Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
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Posted in Blepharoplasty, Eyelid Surgery on May 11th
Question : Post eyelid surgery will I be able to drive home?
Answer : Not really. You will be swollen and may have tape on your eyes that partially closes them.
Posted in Blepharoplasty on May 6th
Question : For lower eyelid surgery, are the incisions always made inside of the eyelid? Is a skin incision ever needed and if so, why?
Answer : I have not used an external incision for a lower lid blepharoplasty for over 20 years. If there is extra skin, it can generally be treated with a laser or plasma.
Posted in Blepharoplasty, Laser Treatments on April 23rd
Question : I am 63-years-old and I have horrible bags under my eyes. Would laser skin resurfacing reduce the darkness under my eyes?
Answer : Sometimes. If the bags are primarily skin, the laser may work nicely. If they are fat from below the eyeball, you might need a blepharoplasty. If the bags are fluid, it can be a particularly difficult problem that might require excision of the bags plus laser resurfacing.
Posted in Blepharoplasty, Eyelid Surgery on April 12th
Question: I want to have upper and lower blepharoplasty. How long should I expect to be out of work for?
Answer: 7-10 days is the usual amount of time most of our patients take off from work. The lower lids will be swollen longer than the uppers; the fat transposition is a more complex procedure than the upper lid procedure. Here are some examples of results:
http://www.drbentkover.com/procedures/blepharoplasty_photos-worcester-boston.shtml
Question : Does lower lid blepharoplasty require much time for recovery? What are the complications of this procedure?
Answer : Blepharoplasty is often a middle aged patient’s first foray into cosmetic surgery. Opening up your eyes goes a long way in facial rejuvenation. Upper eyelids we do in the office under local anesthesia. Lower lids we usually do with sedation or general anesthesia. If fat is removed from the lower eyelid, the swelling and black and blue is usually gone by 7 days. If you require a fat transposition, moving of the fat causing the lower eyelid bags into the hollows and the so-called tear trough below the eye, you will have more swelling and more black and blue. I would not plan on returning to work before 10 days. This is our more common variation on the procedure. We prefer to use the fat pads of the lids to help provide youthful fullness to the lower lid. Complications are rare and are usually related to bleeding. It is important to stop any medications or herbal preparations that can cause bleeding 10 days before surgery. Aspirin, ibuprofen and other NSAID’s, warfarin, St. John’s wart, gingko biloba, garlic, high doses of vitamin E, and ginseng can cause bruising. Drinking pineapple juice for a week before and after surgery helps prevent bruising; it contains bromelein. If you have any questions about bruising as it relates to medications or other preparations you may be taking, please call us at 508-363-6500 or email us at info@drbentkover.com.
Here are some images of lower lid blepharoplasty:
http://www.drbentkover.com/photogallery/wrinkles-scars/patient-4
http://www.drbentkover.com/photogallery/blepharoplasty-eyelid-surgery/patient-10
Question :
I am male, 55 years old and have a tired appearance most of the time. I believe it is due to permanent circles under my eyes. I have been looking into blepharoplasty. It looks like you remove the fat that is causing the circles. But wouldn’t that create loose skin? Do you remove some skin as well?
Answer :
Well, I generally do not remove the fat. I usually move it into the depressions of the lower eyelids called the tear troughs. I treat the skin as a separate issue and tighten it will a laser, plasma or Pellevé radio frequency.
http://www.drbentkover.com/procedures/blepharoplasty_photos-worcester-boston.shtml
Posted in Blepharoplasty, Eyelid Surgery on January 18th
Question:
I would like upper and lower lid blepharoplasty. I have very sparse eyelashes. Will the incisions affect my eyelashes? How long after the surgery can I wear eye makeup, especially mascara?
Answer:
The incisions should not affect your eyelashes. The upper lid incision is about 6-8 mm (1/4 inch) above the lashes. My lower eyelid incision is on the inside of the lower eyelid (transconjunctival) so lower lid lashes should not be an issue either. You can wear eye make up at 3 weeks post op in most cases.
Posted in Blepharoplasty, Eyelid Surgery on December 16th
Question:
I have severe dry eye and have been told that having an eyelid lift might not be safe for me. What are the risks of this procedure for someone with my condition?
Answer:
The upper lip blepharoplasty must be done conservatively and carefully.
Posted in Blepharoplasty, Skin Rejuvenation and Resurfacing on November 19th
Question:
Can a blepharoplasty effectively remove my dark under eye circles?
Answer:
To the extent that dark circles under the eyes are actually shadow off of protruding fat pads, yes. If they are from hyper pigmentation (brown pigment), the skin will need to be treated separately. Here is an example:
http://www.drbentkover.com/photogallery/blepharoplasty-eyelid-surgery/patient-3
Question:
I feel I am much too young to have droopy eyes. The drooping area is below my eyebrow and it sags down over my eyes, particularly my left eye. What is the cure for this, blepharoplasty or a brow lift?
Answer:
The solution can be one or both. If the excess upper eyelid skin is from your brow having descended, elevating the brow may be the solution. However, you still might need to have some skin removed from the upper eyelids. Sometimes just removing some of the upper eyelid skin is enough, and we can do that in the office with local anesthesia.
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