525 South Drive, Suite 101 Mountain View, CA 94040 Phone: (650) 964-9600

Eyelid Surgery FAQ's

Frequently Asked Questions About Eyelid Surgery

We understand that making decisions about eyelid surgery can be difficult. It is our experience that informed patients will be the most satisfied with their results. Dr. Levin has provided the content on this page for informational purposes and is not intended to replace the advice of your physician.

Cosmetic eyelid surgery (blepharoplasty) involves sculpting the upper and lower eyelids in order to restore a youthful appearance to the eyes, and sometimes to improve vision. Upper eyelid surgery can open up droopy upper eyelids. Lower eyelid surgery removes puffiness and swelling. Most patients look younger and more rested after successful eyelid surgery.

Many Asian patients request a "double" upper eyelid and removal of the bags beneath the lower eyelids.Learn more about Asian Blepharoplasty

Today, there are many options excellent for improving lower eyelids. Lower eyelid bulges are usually treated with a transconjunctival incision (incision inside the eyelid) so as to avoid a visible scar. Some patients may be candidates for newer techniques such as fat transfer, mid-face elevation, laser resurfacing and/or canthoplasty.

Eyelid surgery is very successful in patients who have been properly educated and have reasonable expectations.

Dr. Levin maximizes results while minimizing side effects by individualizing each procedure to the specific patient. The carbon dioxide laser or scalpel is used on excessive tissue of the eyelids. After sculpting the eyelids, fine sutures are used. In selected cases no sutures are required.

Patients have surprisingly little discomfort after most eyelid procedures. Generally, over the counter Tylenol in conjunction with ice pack placement over the eyes for 24 hours is all that is needed. An occasional patient will require stronger medication.

Most cosmetic eyelid surgery is performed in our surgical suite for your convenience, confidentiality and comfort. Our operating room is approved by the California Medical Association's Institute for Medical Quality which meets California State standards for outpatient surgical procedures.

We ask you to arrive at the office ½ hr before surgery and to stay until you feel you are ready to go home. The actual procedure generally takes 90 minutes for upper and lower eyelids.

Your eyes are never patched closed. We place ointment in the eyes that modestly blurs your vision. If you notice problems with your vision, we want to know immediately. We ask that you keep ice packs or packets of frozen peas on your eyes for 24 to 48 hours after surgery when you are awake but resting.

Most patients are using their televisions, laptops, or media tablets within one to two days after surgery, and can read and work at a computer workstation within three to four days after surgery. The eyes will fatigue quicker during this period, however. Patients generally return to work seven to ten days after surgery and resume athletic workouts two weeks after surgery. We ask our patients to recognize that healing occurs gradually over weeks to months, although most improvement occurs in the first month.

Most patients with heavy eyelids have had the condition since birth and are candidates for upper eyelid surgery in their twenties, though most wait until their mid-thirties or later. Lower eyelid bags are nearly universal and come on with age, although the exact age usually depends on hereditary factors.

Patients who "throw away" eyeglasses following corrective vision surgery often find that eyelid bags heretofore hidden by the glasses appear more pronounced. Patients who have had successful corrective vision surgery are excellent candidates for cosmetic eyelid surgery. We usually recommend that three to six months separate cosmetic eyelid surgery and refractive surgery.

Yes, other facial surgical and laser procedures can be combined with eyelid surgery. Brow lift (forehead lift), fillers and facial laser resurfacing are the most commonly performed additional procedures.

Fees reflect your specific issue and the extent of surgery needed to correct it. A price estimate will be given at your consultation for cosmetic surgery that includes the surgeon's fee, the fee for the operating room, and the fee for an anesthetist if required.

Insurance does not pay for cosmetic surgery.

Many of our patients elect not to use their HMO plans (including Kaiser), enabling them to choose their own eyelid surgeon. Eyelid surgery can be accomplished in our approved surgical suite and is an affordable option for many individuals who desire to improve their appearance.

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