Dr. Kopelman has extensive experience in virtually all forms of both cosmetic eyelid procedures and reconstructive eyelid procedures. Listed below are some of the more frequently asked questions among eyelid surgery patients. Please contact us if you have a question that does not appear in the list below.
What are the internal anatomic differences between Asian and Caucasian eyelid that account for their external differences?
Asian eyelids differ internally in several ways from Caucasian eyelids. If we look a comparative sagittal diagram between a typical Asian and Caucasian eyelid we can that an Asian eyelid anatomically has a lower point of fusion of the orbital septum (point A) which allows the pre-septal fat (point B) to descend to a lower level. These two anatomic differences create a fuller appearance to the upper eyelid, and a lower or absent eyelid crease in the Asian population. These features distinguish the external appearance of their external anatomy from Caucasian external eyelids. In addition, there are fewer or sometimes absent inter-digitations of the levator aponeurosis (point C) which accounts for an absent or less distinct eyelid crease found amongst Asian people.
Are crow’s feet improved following eyelid surgery?
No, “crow’s feet” are better treated with neuromodulation utilizing Botox® or Dysport® which inhibit underlying muscle contraction which create the lateral eyelid skin folds called “crow’s feet”.
Are the results from a cosmetic blepharoplasty long lasting?
The beneficial effects from blepharoplasty can last many years. As we age these improvements will slowly diminish.
Are there financing or payment options available for cosmetic eyelid surgery?
Cosmetic procedures can be financed through our office. Our business office would be pleased to discuss you financial options with you.
How long will my recuperation take before I can return to work and will I have pain?
Bruising and swelling is expected following cosmetic or reconstructive eyelid surgery which typically lasts from seven to ten days. However, the period that you remain bruised and swollen can often be shortened if you follow the detailed pre-operative surgical guidelines that Dr. Kopelman will outline for you at the time of your consultation -these include no blood thinners of any kind two weeks prior to surgery. After the first day you will have minimal or no discomfort associated with the eyelid surgery. You may experience some blurring of vision which may occur as a result of swelling, or associated with ointment and eye drops but this annoyance will be short lived. You may return to work within three days of surgery provided you are not required to lift heavy objects and you can avoid exposure to irritating environmental conditions.
Will eyelid surgery improve dark circles under the eyes?
Dark under-eye circles are due to many factors ranging from excessive skin pigmentation to soft tissue depressions that create shadows. The first step to improving the problem is to have an accurate diagnosis of the etiology of the problem. Usually a combination of modalities are required to arrive at a desired result. For instance,if the skin is heavily pigmented then topical skin lightening treatments (like hydroquinone and Elure® )are utilized in conjunction with injections of hyaluronic acid gels like Belotero® or Restylane® to fill in depressions around the eyelids. Injections of fat and fat translocation are other options that will fill in the hollows. Laser peels are often employed to vaporize away superficial and deep pigmentation
Can lower eyelid “bags” be improved?
Patients who have pockets of lower eyelid fat can be reduced through an incision on the inside of their lower eyelids. This allows the fat to be removed without creating a visible scar on the outside of the lower eyelid. In Asian patients, a skin incision is unnecessary because unlike Caucasian patients, Asian lower eyelid skin does typically show the same advanced degrees of sun damage therefore it is unnecessary to remove or tighten lower eyelid skin in Asian patients.In addition, there are some patients that ‘appear’ to have lower eyelid “bags” but actually have a decrease in facial fat adjacent to the eyelid that gives the false impression that the problem is bulging of the eyelid fat not the loss of facial fat. These patients with “pseudo-bags” benefit from adding fat or soft tissue fillers next to the eyelid in order to compensate for the loss of facial volume.
What is considered cosmetic eyelid surgery versus functional eyelid surgery?
Cosmetic eyelid surgery is typically a surgical procedure that removes skin, a small amount of muscle and bulging fat pads. Leading to a more youthful contour. When the skin and fat do not impede your field of vision the procedure is considered a cosmetic non- insurance based elective surgical procedure that is not covered by your insurance plan. The medical terminology for this cosmetic eyelid procedure is blepharoplasty. However ,if the eyelid becomes drooped due to a weakness of the muscles that elevate the eyelid and impairs your visual field then the condition is considered a functional problem.Your insurance company will review your preoperative photographs and visual field results and will decide whether you are eligible for insurance coverage.
Where does surgery take place?
Surgery takes place at the state certified outpatient Ridgewood Ambulatory Surgery Center adjacent to Dr. Kopelman’s consultation office.
How long does a blepharoplasty surgery take to perform?
Every patient’s eyelids are different. However , in most cases upper eyelid surgery takes approximately 45 minutes to perform and lower eyelid surgery usually takes from 60 to 90 minutes to perform depending upon the complexity of problems that are present.
What kind of anesthesia is given when a blepharoplasty is performed?
The surgery will typically be performed in most cases with both local anesthesia (similar to Novocaine) and with monitored intravenous “twilight” sedation. A board certified anesthesiologist will be present to monitor your heart rate , blood pressure and breathing.She will administer and titrate the drugs you receive so that you are safe and comfortable.You will fall asleep and in most cases you will not feel or remember the experience.
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