It is usually done
under Intravenous sedation or general anesthesia
administered by an MD anesthesiologist. It is performed
as an outpatient at a hospital surgical facility.
I remove the excess skin from the upper eyelid as
well as the excess fat that causes the puffiness
and fullness and lead to a "tired" look. You are
left with usually a good scar in the upper eyelid
crease which is not seen with your eyes open.
In the lower eyelid I either make a cut as close
to the lid margin which allows me to remove not
only the bulging fat, but also some excess skin
if present. Or, I can just remove the excess fat
causing the puffiness from the inside portion of
the lid without an external scar. Finally, I now
am doing the latter and repositioning the fat so
a hollow look does not result later.
The procedure takes about one hour and the only
bandages are steri-strips over the incisions.
\ou can resume light activity after a few days and
any activity after two weeks. You are bruised for
about 10 to 14 days.
Complications may include bleeding which is one
of the rarest complications and can lead to blindness.
More prolonged bruising or even bruising within
the white part of the eye may occur. It usually
does not change the shape of the eyes. Dry eye with
excess tearing can occur which is probably due to
the eyes staying partially open during the night.