vision changes occur, call your surgeon immediately.
• On the first day, you should apply cold packs each hour you are awake, for about 10 to 15 minutes at a time. The ice should help to reduce the swelling and keep bruising to a minimum.
• On the second day, apply cold packs every few hours for about 10 to 15 minutes at a time.
• After 48 hours, warm compresses should be applied to promote faster healing.
• Avoid rubbing the skin wound or applying pressure on it for 2 weeks.
• You will need to be careful when bathing for at least a week after surgery.
• Dab and dry the wound after washing your face.
• Prop your head up with a few pillows to sleep for about 1 week after surgery. This will help prevent swelling.
• Do not drink alcohol for at least 1 week after surgery. You may also need to stop certain medicines.
• Exercising or heavy lifting should be avoided for 3 weeks after surgery.
• Avoid swimming for at least 2 weeks.
• You can resume wearing contact lenses when the eyelid swelling subsides.
• If you wear eyeglasses, you can put them on carefully at any time after surgery.
• Your eye area will be bruised and red with swollen eyes, particularly during the first few days
• The whites of your eyes (sclera) also may become red and bloodshot. It may take a few weeks for healing to be complete, during which time you should not wear eye makeup.
• The time necessary to recover depends on the type of procedure performed, and can vary for each individual.
• You may notice increased tears, feeling more sensitive to light and wind, and blurring or double vision for the first few weeks.