LOWER BLEPHAROPLASTY

Lower Blepharoplasty in Santa Barbara –  Eyelid Surgery

The eyes are the facial feature that we are drawn to first. Any cosmetic issues that take place in this area of the face have a dramatic effect on your personal appearance. There are a number of factors that contribute to aesthetics concerns. Prolonged sun exposure, genetics or the aging process can be blamed. Some patients may even experience adverse effects to their vision. Puffy bags can also develop beneath the eyes.  Patients wanting to restore a more youthful appearance can definitely explore lower blepharoplasty and a variety of other procedures.

When it comes to removing excess fat deposits from under the patient’s eye, plastic surgeons often recommend lower eyelid surgery. Along with sagging skin, these fat deposits can be removed to make the patient look younger with a firm and much smoother skin above the cheek. Many lower blepharopalsty patients will have their surgery performed in tandem with other surgical procedures such as brow lift or facelift for a greater sense of rejuvenation. Additionally, this procedure can be enhanced with a non-surgical approach to address the sunken eye age related volume loss under the eye by concurrently using dermal fillers or fat to treat the hollowed areas. Apart from helping the skin look plump, the procedure also helps to make the area look healthy and tightened. The eye lift surgery involving for the lower eyelid area is specialized using a variety of procedures to meet each patient’s individual and unique needs.

SCHEDULE YOUR EYELID SURGERY CONSULTATION OR CALL (805) 318-3280 TODAY!

* Disclaimer

What is Transconjunctival Blepharoplasty and how does it work?

As reported in the journal Plastic and Reconstructive Surgery, individuals seeking eyelid surgery (blepharoplasty) account for one of the most frequent types of face cosmetic surgery in the United States, according to a research published in the journal Plastic and Reconstructive Surgery. Lower eyelid surgery, such as transconjunctival blepharoplasty, is a kind of ophthalmic treatment that is performed without the necessity for any external incisions on the patient’s skin. When performing the operation, the majority of doctors will not leave surgical scars or a “pulled” look on the eyelids as a result.

Lower blepharoplasty may be performed from the outside (transcutaneous or “through the skin”), and from the inside (transconjunctival or “through the conjunctiva”), these lower eyelid blepharoplasty are two procedures that Dr. Sheffield has performed successfully.

The eyelids are made up of many layers of delicate tissue such as skin and muscle. Additionally, the eyes are linked to the bones and skin that surrounds the eye, which is referred to as the “orbit.” If fat bulges in the orbit push downward, they may press on the lower eyelid, resulting in under-eye bags.

Transconjunctival blepharoplasty is the term used to describe the process of reducing the prominence of eye bags via the use of a transconjunctival incision.

ARE YOU A CANDIDATE?

Patients must be healthy from a physical and psychological standpoint. Those who are displeased with their baggy eyes and drooping eyelids are prime candidates. The average patient tends to be over the age of 35 but some patients may also be genetically predisposed to these conditions.

Some medical conditions could increase the risk factors involved. Graves’ disease, hypothyroidism, dry eye, circulatory disorders, high blood pressure, diabetes and cardiovascular disease are among them. Patients who have been diagnosed with glaucoma or a detached retina could have cause for concern as well. Check with an ophthalmologist beforehand.

Improving the appearance of these areas can offer many benefits but patients must remain as realistic as possible about the potential outcome.

THE CONSULTATION

This is one of the most important steps of your journey. Dr. Sheffield must review the totality of your medical records at this time, so be sure to have all of the necessary information on hand.

He needs to be informed of any allergies, prescription or over-the-counter medications/vitamins, and if you are a smoker. Patients with contacts or glasses will also need to bring any and all appropriate information, including paperwork from their last eye exam.

While in consultation, goals and expectations will be discussed. Additionally, all questions will be answered to complete satisfaction. Any potential limitations or risks will also be discussed at this time.  Dr. Sheffield guides the patient through the process so that they can decide on the option that works best for them. If there any additional procedures that could be beneficial, they are discussed at this time.

THE IMPORTANCE OF A BOARD CERTIFIED SURGEON

For Santa Barbara patients, lower blepharoplasty provides the necessary results when it comes to removing puffiness beneath the eyes and sagging eyelids. Selecting a board certified surgeon maximizes the chances of receiving the desired outcome.

The American Board of Plastic Surgery has certified all of our surgeons. They have already received the extensive training and education that they need. They have already passed all of the most comprehensive exams.

