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If you would like to learn more about having a blepharoplasty or eyelid lift techniques that will suit you best, we invite you to meet with Dr. Nabil Fakih for a private consultation at our office.


Please contact us to schedule an initial consultation with Dr. Nabil Fakih to make an appointment.

The Eyelid

Your eyes are often the first feature people notice about you. They are also your strongest non-verbal means of communicating with others. Extra skin, wrinkling, sagging of tissue and puffiness around the eyes can cause you to look aged and tired beyond your years. As one ages, the skin in the upper eyelids becomes redundant and hangs down causing heaviness on the eye that can result in a tired appearance. Genetics can also play a role and some patients start to experience these symptoms at a young age. In some cases it may be so severe as to limit vision especially peripheral.

What is Eyelid Lift or Blepharoplasty?

Eyelid Lift surgery, or blepharoplasty, can be performed to treat excess skin folds around the upper eyelids or reduce puffiness and wrinkling in the lower eyelid region. The goal is to restore a fresh appearance to the upper face. The optimal surgical plan will produce a clean and fresh look to the eyes without actually changing their expression or shape. A less tired look results without telltale signs of surgery.

IDEAL CANDIDATE

• Tired, Aging eyelids

• Excess skin of the upper eyelids

• Bags and puffiness of lower eyelids

EYELID SURGERY ADVANTAGES

• Removes excess skin of upper eyelids

• Removes excess skin of lower eyelids

• Reduces, or removes bulging fat

• Refreshes and rejuvenates eyelid area

EYELID SURGERY TECHNIQUES

• Upper Eyelid Skin Only Blepharoplasty

• Upper Eyelid Volumetric Contouring

• Lower Eyelid Boomerang Technique

• Lower Eyelid Transconjuctival

• Lower Eyelid Fat Transposition

• Lower Eyelid X3 Vector Suspension

EYELID SURGERY STATS

• Length: 1 to 4 hours

• Back to Work:

Upper / Lower Blepharoplasty : 7 days

• Return to Exercise:

10 days (light cardio)

3-4 weeks (more strenuous exercise)

Who is a candidate for Eyelid Surgery ?

Aging changes begin around the eyes in the mid-thirties. Most women become candidates for eyelid surgery in their early forties and men about ten years later. A common early complaint in women is wrinkled upper eyelid skin that looks aging and interferes with makeup application. Men also complain of heavy upper eyelids but usually not until much later in life. Both men and women are troubled by bags and circles under the eyes. Sometimes loose or darkened skin contributes to the problem. All of these issues can usually be effectively addressed by surgery.


What should I expect from my consultation?

During your consultation, you will learn about the surgery and its limitations, and discuss your needs and concerns. Dr. Nabil Fakih will carefully examine your eyelids to assess the shape of the lids and asymmetries to determine what type of procedure would best maximize your result. After your consultation we will take photographs for your medical record and we will discuss the surgery fees and scheduling dates. You should come to the consultation prepared to discuss your medical history. You should provide any relevant information or eye problems history in case you had any previous event from your ophthalmologist. Also provide information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications that you currently take. It is important for you to provide complete information. All our patients can benefit from our IV Therapy Vitamindrip Boosterheal to enhance a quick recovery.


Upper Eyelid Skin Only Blepharoplasty 

Through upper lid blepharoplasty the excess skin is removed. The Muscle is cauterized to tighten it. The sutures are hidden in the natural fold of the eye and are removed at 7 days later. The procedure can be done by local anesthetic or sedation as preferred by the patient. Bruising is usually minimal, and any bruising can be easily camouflaged with sunglasses. Regular work and exercise may be resumed in a few days. It may, however, take several weeks to realize the final results as the swelling from surgery continues to decrease.


Upper Eyelid Volumetric Contouring Concept 

Through upper lid blepharoplasty the excess skin is removed. The muscle is incised to reach the fat. We transpose all the fat to the needed areas (in some cases it is transposed and reduced). Lacrimal ptotic gland will be evaluated and re-suspended to its place. This technique preserves the correct amount of fat, creating a natural and rejuvenated, contoured upper eyelid. It also avoids post-surgical sunken eyes deformity or upper hollow eyes due to fat loss through aging. The sutures are hidden in the natural fold of the eye and are removed 7 days later. The procedure can be done by local anesthetic or sedation as preferred by the patient. Bruising is usually minimal, and any bruising can be easily camouflaged with sunglasses. Regular work and exercise may be resumed in 10 days. It may, however, take 4-8 weeks to realize the final results as the swelling from surgery continues to decrease.


