Seb Derm and Blepharoplasty

Question

I have seborrheic dermatitis under my eyes and use Protopic to control it. Although the area is a little red, it isn't usually swollen (unless I drink even just a little red wine). The initial seb derm outbreak, 5 years back, caused wrinkles and loose skin under my eyes. Would transconjunctival blepharoplasty be safe under these conditions or would it likely cause a huge flareup that re-creates the original problem? Thanks in advance.

Vincent N. Zubowicz, MD · Answer

Enlarged seborrheic glands can be treated at the same time as blepharoplasty.  Intermittent inflammation will need to be treated by your dermatologist.

Kenneth D. Steinsapir, MD · Answer

This will allow a knowledgable surgeon to assess your eyelid skin and help answer these questions for you.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you identify a well qualified surgeon close to home that you can consult for a personal assessment.

William Portuese, MD · Answer

It is  always best to have any inflammatory conditions of the skin treated by your dermatologist prior to undergoing elective cosmetic surgery around the eyelids. The trans- conjunctival incision is placed on the inside of the eye lids, and should not interfere a topical skin issue.

Karen Stolman, MD · Answer

The triggers of seborrheic dermatitis are multiple, varied among people, and not fully understood, but may include:  skin malassezia (pityrosporum) yeast overgrowth (from antibiotic use, excess skin oil buildup), stress, skin irritation, contact dermatitis, rosacea flare-up and triggers, and other unknowns.  I would recommend you continue your usual seborrheic dermatitis topical or oral treatment prior to the week of your surgery, avoid the known triggers, and restart within a week after with permission from your surgeon.

Fred Suess, MD (retired) · Answer

It is possible your Seborrheic dermatitis could be treated as well as the loose skin and wrinkles using C)2 resurfacing laser.  IF indicated, transconjunctival Blepharoplasty would also be performed

Seb Derm and Blepharoplasty

Answers (5)

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