Dr. Sheffield has dedicated his life to offering the highest possible quality of care and ensuring that patients remain fully informed about the ins and outs of their procedures.

EYELID SURGERY PREPARATION

Lower blepharoplasty can be at times stressful for our patients and that is why we dedicate our efforts to making sure that they remain fully prepared and informed. Before the eyelid surgery takes place, the Dr. Sheffield offers detailed preparation instructions.

Smoking restrictions, dietary guidelines, and vitamin/medication routines are all covered. By following these instructions, you are doing your part to make sure that the surgery goes smoothly.

Arrange for a ride home after the procedure has been completed and you may also need someone to help around the house for a few days. While the latter is not always essential, a number of patients believe that it assists them in the recuperation process.

WHERE IS THE SURGERY PERFORMED?

SB Aesthetics operating facility is state of the art and it is likely to be performed here. An outpatient surgery center may be used and these surgeries rarely require any sort of inpatient treatment.

ANESTHESIA

Local anesthesia is typically used to numb the area around the eye. Intravenous and oral sedatives are also added. This combination allows you to remain awake as the surgery takes place. No pain is felt. General anesthesia is available to those who seek added comfort.

To find out if eyelid surgery in Santa Barbara is right for you, contact Dr. Sheffield at (805) 318-3280 to discuss a customized treatment plan.

* Disclaimer

THE SURGERY

Lower blepharoplasty can be completed within one to three hours. The specific time of your surgery will depend on your needs and the extent of the procedure and whether or not any additional concurrent procedures are being performed.

Typically, the plastic surgeon makes incisions that are designed to align with the natural creases and lines of the eyelids. This is how scarring is minimized. The crow’s feet area can also receive incisions, if needed. Once these incisions have been made, the surgeon removes excess fat deposits and trims away the sagging muscle and skin or muscle. Fine sutures are used to close the incisions.

A transconjunctival blepharoplasty can be performed if patients are merely looking to treat fat deposits. The incision will be made along the lower inner eyelid during this procedure. This keeps visible scars from taking place. Younger patients who do not need to remove excess skin benefit most from this procedure.

THE INCISION

In order to perform lower blepharopalsty in Santa Barbara, Dr. Sheffield will need to carefully make an incision right below the lower eyelashes. Hidden from plain view, the surgeon will need to make the incision in a discreet place. Depending on the patient’s particular situation, there may be the need to get rid of excess skin, fat and even muscle. In some cases, your surgeon may even want to redistribute the fat so as to effectively minimize uneven swelling and regulate puffiness. Interestingly, muscle laxity can be effectively corrected during this surgery particularly when it tends to pose a challenge. Even among the surrounding natural creases, the incision made to perform the surgery can heal very quickly.

THE RECOVERY

After surgery, the eyes will be lubricated with ointment. Bandages may also be applied.  Tightness and soreness might take place in the eyelid area once the anesthesia has worn off.  Pain medication can be used to ease the discomfort so be sure to contact Dr. Sheffield if this sensation persists.

EXPEDITING THE RECOVERY

1. The head must remain elevated for several days. A cold compress is recommended for handling the bruising and swelling. Bruising levels vary from patient to patient. It is most severe during the first seven days and may last for an entire month.

2. The surgeon shows the patient how to clean their eyes in the immediate aftermath and they will remain gummy. The eyelids are going to feel dry initially and the eyes may also burn. Eye drops can be used as a means of easing discomfort.

3. Lower blepharoplasty recovery is a process, but patients should be able to watch television and read a few days after the eyelid surgery has taken place. Contact lenses cannot be worn for about two weeks and it may take a period of time before they are comfortable again.

4. Tearing, temporary vision blurring, double vision and sensitivity to light are common problems. The progress is going to be monitored closely by your surgeon during the first week or two. Stitches are removed within two days to a week of the surgery. Swelling and discoloration will start to subside when the stitches are removed. At this time, you will begin to feel better.

* Disclaimer

5. Patients are ready to head back out in public within seven to ten days. The level of bruising dictates their course of action. Depending on the surgeon’s instructions, a patient could also decide to wear camouflage makeup to mask minor bruising and swelling.

6. Wind, sunlight and other outdoor irritants may cause problems initially. Special sun block that is designed for eyelids and sunglasses should be worn outside. The surgeon is going to advise a patient to avoid strenuous physical activity for roughly three week and the patient will be asked to keep all activities to a minimum for three to five days.

7. Activities that cause a rise in your blood pressure should be avoided. This includes lifting, bending and rigorous sports. Alcohol should also be avoided because of fluid retention concerns.