Lower Lid Blepharoplasty or Lower Eyelid Lift

Several things happen to the lower eyelid as aging occurs. A unique type of fat surrounds the eye and its muscles. As we get older, the membrane that holds that fat into the orbit weakens, causing bulges or bags to form underneath the eyes. These bulges under the eyes are also unmasked as midface volume decreases with aging and can contribute to the skin wrinkling and sagging under the eye. Often people complain of having dark circles under their eyes but what they are actually seeing is a shadow underneath the eyes created when overhead lighting shines down on the bulges. After surgery a smooth contour is created and the shadow are improved. At times, the eyelid-cheek muscles sag and cause what is called “festooning” or multiple bags under the eyes. Lower lid blepharoplasty may help reduce each of these problems.

Different types of Lower Blepharoplasty and what to Expect with each:

 Boomerang Technique may be performed for patients with excess skin only without significant fat bags, tear trough, tear valley or festoons. It address only the excess skin in a supero-lateral direction. It has several advantages over other described techniques for only skin resection. Surgical recovery is for 10 days, eyelid recovery is for 2-3 weeks.

• A transconjunctival blepharoplasty may be performed for the patient with minimal wrinkles but significant fat in the lower eyelids. With this procedure, no external incisions are made; instead, the fat is repositioned. This results in correction of the excess fat and of the tear trough deformity with no external incision.This approach is often combined with laser resurfacing to tighten up the skin of the lower eyelid. Surgical recovery is for 10 days, eyelid recovery is for 4-6 weeks.

• X3 Vector Suspension Technique may be performed for patients with excess skin, significant fat bags, tear trough, tear valley +/- festoons. With this approach, a small incision is made just below the eyelashes trailing out into one of the crow’s feet wrinkle. Through this incision, a dramatic tightening of the lower eyelid skin and muscle may be obtained. This technique addresses the fat bags by fat transposition to the hollow to correct the tear trough deformity. Also, it includes canthopexy (to support the canthal ligament and reduce the risk of conjunctival show), SOOF suspension (to correct the tear valley deformity and festoons), orbicular muscle suspension (to tighten the eyelid muscle). Healing is rapid and sutures are removed in seven days. At times, there is bruising which may last from seven to ten days. We can fasten the recovery of bruising with our laser NDYAG. Redness in the lateral portion of the incision may last for several weeks but may be covered up with make-up after 7-10 days. Surgical recovery is for 10 days, eyelid recovery is for 8-12 weeks.

What to avoid before surgery?

It is vitally important to avoid all blood thinning medications/supplements for 2 weeks prior to surgery. This includes any aspirin or aspirin-containing products as well as any anti-inflammatories such as ibuprofen or naproxen (including Motrin, Aleve and Advil). It is generally fine to be take Tylenol (Acetaminophen). Avoid supplements such as Vitamin E including multi vitamins, omega 3 fatty acids such as fish oil and flax seed oil. All these medications can contribute to bleeding problems following surgery and can increase the amount of bruising.


Recovery

Following eyelid lift or blepharoplasty, you will go home on the same day with a friend or family member. Mild swelling and bruising are expected after a blepharoplasty, and generally resolve after seven days, although the period of swelling and recovery will be slightly longer. Cold compresses can be applied for comfort and to minimize swelling. Sutures will be removed seven days following blepharoplasty. Dr. Nabil Fakih suggests taking seven days off following a blepharoplasty, however many are able to return to work after four days. Following a blepharoplasty with fat and/or laser treatments, Dr. Nabil Fakih recommends taking fourteen days for recovery, although it is indeed possible to return to work as early as ten to twelve days after your blepharoplasty with fat transfer or laser treatment (provided there is no strenuous activity or heavy lifting involved). Light aerobic activity (light treadmill walking, stationary bicycle) may be resumed as early as seven days following blepharoplasty, and more strenuous activity after three to four weeks. Your relationship with Dr. Nabil Fakih does not end after blepharoplasty surgery; he will see you often through the first weeks and months following your eyelid lift, and will advise you on all matters in your recovery including eye skin to maximize and preserve the rejuvenative effects of your eyelid lift procedure. 


Why Dr. Nabil Fakih?

Make sure a qualified doctor is performing your surgery. Experience matters when considering who will perform it. Dr. Nabil Fakih experience treating eyes in addition to his International reputation in eyelid surgery sharing his knowledge in several conference make him to be an optimum surgeon to choose for your eyelid surgery. It is your face – be sure an experienced facial surgeon performs your surgery. In addition to Dr. Nabil Fakih 's expertise, we offer an integrated pre-surgical, intra-surgical and post-surgical care, so as to optimize healing, we offer several technologies to our patients for an enhanced optimum recovery. We have implemented a specific-low-bruise-anesthesia during surgery to guarantee less bruising post-surgery, detailed suturing under 2.5x Loop vision for optimal aesthetic effect, toxin injection for the incision for better scar healing, Aerolase Neo to reduce bruising & incision redness, Aerolase EraPeel to blur any visible scar in case is needed, and finally Vitamindrip Boosterheal for a faster  recovery.

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