Bye Bye Bags - San Antonio, TX

I inherited great hair and great big bags from my...

I inherited great hair and great big bags from my father. I've been wanting to do something about the bags since my 20's. I turned 48 last month and I decided it was time. I did a lot of research on this site, interviewed Dr. Young, who has a good reputation, and scheduled the date for 7/10. I don't know if I can change ratings after I post, so I'm putting all high ratings. So far so good and I think staying positive about the outcome will help.


My doc gave me vitanins, bromelain and arnica tablets to take 10 days before the operation. I was also instructed to only take Tylenol for pain (which is useless to me, oh well). I didn't get my surgery time until the night before. A nurse called and went over the list of what to do pretty fast. I missed wash your hair the night before and don't wear any hair products. I didn't wash my hair and had to brush out the mousse from the day before. I have curly hair and the final look was not pretty. I didn't put anything on my body--no lotions, deodorant, makeup, jewelry--nothing,

Supplies--a reading wedge pillow, Vaseline, gel wetting eye drops (generic Target). saline eye drops (generic), tissues by the bed, IMAK eye mask from Amazon (very soothing when it is cold), my meds prescribed by the doctor, straws for drinking, Bio-oil, pineapple, washcloths, ice bag (the kind with a screw on lid-very handy since you can pour cold water/ice or hot water in when you need it) and lots of pillows.

Day of Surgery

First I took a pregnancy test. Negative of course. Anything other than negative would have been a BIG problem. I stripped done to my underwear and put on a lovely hospital gown. The nurse gave me a lidocaine injection for the IV. How did she know I was a weenie about needles? I waited about an hour with the IV dripping saline. Then I really had to pee. *Hint: you can carry your IV bag into the restroom with you. I talked to the surgeon while he drew all over my eyes with a marker. Then I talked to the anesthesiologist. The nurse gave me something in my IV for to relax me.

"How long before this takes effffff....Neber minnndd"

The anesthesiologist put a mask over my face. "This is just oxygen--"
"Wake up, Veronica you're husbands here to take you home."
"My eyes hurt. My throat hurts."
"Well, here's a sip of water and some morophine through your IV. how's that?"
Ahhh. Zzzzzz.

Going Home

They wheeled me to the front of the building in a wheelchair. I wore my huge Elton John sunglasses and my hubby bundled me up in the car.

Got home. I ate a couple of crackers and took some meds. Fell onto my pre-made nest of pillows.

Just after surgery

Day After

First 24 hours

Lots of sleeping. Little pain (thank you morophine injection). Ate some crackers-- nom nom nom. Drank some water. I recommend sipping with a straw. Slept off and on. Eyes got all gunky. I used lots of eye gel drops (much better than the regular watery kind) and the chilled eye mask I got from Amazon. Ahhh. I also slathered on arnica gel under my eyes after icing. That felt nice. My eyes felt achy, heavy with some stinging when I wasn't on meds.

Then the Vicodin wrath hit about midnight. I was itchy, constipated and wired. I took half a phenergan. Zzzzzzz. No more Vicodin for me, thank you.

Day 3 (2 days after surgery)

48 hours

More swelling, little bruising that I had turned yellow. Changed from Vicodin to tramadol. When I was able to fall asleep on the Vicodin, my dreams were vivid and exhausting. It was like being awake while dreaming. The tramadol is smoother and more relaxing. I used an ice pack that you can fill with water and ice. I highly recommend it. My eyes were gunky after sleeping and I had to wash them with gel drops. I recommend the gel over liquid artificial tears. The gel doesn't go all over the place, which means more stays in your eyes. What little pain I had felt like burning on my lids, like when you put too much sunscreen on your eyelids. The tramadol took care of that. My eyes still felt swollen and heavy,

Day 4 (3 days after surgery)

Woke up with the usual gunky eyes. Cleaned them out with a lot of artificial tears. Looked at my eyes after cleaning. WHAT! Where did this freaky indented scar come from on my inner eye near my nose? I hope it's from swelling because that wasn't there a few days ago. Took pictures , worried about it until I figured there is nothing I could do. If it wasn't there right after the surgery then it should go away. Right? I think the stitches are pulling that area a bit out of shape as it heals. Decided to try only Tylenol for pain. My left eye said --LOL, good try, Slick.Let me remind you that you have STITCHES across your eyes. I popped a tramadol and chided myself for foolish, yet well-meaning attempt. I've been doing Weight Watchers for 3 months and lost 10 pounds. I've eaten half the points I'm supposed to for the last four days. All right, hello another pound loss. I hopped on the scale. No way! Up a pound and a half. I was ready to suck down another tramadol to drown my sorrow. Wait, do these cause weight gain? Well crap.

