Eyelid Surgery: Stories

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Incredible Doctor - Scottsdale, AZ

I had upper bleph and also lower transconjuctival...

I had upper bleph and also lower transconjuctival bleph done. It has only been 16 days post op and I am very happy. My eyes look more alive and open. I have more swelling time ahead of me but everyday gets a little better.

The day after was the hardest, my eyes were almost swollen shut and my tears were tinted red. The first few days are definitely tough (get some audio books!) but once the major swelling goes down, its gets better quick.

I never needed anything stronger than tylenol for pain but I definitely utilized Ambien (your eyes are crazy dry and irritated) and Valium (even though you can prepare yourself, its hard to see your own face like that!).

If I had to do it all over again, I would have done this surgery years ago to fix my heavy lids (they were also not symmetric). I was lucky to have found the best doctor too. He was having some special opening prices when I had my procedures done but I would have picked him regardless. It was worth it and then some!

Over 5 months post op and have had a few minor...

Over 5 months post op and have had a few minor modifications to my creases. Healing and swelling is a slow process and my doc didn't want to rush things before I had time to heal further. I need to learn to be patient! Had some scar tissue inside lower lid lasered (OWWW!). Dr. Holden has been great with doing my requested alterations gradually to give me the results I want in a way that is beneficial and healthiest for me(I am a perfectionist!). Lower inside lids still healing possibly. I get a lot of discharge from my eyes still but it is also allergy season. Things are looking good through my "new eyes", I may seek a little lid tightening in the future...btw, he is great with botox and fillers as well! He definetly has more of an artistic eye for it than my past injectors.

6 months post op, lower lids have gotten slightly...

6 months post op, lower lids have gotten slightly better as far as discharge production. One thing I did notice, I went out last wknd and drank for the first time in over 6 months. Just had a few drinks but the next day my upper lids were really puffy and stayed that way all day :( luckily I don't drink much anymore! Going soon to see about tightening lids with some laser resurfacing. I just have this strip of fat above each eyelash line, wish I could get some micro lipo on them or something. We'll see what the dr. says...

Had upper eyelids lasered about 2 weeks ago to...

Had upper eyelids lasered about 2 weeks ago to tighten some of the skin. They were crazy swollen for 2 days. But when they heal, you you have really delicate fresh baby skin. I love it, wish I could do my whole face! The skin tightens over time from lasering as I understand but it already seems a little better and it seems to have made my eyes look a little more symmetrical. Don't ask me why. The aquaphor I was using to keep them lubriucated started to make them itch and get inflamed the last few days so I stopped using it per Dr's instructions. They are still a little pink but am happy with the choice to laser them.

One year post op and I am happy with my decision...

One year post op and I am happy with my decision to go through with this surgery. My right eye is still a little resistant because it had the most change to it without cutting the epicanthal fold and continues to want to crease below my new crease which is something I hope to get "tucked" in hopefully soon. It is bothersome to me but likely only because I am a perfectionist and I have to look at it all the time. Although my doctor doesn't think it is necessary, I believe I may need a little tightening further in toward my right epicanthal. My new crease is just a tiny bit too high for the angle of my right eye's inner corner. I did notice that the skin around my eyes seems persistly dry and slightly flaky so I always need nightly eye creams/moisturizer. Love not having to wear eye makeup though which I never was confident enough to do before my blepharoplasties. I would've done this before my breast aug 10 years ago if I had known how much it could change my life! Dr. Holden's expertise and skills played a major role in my transformation and I will continue to seek graceful aging procedures from him in the future.
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My Doctor: Paul K. Holden, MD

My rating:

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Time Spent With Me
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Dr. Holden is the one of most caring, sweetest, and supportive doctors I have ever met. He is so attentive and always has an encouraging and positive attitude. He personally answered my emails when I first inquired about surgery. After surgery, gave me his cell # so I could contact him directly with my worries, questions or emergencies. Great follow up care. He always comforts me with his confidence, knowledge and reassuring words when I have any worries and is easily reached when you need him. He is an incredibly intelligent and talented surgeon, but also has the excellent and important artistic eye that some lack. I highly recommend him and only him for any facial work. He takes his time explaining things, addressing your concerns, and answers all your questions. When you meet him, you can tell that he puts his heart into his work and truly cares about each individual patient, not treating them like just another paying customer.

