Please Give me Advice: Blepharoplasty (photo)
- Asked by BrigetteLA
- 11 months ago
I am planning to have blep on my upper eyelids but want to know the risks beforehand... A surgeon told me there is no risk of going blind because of the anatomy of the eye this can only occur from lower blep..... Is this true?
Also please tell me can I have it done without going to sleep I am very scared of being put to sleep never been under anesthesia, thanks
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Risk of Upper Eyelid Surgery or Blepharoplasty
All surgery has some risk. Upper eyelid surgery risk includes but not limited to asymmetry, dry eyes, scarring, bleeding, or infection. Fortunately, these risks are low. The risk of blindness, while theoretically possible, is essentially unheard of. Upper eyelid surgery may also be performed via local anesthesia, in the office while you are awake. Selection of the anesthesia type is based on the procedure, surgeon, and patient. Based on the photographs provided, I don't think you need blepharoplasty. Eyelid plastic surgery is not appropriate for you at this time. Only after a comprehensive evaluation can a plastic surgeon help determine appropriate options for you. Best of luck.
Please Give me Advice: Blepharoplasty
Upper eyelid surgery is easily accomplished with local anesthesia and is quite safe. Having said that I would strongly discourage you from undergoing the procedure. Your eyes are extremely attractive as they are and I think you have much more to lose than to gain with surgery.
Is an Upper Blepharoplasty necessary?
As plastic surgeons, we only want to perform surgery when the benefit of surgery outweighs the risks. Your photos show you to be a very attractive and youthful woman. So I don't immediately see the "benefit" of doing a blepharoplasty on you. Is it for asymmetry of the upper eyelid folds? If so, that is a fairly easy procedure to perform under local anesthesia. Blindness is an extremely rare complication of blepharoplasty surgery due to a retrobulbar hematoma. This can be associated with either upper or lower bleph. The real risk in this procedure, is whether the mild improvement in an already beautiful lid will satisfy you. I would strongly recommend discussing this with your physician.
Recent Eyelid Surgery Reviews
Eyelid Surgery Photos
In looking at your photographs you appear to have a youthful appearance to your eyes and do not appear to need any eyelid surgery. Eyelid surgery can be done using local anesthesia with sedation and general anesthesia can be avoided. The risk of blindness following eyelid surgery is due to the risk of a retro-orbital hematoma (bleeding behind the eye) and this can occur with either upper or lower eyelid surgery.
Eyelid surgery, anesthesia & precautions.
It is healthy to have a concern about any surgery and anesthesia. These are not casual decisions for the patient or the surgeon. When considering upper eyelid surgery, this often can be performed under local anesthesia perhaps supplemented with some oral Valium (diazepam) or similar relaxant which can be taken before we even begin. But even when sedation or other deeper anesthesia is utilized, these are considered very safe in a healthy person when performed by a well -trained board certified anesthesiologist or anesthetist. Vital signs are carefully monitored throughout the procedure. However, not every patient who requests surgery, including upper blepharoplasty surgery, is suitable for this procedure. When eyes are already attractive it would be foolhardy to try to improve on what Mother Nature has already provided! :)
Don't do it. . .yet
Based on your photos you may want to wait. Technically, you can't say there's no chance of blindness but it's so low you're chances of hitting the lottery are better. Make it minimal, whatever you do.
Chase Lay, MD
Upper Blepharplasty Advice
Since you have no indications for upper eyelid surgery, I would advise you not to do it. Aesthetic facial plastic surgery is designed to address aging changes or anatomical findings that can be improved with surgery. Since you will not have improvement with surgery, upper eyelid Blepharoplasty is actually contraindicated. Blindness is an exceedingly rare complication from upper eyelid Blepharoplasty; the incidence per year in this country is probably close to zero. I have never seen it or heard about case reports in training or in practice.
Blepharoplasty complications and anesthesia
Blindness can occur from either upper or lower blepharoplasty but is exceedingly rare. We have never seen it in our practice in over 22 years. While you are able to have an upper blepharoplasty performed under local anesthesia, patients will have a conscious awareness of the procedure, and removal of the fat pads is painful. The fat pads do not numb up with local numbing medication and is why we usually perform these under general anesthesia.
Upper eyelid blepharoplasty can be done under local anesthesia and does not require general anesthesia except for in specific cases. There are many risks that should be reviewed in detail with your surgeon prior to having surgery, especially around your eye. I generally inform all my patients that with any surgery in and around the eyes, there is a risk of blindness and that can be temporary or permanent, and depends on the technique, and the individual patient. Consult with a board certified Facial Plastic Surgeon for your specific circumstances.
Blindness is not a concern.
Though there have been reported cases of blindness from blepharoplasty, the risk is essentially zero when only skin is removed, which is usually the case.
Blepharoplasty is very commonly performed under only local anesthesia very safely.
Having alleviated your concerns, I tend to agree, that based on your photos, you currently do not have a need for upper blepharoplasty. Your eyes are very natural and youthful appearing, and you do not want to hollow your eyes at such an early age.
Web reference: http://seattleface.com/html/dr_amadi.php
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