Day 5 (4 days after surgery)

Less gunk this morning. Eyes felt gritty, itchy and achy. I'm a wimp, I freely admit it.; I took a pain pill, after I ate some bread. The puffiness has gone down and the bruising is turning yellow. I am beginning to look human again and my son has stopped calling me zombie mother. LOL. I switched to warm compresses last night. The blood around the stitches has mostly washed away and the redness has faded a little more. The weird indentation in the inside corner of my eye seems to have receded. It looks like the skin is pulled too tight, but I suppose it's due to a combination of swelling and stitches. It is really easy to freak out when you see something weird. These are your eyes and you wonder if it the defect is permanent. I spent a few hours out of bed and even did some small chores around the house. I'd say day 4 is the turning point of when things start to get better. I'm keeping a thin coat of Vaseline on my stitches to keep the skin supple. My PS didn't tell me to do this, but I read that it's not good to let the skin dry out and scab. I'm still depending on my pain pills. I know Tylenol has never been a super pain reliever for me. Even Tylenol with codeine doesn't do much for me.

Day 5 A Little Better

5 Days Post Surgery

Ugh. Woke up with totally swollen eyes. I looked like I lost a fight. After washing them with saline so I could pry my lids apart, I noticed my right iris was a big bubble. Not cool. My eyes were watering like crazy and the right eye drainage was pink. Called the nurse and took a quick trip to my PS's office. She said my sclera was irritated and swollen. She called in some drops and my hubby went to pick them up (he's such a great husband). The nurse said 4 to 5 days post surgery can be the peak of swelling. I sure hope so; they get anymore swollen, I won't be able to see a thing. If this is because I had mild picante sauce last night, this is going to be a problem. I'm Hispanic and live in San Antonio! Eating spicy food is practically a requirement to live in SA. I guess I'll try bland and salt free for the next couple of days. Yuck.

6 days post op w/chemosis

The bubbly white of my eye is chemosis, which happens to 20% of the patients who get lower eyelid surgery. The swelling around my eyes went down and moved onto my cheeks. This is how I looked when I swelled up during pregnancy. Oh joy. My eyes are still watering and they get blurry from that. But I'm only taking a pain pill every twelve hours. I'd probably be off of them if the chemosis wasn't irritating the heck out of both my eyes.

9 days post op Hello Bags, I See You're Still Here

Had the ends of my stitches pulled a couple of says ago. I said to the nurse, "I thought these were dissolvable."
"We'll, they are and aren't."
What's that supposed to mean? I'm an information hound and cryptic words are only my friends when I read mystery novels.
So, the swelling is going down and I look less like The Godfather every day. The process is s-l-o-o-o-o-w. if someone says you can be back to work in 3 or 4 days (or even out of the house in 7), you'd better be some young 20 year-old or those numbers just don't apply. Yesterday was the first day I could even see without my eyes watering. And that stinking chemosis (in both eyes now) is just starting to go down. I won't even get started on the HUGE bags under my eyes. Well that was $4,000 well spent. I'm just plain grumpy that I still look like crap. This should get better. Correction, this better get better.

19 days post op Looking Better

When I said I wanted younger eyes, I didn't mean I wanted them to have pimples. But, that's what I'm fighting right now. It seems eyelids love to get little pimples as they heal. Oh well. At least I'm starting to be happy with my operation. There is still some swelling and one eye looks a lot better than the other as far as the bags are concerned. Hopefully the other will catch up as more swelling subsides. My vision is no longer blurry and I've been driving for about a week. There is no discomfort left, but my eyelids feel numb when I put on mascara.

3 months post op

Things are still getting better. My scars have faded to red lines- almost unnoticeable. I still have some malar funkiness going on. Boo hiss. But the doc says he believes it will go away. So far I'm pretty happy with the results. One eye looks better than the other, but my lids look FABULOUS. $4,200 worth of happy? Not yet, more like $3,500 worth of happy. But maybe in another 3 months everything will smooth out completely. Update in 3 months.
San Antonio Plastic Surgeon

Dr. Young was quick and to the point. He checked out my eyes and said, "Yep, you could benefit from quad eyelid surgery." I didn't plan on getting an upper lid lift, but Dr. Young recommended it. I'm glad he did because they were all saggy and the staff said you may as well-- a lot of woman come back later to do the uppers and why go through the expense and down time twice? Seemed legit. He answered all my questions to my satisfaction and he had a confident manner that spoke of experience. The price for all four lids was reasonable, and you simply can't ignore the fact that the surgeon's name is Young. His staff is very nice and helpful. I think they all got an office discount for boob jobs because all the ladies had breasts to be proud of. Now that's the best kind of advertisement--an office staff happy with their enhancements.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Comments (54)

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Your eyes look beautiful! Your posts are so informative and amusing! Thank you for all of the great info. I am healing and on day 12. I will be thrilled to look as great as you soon!
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Hi Stella, thanks! The swelling is still decreasing a tiny bit every week. But watch out when you don't get enough sleep or eat to much salt, you'll be singing the "Hello Eye Bags, My Old Friends" song. I hope your healing goes well and I bet you will look fabulous.
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I think you look great for two months out.  I had bags that would come and go for the first few months.  Icing in the morning helps, if you have time.

