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The term eyelid surgery encompasses a wide range of cosmetic and functional procedures performed around the eye, Restoring a more youthful appearance to the face. We offer a wide variety of surgeries & procedures to reconstruct the natural appearance of the eye area.

Eyelid Surgery at Cascade Eye & Skin Centers

At your initial consultation with Cascade Eye & Skin Centers, we will collect a detailed medical history and perform a physical examination to determine which type of eyelid surgery you could benefit from.

They will discuss the goals and expectations you have related to your eye surgery and address any questions or concerns you may have to ensure you feel confident before moving forward.

Types of Eyelid Surgery

Upper Lid Surgery

An upper lid surgery, also known as an upper blepharoplasty, is a surgical procedure used to remove excess skin and tissue from the upper eyelids. Candidates for this procedure may have overhanging skin that obstructs their vision, or they may want the procedure for cosmetic purposes to reduce the signs of aging.

Lower Lid Surgery

A lower lid surgery, also known as a lower blepharoplasty, is a surgical procedure performed to address excess skin and dark bags under the eyes. Patients seeking lower lid surgery often have droopy eyelids, puffy bags, or excess skin and wrinkles in this region. During this procedure, one of our specialists can sculpt the prolapsed fat and excess skin under the eyes to achieve a more rested appearance, dramatically reducing signs of aging.

Eyelid Surgery Preoperative Instructions

A detailed instruction sheet will be provided prior to and after your surgery, but  here are a few tips to keep in mind:

Obtain Supplies

It may be helpful to obtain some supplies before your surgery to facilitate the healing process, including:  

  • Saline 
  • Warm compresses
  • 4 x 4 sterile gauze
  • Preservative-free artificial tears and gel/ointment (i.e., Systane, Genteal, Refresh)
  • Over-the-counter Tylenol/Acetaminophen 
  • Ice packs 

Abstain from Food or Drinks

Since you will be placed under local or general anesthesia during your eyelid surgery, remember to eat and drink nothing at least eight hours before your procedure.

Avoid Blood Thinners

For at least seven days before your scheduled procedure, avoid any over the counter blood thinners, including: 

  • Aspirin 
  • NSAIDS: Aleve, Motrin, Advil
  • Large doses of Vitamin E
  • Ginkgo
  • Garlic 

If you are prescribed blood thinners, please follow the advice of your prescribing physician. 

Find a Driver

Before your eyelid procedure, find someone who can take you home from surgery because your vision will be blurred, and you will likely feel drowsy and sleepy.

Eyelid Surgery Postoperative Instructions

Following your eyelid surgery at Cascade Eye & Skin Centers, you will likely be prescribed antibiotic ophthalmic drops or ointment to apply to the incision site. Depending on your procedure, you may also be prescribed pain medication, anti-nausea medication, oral antibiotics, or oral steroids. If you require your sutures to be removed, this will be done 7-12 days after your surgery.

Immediately after your surgery, you should eat a light meal and apply ice and warm compresses. In the weeks following your procedure, you should expect:

  • Bruising and swelling: will likely occur in your upper and lower eyelid area and extend down to the cheek for about two to four weeks.
  • Blurred vision: your vision will be blurry for the first few days after surgery, and ointment may exacerbate this blurriness. You will not be able to drive for at least a week unless stated otherwise. 
  • Lifestyle and activity limitations: you will need to avoid sun exposure, wearing makeup, and using contact lenses for at least three to four weeks. You will also need to avoid swimming or immersing your head in water for the first two weeks following surgery, as well as bending, lifting, or engaging in strenuous activity. You can shower and wash your hair one day after surgery, but avoid water directly touching the surgical site for the first week.
  • Sleeping modifications: you will need to wear a protective eye shield at bedtime to avoid rubbing your eyes for at least two weeks. It may also be beneficial to sleep on your back with your head elevated on several pillows for the first week. 

Tearing, redness, mild bleeding, and moderate pain may also be expected after surgery. However, if there is a significant increase in these symptoms or persistent bleeding, there may be a postoperative problem. In this case, you should contact your surgeon immediately.

Most patients find that their incision site heals well after three to four weeks. However, some patients may develop scar tissues along with their incision site, which may take several months to entirely resolve. 

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