ASK DR. YAGODA
Question: I’m 54 and looking into getting a blepharoplasty in the New York City area. How long will it take to complete an upper eyelid and bottom eyelid blepharoplasty and will I need to bring someone with me?
Answer: The surgery should take approximately 2 hours and yes, you need an adult to take you home and stay with you for the first night just in case you need any assistance. Everyone deserves a bit of pampering!
ASK DOCTOR YAGODA
Answer: You can certainly have a blepharoplasty (eye lift) without general anesthesia. But, there is no need to be a martyr and reject all anesthesia! Upper eyelid surgery can be done safely and comfortably in the office operating room under topical and local anesthetic. Lower lid blepharoplasty can be done under intravenous sedation and local anesthetic. In both cases, you will be completely comfortable and feel nothing!
ASK DR. YAGODA
Answer: For an event as big as a wedding, I recommend 7-10 days as a minimum, and 3 weeks to allow full recovery!
ASK DOCTOR YAGODA
Question: I’m a 55 year-old male living in Manhattan, and my father left me with deep forehead wrinkles that never smooth out. My top eyelids also sag down more than they used to and I’m starting to develop bags… My question is, can I get a brow lift with an eyelid lift or only one at a time?
Answer: You can have them both at the same time. Or, you can have non-surgical, total eyelid rejuvenation technique using Botox/Dysport for the forehead wrinkles (provided that the brow is at or above the bony ridge above your upper eyelid) and surgery for the upper eyelids.
ASK DR. YAGODA
Answer: Your question is a common one, but the answer is a bit complicated. I am guessing you mean that you’ve had lower lid blepharoplasty? If so, there should be no “bags” or bulging fat left. However, on occasion, fat may be missed in the original surgery or it may appear later in the aging process. If fat is left behind, it typically causes a bulge under the eye at the outermost part. However, if the bulge is in the center or middle portion of the lower lid, this may be a muscle ridge. A muscle ridge is caused by repeatedly squinting while in the sun. The best treatment is actually prevention: wearing sunglasses when you are outside. If it’s too late for prevention, treatment may include Botox or Dysport to soften the area of muscular prominence caused by overuse. Another option is judicious surgical excision. However, beware of aggressive removal techniques because they may leave you with a weakened lower eyelid muscle and difficulty in closing your eyes.
As for dark circles, the best treatment depends on the cause(s). When the cause is genetic (especially common in people of Mediterranean descent), it may be due to pigmentation and it can be especially difficult to treat. When the dark circles are related to allergies, nasal congestion and sinusitis, surgery of the nose and sinuses can help. When the dark circles are present in fine, pale eyelid skin, the cause may be hemosiderindeposits (a component of blood) and non-invasive laser and light therapy may be of benefit. While there are many options for treating dark circles and bulges under the eye, the best result will only occur with the right diagnosis. Make sure to visit a specialist to fully evaluate your treatment options.
Answer: Yes, lower lid bags can easily be removed without leaving any visible scar. This is through a transconjunctival approach. In this surgery, an incision is made inside the lower eyelid and the fat is removedfrom the inside. This technique not only removes the unwanted fat bags, but it also preserves the strength and elasticity of the lower eyelid skin.
Answer: Blepharoplasty can change the shape of the eye, if that is the goal, but routine eyelift surgery does not change its shape. In some cases, Asian eyes can look rounder, or more Western, with incisionless double lid surgery as well.
Answer: Yes, lower lid bags can easily be removed without leaving any visible scar. This is through a transconjunctival approach. In this surgery, an incision is made inside the lower eyelid and the fat is removed from the inside. This technique not only removes the unwanted fat bags, but it also preserves the strength and elasticity of the lower eyelid skin.
ASK DR YAGODA
Question: I’m a 60-something year old woman and the skin around my eyes is just not what it used to be. The skin sags and I can’t wear eye shadow anymore because it barely shows. Can an eyelid lift help me or do I need a facelift?
Answer: The condition you are describing is known as hooding. Hooding occurs when upper eyelid skin becomes loose and hangs over the eyelid crease close to or onto the eyelashes. Bothersome as it may be, the solution is fast, easy and virtually painless. This excess skin, caused by the normal aging process or genetics in some cases, can be removed in the office under local anesthesia. The incision, which is hidden in the normal upper eyelid crease, is nearly invisible when it heals. And, here’s good news for the squeamish: aside from the sensation of heaviness after surgery, there is no pain. This is because once the skin incision is made, the area can be numb for up to three weeks. In addition, there is no need to worry about “seeing” something during the surgery. An opaque contact lens is placed into the eye, after it has been anesthetized with a topical eye drop. As a result, you won’t feel the insertion or removal.