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Dr. Rapaport

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Dr. Boss

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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.  

eyelid surgery    after eyelid surgery
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. 

before eyelid surgery  after seylid surgery 2

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.  

eyelid surgery last