Comments (76)

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Rockville6113 29 Aug 2012
You look great! Wish Dr. Holden were in my area. He sounds fabulous. I hope to get under eye and neck lipo. 30 is not old, but I know what you mean. Before I was 30 I thought it was ancient. Now I'm 42 and don't feel old mentally, but yikes, wish my body were 20.
Scottsdale1247 (RealFriend) 4 Sep 2012

Thanks, he definitely changed my life.  30 is not old but it seems terrifying when you are 29 lol.  Now that I am 31 it's not so bad!  The enhancements has softened the blow too haha
Scottsdale1247 (RealFriend) 28 Aug 2012

I am so glad to have been able to help-the laser resurfacing definitely helps tighten the skin and faded some of my sun damage, and like I said, sloughs off in 4-5 days.  I was kind of quiet about getting mine too but afterwards was comfortable talking about what I had done if it ever came up.  You'd be surprised how common it is-I've met some ppl that when you bring up plastic surgery they say, yea I had that done a few years ago too -and I never would've guessed.  I don't mind talking about it at all (obviosly lol), you just gotta own it and be happy with your decisions.  I can't wait to hear and see how it goes, I hope you write a review with pics so we can see!  It is possible you may see me at dr. Holden's as I go monthly for filler touch ups:)
Asianaz 28 Aug 2012
I will definitely keep you posted. I spoke with Dr. H regarding laser tightening for my lower lids but he advised against it as the results were mixed with Asian skin? I guess for now I'll heed his words but your results speak for themselves. I am definitely happy with all of my decisions so far but not ready to "own up to them". I wish I had the courage and confidence that you do! And I have to say I LOVE the idea of having a little juvederm in my nose...perfect subtle change. Not sure hubby will go for it though...he thinks I'm becoming obsessive! But definitely excited for the tweaks to my
lower lids. Thanks SO much again for all your help!!!
Scottsdale1247 (RealFriend) 28 Aug 2012

Yea, the laser can cause some hyperpigmentation in some skin (darker).  I did spot treat some sun spots once and they did seem a little darker initially.  You do have to be careful on the type of skin you treat and how strong.  Maybe you can get on some retinol treatment.  I have heard good things about Obagi trentinoin.  I would also look into getting some peels-I get really light ones, (Skin Medica Vitalize peel) glycolic w spot treatments of the retinoic acid and they do help, more so when I do them monthly instead of periodically.  I really despise the sloughing off though bc it takes a while for me since my skin is so sensitive and it makes me want to pull it off when I know I shouldn't!  At least that requires no down time though.

 

I love the filler in my bridge.  It is extremely subtle but to yourself it is a big difference since you see your face a million times a day in the mirror.  Men don't understand lol.  Of course it seems obsessive.  But the striving for perfection comes from the pressures of society, it's natural for a woman!  There is nothing wrong with wanting to look and feel the best that you can :)
Asianaz 28 Aug 2012
Cheers to that! I just wished I started a few years ago...lol! But I guess it wasn't "my time" then...oh well, better late than never :)
Scottsdale1247 (RealFriend) 4 Sep 2012

Good luck on Thursday:)   I am sure you are nervous and excited at the same time.  I have no doubt that Dr. Holden will take phenomenal care of you and that you will have great results.  Please let me know how you are doing afterwards!
Asianaz 4 Sep 2012
Hi Scottsdale 1247! I actually started a comment to you yesterday but didn't finish because I felt like I should to it privately but didn't know how. I'm not sure if I'm going through with the surgery on Thursday. I'm waiting to speak with Dr. H. but wanted your thoughts too. Something has happened that has me questioning my decision. Can you tell me how to "private message" you? If you prefer not to, that's totally fine too. Regardless, thanks so much for EVERYTHING and sending your kind thoughts my way...I SO appreciate it!
Scottsdale1247 (RealFriend) 4 Sep 2012

Check your inbox, I sent you a msg.  If you have questions or doubts I hope I can help and also you should not hesitate to email Dr. H.
Asianaz 5 Sep 2012
I got it...thx so much. But how do I send you a private message to your inbox?I'm sorry for being so technologically challenged! When I tried to reply to you, it said, "Do Not Reply Here...". And I did email Dr. H...
Scottsdale1247 (RealFriend) 5 Sep 2012

Just put the mouse arrow over my screenname anywhere you see it (any of my comments) and a white box will show up that shows my member activity, in the lower left it will say in blue text "full profile" and below that "Send Private Message".  Click on the send priv msg
Asianaz 5 Sep 2012
Okay, it must be me! Thx so much for the instructions. I clicked on send private message, it asked for my password then it asked to send me a link? Huh? I don't get it. I pressed on submit but nothing happened. Anyways, I'm sorry for inconveniencing your time. Like I said, I'm very indecisive about tomorrow...will and want to let you know ASAP if only I could figure this out!!! Very frustrating!!!
Scottsdale1247 (RealFriend) 5 Sep 2012

