There are a variety of techniques for upper eyelid surgery, or upper blepharoplasty, though most of them focus on the same basic principles. The techniques described below are for rejuvenation of the upper eyelid, and do not pertain to double eyelid surgery (Asian blepharoplasty) or eyelid reconstruction.
During your initial consultation and any subsequent visits, Dr. Chow will perform a complete history and physical examination of your face and eyes to ensure that upper eyelid surgery will be as safe and effective as possible. He will be happy to answer any questions or concerns you may have while addressing your aesthetic goals.
Before having any cosmetic surgery, you should always review the medications, supplements, vitamins, and foods that you consume. Many of these can cause problems during your procedure because they thin your blood, making you more likely to have heavier bruising or complicating the procedure with excessive bleeding. Others may overly enhance or otherwise interact with the numbing anesthetic used during your upper eyelid surgery.
Dr. Jen Chow should also know your medical history, especially any eye conditions you may have. Use of eyeglasses, contacts, and eye medications should be recorded. Any history of dry eye syndrome is very important and should be thoroughly evaluated, as this may be a reason to avoid eyelid surgery. Previous surgeries, particularly previous eyelid or brow surgeries, must also be known because they may affect your outcome.
Please be sure to avoid the use of any make-up the day of surgery. Just before the procedure begins, Dr. Chow will meet with you to discuss any last minute questions you may have. He will also clean the upper eyelids and mark the skin while you are sitting upright in order to obtain the best and most natural cosmetic result.
Depending on a number of factors, you may or may not choose to have anesthesia administered by a physician (an anesthesiologist) on the day of your procedure. These will have been discussed before the day of surgery so that the appropriate arrangements have been made. Should you choose twilight sedation or general anesthesia, your surgery will be performed at an accredited facility with an anesthesiologist present.
Once you are comfortable, Dr. Chow will numb the upper eyelids. Using sterile techniques, he will then remove excess skin, muscle and/or fat from the upper eyelids. He will then carefully close the incisions and place cool compresses on each eye in order to minimize discomfort after surgery.
You will have a period of recovery while being observed by a nurse or team of nurses before heading home. You should have someone to drive you home and stay with you on the first night after your upper blepharoplasty.