MAINTAING YOUR RESULTS

The outcome of lower blepharoplasty may take 2 to 3 weeks to be fully realized; however, the results will last for such a long period of time, the need for a repeat surgery is often not necessary. Although surgery has been performed, the aging process will continue to occur and will ultimately have an effect on the result over time.

Scarring can be a concern for patients. Fortunately, Dr. Sheffield is here to make sure that scarring is minimized as much as possible. Once you have healed from the lower blepharoplasty surgery, the scars may remain a pinkish hue for up to six months after surgery. Over the course of time, the majority of eyelid surgery patients report that their scars are barely noticeable. This allows them to enjoy the full benefits of their newly rejuvenated appearance.

After surgery, your eyes will appear fresh, revitalized, healthy and vibrant in most instances. Most of our patients are quite pleased and ecstatic with the final outcome of the surgery. We strive to make every effort to achieve the highest level of patient satisfaction. Surgery has the benefit of boosting self-esteem and self-image. Although lower blepharoaplsty can last for a decade or even longer, many factors can detract and have a perpetual image on your skin with the aging process.

In order to extend and maximize the results for as long as possible, important lifestyle changes need to be observed. To keep your skin looking vibrant, firm and healthy Dr. Sheffield recommends a routine of exercise, plenty of hydration, and excellent nutrition. Always make sure to get plenty of rest, which includes a good night’s sleep and if needed further rest during the day. IF you are a smoker, he strongly encourages stopping as this is a significant factor contributing to further aging, puffiness and sagging of the skin around the eye area.

FAQ – Lower Blepharoplasty

WHERE IS THE SURGERY PERFORMED?

SB Aesthetics operating facility is state of the art and it is likely to be performed here. An outpatient surgery center may be used and these surgeries rarely require any sort of inpatient treatment.

WHAT ARE MY ANESTHESIA OPTIONS?

Local anesthesia is typically used to numb the area around the eye. Intravenous and oral sedatives are also added. This combination allows you to remain awake as the surgery takes place. General anesthesia is available to those who seek added comfort.

WHAT SHOULD MY IMMEDIATE EXPECTATIONS BE?

After surgery, the eyes will be lubricated with ointment by the surgeon. They may also apply a bandage. Tightness and soreness might take place in eyelid area once the anesthesia has worn off. Pain medication can be used to ease the discomfort so be sure to contact the surgeon if this sensation persists.

The head must remain elevated for several days. A cold compress is recommended for handling the bruising and swelling. Bruising levels vary from patient to patient. It is most severe during the first seven days and may last for an entire month.

Dr. Sheffield will show the patient how to clean their eyes in the immediate aftermath and they will remain gummy. The eyelids are going to feel dry initially and the eyes may also burn. Eye drops can be used as a means of easing discomfort.

WHAT IS THE RECOVERY PROCESS LIKE?

It will be gradual but patients should be able to watch television and read a few days after the blepharoplasty surgery has taken place. Contact lenses cannot be worn for about two weeks and it may take a period of time before they are comfortable again.

Tearing, temporary vision blurring, double vision and sensitivity to light are common problems. The progress is going to be monitored closely by your surgeon during the first week or two. Stitches are removed within two days to a week of the surgery. Swelling and discoloration will start to subside when the stitches are removed. At this time, you will begin to feel better.

Patients are ready to head back out in public within seven to ten days. The level of bruising dictates their course of action. Depending on the surgeon’s instructions, a patient could also decide to wear camouflage makeup to mask minor bruising and swelling.

Wind, sunlight and other outdoor irritants may cause problems initially. Special sun block that is designed for eyelids and sunglasses should be worn outside. The surgeon is going to advise a patient to avoid strenuous physical activity for roughly three week and the patient will be asked to keep all activities to a minimum for three to five days.

Activities that cause a rise in your blood pressure should be avoided. This includes lifting, bending and rigorous sports. Alcohol should also be avoided because of fluid retention concerns.

WILL EYELID SURGERY LEAD TO SCARRING?

Many Santa Barbara blepharoplasty patients find themselves fretting over potential scarring. Fortunately, Dr. Sheffield is here to make sure that scarring is minimized as much as possible. Once you have healed from blepharoplasty, the scars may remain a pinkish hue for up to six months after surgery. Over the course of time, the majority of eyelid surgery patients report that their scars are barely noticeable. This allows them to enjoy the full benefits of their newly rejuvenated appearance.