Go to your inbox and click on my msg-when you read my msg there should've been a "reply" button below it. 
Rockville6113 5 Sep 2012
I think if you're indecisive you shouldn't go through with it. Have you spoken to your doctor about your worries? Anxiety? If you cancel and decide later you want to have it done, you can reschedule. However, if you have the surgery and later wish you hadn't, it'll be too late. Good luck.
Asianaz 5 Sep 2012
Thank you. I am meeting with him today...
Scottsdale1247 (RealFriend) 22 Sep 2012

So thought you'd be happy to know that I have had regular communication with Asianaz and she had the lower eye surgery and seems happy with Dr. H's work :)   I agree with you though about having any doubts-there should be minimal!
Scottsdale1247 (RealFriend) 26 Aug 2012

Thanks! Fat transfer can be tricky-I did not have lumps and you always have the possibility of your body absorbing some of the fat.  I may have noticed a small difference with some of the fat going down (it's been about 20 months post op) but it also took a few months for my eyes to adjust to the change so it the initial result was some swelling too.  It did help a lot-didn't make them perfect but like you said, improved.  I was getting filler put in that area and it was uncomfortable to get and I wasnt that thrilled with the results.  I would encourage you to get that area resurfaced with some laser treatments to tighten up the skin as it really helps.  It does require some downtime though. 

 

The recovery for lowers was not too bad-physically they seemed to heal quicker than my uppers bc they didnt have an incision on the outside that had to heal that were visible to everyone.  I was much more sensitive to allergy season though and normal irritations, they dry out faster, ointments at night before bed, stuff like that.  My uppers took a lot longer than I thought they would to settle but my eyes are way more sensitive than normal.  All my life, If I cried at night, the next morning my eyes would be abnormally swollen and sometimes my crease would seem to shift a little after they went down.  bruising wasn't that much.  The purple you see under my eyes is from the laser resurfacing.  It turns dark brown after a few days (maybe 4 or 5 for me)and eventually sloughs off to reveal tight fragile healed skin.

 

As far as doing both at the same time, I encourage it if you can do it.  You will save on anesthesia and by not having to take off time for 2 seperate surgeries.  I originally only planned the uppers than shortly after making my surgery date, decided I wanted to go for it and just get them both knocked out in one day.  It was also better for me mentally to not have to go through 2 healing processes bc you isolate yourself in your house waiting to heal-and its a slow slow process, minute differences every day so it seems like it takes forever. But when you see your weekly pics, you realize you've made progress.  When are you going?  I'm excited for you!  keep me posted:)
Asianaz 27 Aug 2012
Thank you so much for your reply! Your help/support has truly been invaluable...I SO appreciate it. I will definitely ask him about laser resurfacing under my eyes. I noticed excess skin especially under my right eye. Ironically, there's more excess skin on the upper right lid too. I really wish I could do both surgeries at the same time but unfortunately, I don't have that much time to "hideout".. I'm keeping my surgeries on the "down low" and hope that no one will notice...baby steps for me. My surgery is scheduled for 9/6. I'm praying that I'll be able to be seen in 5-6 days...if not, I better invest in some good cover up! I'll definitely keep you posted. Thanks so much again for all of your help and encouragement. Who knows...I may run into you at Dr. H.'s office one of these days!
Asianaz 3 Aug 2012
Scottsdale 1247... I'm Korean as well and have consulted w Dr. Holden. Everything you said about him is absolutely true! I have upper bleph scheduled but am really, really freaking out. I already have a crease (actually pretty big for Korean) but I noticed that my lid is slightly droopy from aging. No one would notice but me. As much as I trust Dr. Holden, I'm terrified that people will know I had surgery and that is something I absolutely don't want! Dr. H said it is highly unlikely even my closest friends will notice (as he only needs to remove a little skin and that's it) but I'm still so hesitant. Your surgery is definitely more involved than mine but your results are beautiful...I wish I could talk to you personally. I'm also considering a lower bleph...
Scottsdale1247 (RealFriend) 4 Aug 2012

