It is important that you read and re-read this page before you consider undergoing this surgery.
Droopy eyelids are rare in the general population. In medicine, we call this condition Blepharoptosis, from the greek blepharos = eyelid, and ptose = descent.
The precise cause is unknown but it may be the result of an infection in the upper third of the face, usually caused by viruses. Another cause is a disease called myasthenia gravis, where there is paralysis is one or two levator muscles of the upper eyelids. Hereditary factors may be also be a cause, but this is rare.
Correction with plastic surgery is indicated when the patient cannot lift the lids on his or her own, which is considered a minor disorder. If he/she cannot open the eyelids even with the help of the frontalis muscle, it is considered a major deformity.
In minor cases, surgery is done by altering the anatomy of the upper eyelid’s cartilage along with the mucosa or conjunctiva.
In major deformity cases, we have to resort to transplanting a strip of tendon from either the temporalis muscle, or fascia lata strip, a soft tissue found in the thigh.
These two operations are done in the hospital under general or local anesthesia and IV sedation, depending on patient’s age and the degree of severity.
The duration of surgery to repair both eyelids is about 2 hours. Often it is only one side that is affected. In this case, operating time is approximately one hour.
With an early morning surgery, you will be discharged the same day at 5 PM. If you live across the border, you will remain overnight at the clinic and will be discharged the following morning. (Click To my patients who Live Outside Tijuana for more information). I will ask you to carry to the clinic a scarf and very large dark glasses, to leave the Hospital.
Below are some important pointers regarding “before and after” droopy eyelid repair surgery:
1. Do not take aspirin or aspirin products for 2 to 3 weeks prior to surgery. (Click Non recommended Medicines for more information.)
2. For three consecutive nights before surgery wash the entire face, including your ears,with Isodine foam (Betadine in the US) shampoo. Your pharmacist may suggest an alternative product if you are unable to find it.
3. Do not eat food or drink any fluids from 12 PM the night before surgery.
4. Wear comfortable clothes and shoes.
5. Bring a scarf and large, dark sunglasses with you to the clinic.
6. If you get cold, sore throat or pimples inside the nose, call the office.
1. Go directly home and remain at rest for 24 to 48 hours. Rest and sleep on your back not on your side.
2. You may get up to use the toilet and for meals only.
3.The first day at home you should take sips of fluids, gradually increasing to a soft diet. If you do not have nausea, you can eat normally.
4. Take your medicine as directed. You cannot drink alcohol during this treatment.
4. Do not touch, rub or bump your eyes.
5. Apply small ice gel packs to the eyes every 4 hours for 15 minutes.
6. 7. Avoid the sun, hot meals, hot baths and hot environment for a week
To view some cases of this surgery click Photo Gallery.
Any questions before and after your surgery may be answered in person by calling the office, 684-2551 (US: 619-730-1917) or my cell 664-283-0976 or click Contact us for more information.
I wish you an excellent experience in Plastic Surgery and a speedy recovery.