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Thanks! I'll try the icing since I do have some time in the morning. I hadn't really thought of that . Weird thing is, if I don't get enough sleep, it really shows now. Before the surgery I could sleep for 12 hours, wake up refreshed and Surprise! bags. Well, not really surprise, more like bitter disappointment. Now I guess I can do all the cute little tricks they write about in Glamour magazine-green tea bags, iced wash cloths and cucumber slices.
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Ha ha I know what you mean- none of that stuff ever worked pre-op.  But it really does work post-op!  I think the eye creams work too- I had this puffy eye cream that did nothing for me before surgery, but I started using it after surgery and it seemed to make a huge difference. 

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Cool, what is it? I'm going to check all those websites with eye "tips" and recommended products that I use to laugh at.
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CSI Recovery Eye Cream with Vitamin K & Arnica (I bought it online from Vitacost).  It is under $20 too, which is nice.  I think the arnica really helps with the puffs :)

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Ooh, thanks!
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I ran out a while ago and need to get more, so thanks for reminding me :)

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Hi Jill. I am having a similar procedure. Could you please let me know what kind of anesthetic you had for your quad bleph. I am also having fat transfer for under eye hollows. Thanks!
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Hey Marcy22- I had a general anesthesia, so I was out cold.  I also had told the Anesthesiologist that I am very prone to motion sickness/nausea so they added some extra stuff to the IV so I wouldn't get sick when I woke up.  My procedure took about an hour.  I only had a lower bleph, though.  You can read my review here, if you want.  Have you scheduled your surgery or are you still shopping for Doctors?

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I have scheduled a Quad Bleph in two weeks. Do you know if you had the LMA general, and if so, were you nauseas afterwards. My doctor has you wear a patch beforehand to avoid nausea. Thanks for helping!
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PS. I am also scheduled for a Fat Transfer.
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The doctor gave me an optional pill for anesthesia nausea. I'm pretty sure it was Phenergan. I had no nausea at all. I have no idea what kind of anesthesia was used, but it was general. It was the first time in my life that I was ever put under I ever went under and I was pretty nervous abou it. The operation went totally smooth.
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Not sure what the name of the anesthesia was, but I also had the patch that I put on pre-op and some sort of pill that I took post-op in addition to whatever they added to the IV.  The nurse gave me the patch and pill RX at my pre-op appointment.  Hope that helps!

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Yeah the general was the scariest part of it for me too.  Did your throat hurt after you woke up?  Mine felt crazy, I'm guessing from the breathing tube. 

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Great, thanks so much for the information. I am happy that your procedure went smoothly for you.
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Yea, my throat did hurt. I remember feeling like my eye lids were badly sunburnt and stinging more than the sore throat. And I made sure to tell them. Give me drugs! Then they gave me a sip of water and an injection of morphine in my IV and it was all good after that.
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My eyelids didn't hurt at all, but I didn't have an upper.  Awesome that they gave you some more  meds to help with the burning.  I just remember waking up with an icepack thing on my eyes and feeling really happy that it was over.

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you look awesome.

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I had a bleph in my early forties and it lasted real long. In my late fifties I started to notice very slight bags...I prob. should have not had them done again because my PS put some fat in my eyes and one of them looked weird, so I had a revision. I am 65 now and look ok..becareful of fat implants and fillers!
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Good to know. Thanks. At least the first one lasted a long time. Growing old is good, the alternative is dying. But looking old sucks.
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Wow, I sounded so vain. I always said I'd grow old gracefully. (Throws hands in the air) LOL, guess not.
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The first one was the best and lasted I long time. In fact, it could have lasted forever, but I was too fussy. I should have left well enough alone because the second time my left eye did not come out the way it should. I am 65 now and everything is fine...again watch out for fat implants and fillers...please keep us updated. By Christmas, I bet you will look just the way you want!!!
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Ha ha! wwwangels, I literally just laughed out loud (LLOL?).

Thanks for the tip, nancee.  I honestly never considered having the bags come back later in life... 

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