its natural to be nervous about any surgery especially your face but you are in excellent hands so try to be more excited than anything!  I had double lids before my bleph too but I had so much extra skin and fat covering them, it was hard to tell, one side even was going over my eyelash line.  It was neverending frustrations trying to do any eyemakeup that was flattering especially since it would transfer onto my overlying lid.  I now am free from feeling like I can't be seen without makeup- no eye liner and rarely wear eyeshadow (very light colors if I do).  I promise you it will change your life but in an amazing way.  dr. Holden is such a talented and artistic surgeon and I'm sure he will give you excellent care and results as well:)   When is your bleph scheduled?  I would love to hear how everything goes!
Asianaz 4 Aug 2012
Thanks so much for your reply. The thing is I don't want the size of my current crease to change at all since it's already pretty big. There's just a bit of excess skin above it...and honestly, it's mainly on my right side. However that being said, only I can notice it so I don't know if I should wait a little for the surgery (scheduled for 9/6...it was supposed to be 7/26 but I chickened out!). Again, I don't want absolutely ANYONE to know and that is one of the reasons I originally decided to do it...it was all about maintenance vs change...kwim? Funny because you say you're getting "old" at 30...I wish I were 30!!! Again, your results are truly amazing and your eyes are gorgeous! But can I ask why you got lower bleph? I couldn't notice anything obvious in your before pic...but they do look great after...very subtle change. And I'm ALL about subtlety! Now I'm thinking about switching and doing that first vs upper. I have slight bags (or maybe it's hollowness?) under my eyes which I always need concealer for and that is something I should probably consider first before the upper. Can I ask what Dr. H did for that? Is cutting involved or just filling? I will say through all my emails, indecisiveness and overall kookiness, Dr. H has been incredibly patient and always reassuring. He's not pushing me to do it at all and in fact has said that if I had any misgivings about the surgery, not to do it. It's just so difficult because I have no problems with putting on make up and I'm truly happy with the "look" of my eyes now (except for the slight excess skin) so I'm not sure if I should take the chance of them even looking slightly different. Like you, I'm a perfectionist and it drives me nuts! Hmmm, but having lower bleph is something I may have to consider instead. How was the healing process in that area for you? Thanks so much for taking the time to answer my questions...you are an incredibly warm and kind person...that's pretty apparent when you read all your above comments and replies. Thanks so much again!
Scottsdale1247 (RealFriend) 4 Aug 2012

It is a pleasure for me to share my experiences if it helps in any way!  I did have more puffiness under my eyes and as you said it was a subtle change but to me made a big difference.  I also had the skin lasered to tighten it bc the lower bleph was done through inside of my lower lid so you have no inscision on the outside.  He transfered some fat after removing some Juve that I had had injected there previous to meeting him.  So as far as the filler goes-it can help but some ppl aren't that happy with it as it is a tricky area and you really need an experienced injector for that.  I noticed it gave me a slight bluish hue as well and I didn't really like that either.  If you are just removing a little skin on your upper, it will be easy especially if you are specifically leaving the current crease.  I know the feeling, everyday looking in the mirror and having the one side always uneven, very bothersome to me.  The lowers take a little more time to heal i think-i had eye sensitivies and dryness for months(used ointments at night before bed).  I chose to do upper and lowers for a few reasons.  I had the time off and wanted to go under anesthesia as little as possile (it saves you some $ too) and also I knew I was going to have improved uppers and didnt what my crepey undereyes to look mismatched lol.  I had really noticed when I was 28, 29, how tired I was looking from both upper and lower lids aging.   Healing was not as short as I expected but it wasn't painful.  The hardest part was being patient bc you are constantly looking at them but they don't heal overnight-but Dr H thankfully was there to keep my spirits up.
Asianaz 4 Aug 2012
I too did fillers under my eyes but had restylane instead. I'm glad u told me that he could remove it first and then do the surgery. There's still a small lump under both eyes and I'm sure it's the leftover restylane. He did not inject me but like you, now that I found him I will only use him for any/all of my future face "tweaks". I will contact him so we can discuss a lower bleph for now. Thank God he is one patient doc! But you confirmed what I worried about...the recovery time. It is virtually impossible for me to go into "hiding" from friends for more than a week. I had heard upper bleph was a breezy recovery (and assumed a week in hiding would be enough) but every person said they had bruising/swelling for over 2 weeks! I'm sure my case is simpler than theirs but still...I'm very paranoid. Thanks so much again for wealth of information...I so appreciate it!!
Asianaz 26 Aug 2012
Hi Scottsdale 1247. Well it looks like I'll have Dr. Holden work on my lower lids first. I have to admit that if I didn't have him as my doctor, I probably wouldn't go through with it after reading all of the negative experiences here on Real self...several doctors even advise against transferring fat to the lower lids. I read your blog above again and saw that you also had fat transferred to your lower lids...they look great! Do they still look the same? I've heard that lumps can appear later on and/or the fat can dissipate. If my lower lids can improve even 50%, I'll be happy. May I ask how your recovery was for the lowers? Was there a lot of bruising and swelling? I know you had your uppers done at the same time and your recovery was longer than anticipated... that's my biggest concern. I just don't have the time...
ZI 2 Aug 2012
Hi Scottsdale, your eyes are killers!!!!!!!!! I wish you feel as good as you look.

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