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Cosmetic
Eyelid Surgery (blepharoplasty)
As we get older
some people develop signs of aging around their eyes. Even after
a good night of sleep you may have tired or drooping eyes with loose skin. Furthermore,
you can develop a puffiness above and below the eyes that makes you look
older than your age. Each year thousands of people correct
these eyelid changes with cosmetic eyelid surgery. Cosmetic
blephroplasty can improve sagging eyelids, remove fatty bulges above and
below the eyes and remove hanging skin from the upper or lower eyelids. Dr.
Boss can do this procedure as a stand alone procedure or together
with a face lift, brow lift or laser skin resurfacing.

Before After
Puffiness below the eyes is gone
Are
you a good candidate ?
While eyelid surgery is available and helpful to everyone. It is important
to determine if you are a good candidate. During your consultation
Dr. Boss will discuss your concerns and what you can expect after surgery. He
will show you before and after pictures of patients with similar problems. He
will also review your history to see if you have any opthalmolic condition
that would be a contra indication to surgery.

How
is surgery done ?
Eyelid surgery is usually performed
in our office operating room although you may request to have it done
in the hospital or other outpatient facility. Dr. Boss usually
uses local anesthesia alone, however you can request to have an anesthesiologist
administer intravenous anesthesia. When treating the upper
eyelids Dr. Boss uses microsurgery techniques and places a fine incision
in the crease above each eye. He then removes excess skin and
muscle. Very fine sutures are then carefully placed. To
treat the lower lids two approaches can be used. If excess
skin needs to be removed a small incision is placed beneath the lower
eyelash, then fat and excess skin are taken out and the incision is closed
with very fine suture. If puffiness and fat is to be removed
without excess skin, an incision can be made on the inside of the lower
lid. Dr. Boss then gently removes the fat through this incision. He
will often laser the lower lid to provide some tightening. Dr.
Boss's extensive experience in cosmetic surgery allows him to modify either
of the above procedures and lift up the corner of the eyelid using a special
suture technique.
What
is recovery like ?
The most common side effects
are bruising and swelling. Dr. Boss recommends ice compresses aggressively
for the first 24 hours. Oral antibiotics or antibiotic drops
are prescribed for several days. Stitches are removed within
5 days and most patients return to work within a week. Makeup
may be usually worn after 10 days. Contact lenses may be resumed
within a few weeks. Dr. Boss's surgical technique can usually
restore the patient to a more youthful appearance and improved self esteem.

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