I’ve had cataract surgery of my Left eye and now need my right and am curious if I could do eye lid surgery of the upper lids at the same time to avoid two surgeries! If so, is an ophthalmologist or plastic surgeon the one I should see as I went to an ophthalmologist for the first cataract surgery. I know he doesn’t do eyelid surgery and I’m having a hard time finding a doctor that would do both at the same time, so I’m not sure if it’s possible! Thanks!!!
Answer: Upper blepharoplasty with cataract surgery Theoretically , upper blepharoplasty could be done at the same time as cataract removal. Many opthalmic surgeons routinely perform both procedures, but cataract surgery is not commonly performed by a plastic surgeon. None of the opthalmic surgeons that practice in my area perform the two procedures together. Cost can be a factor, as cataract surgery is commonly covered by insurance, while most upper blepharoplasty, except where a visual field defect is present, is considered elective, or cosmetic. If a cosmetic procedure is performed in conjunction with a medically necessary one, the costs can often be prohibitive. Consult an opthalmoloic surgeon who performs both the procedures and follow their recommendations.
Helpful
Answer: Upper blepharoplasty with cataract surgery Theoretically , upper blepharoplasty could be done at the same time as cataract removal. Many opthalmic surgeons routinely perform both procedures, but cataract surgery is not commonly performed by a plastic surgeon. None of the opthalmic surgeons that practice in my area perform the two procedures together. Cost can be a factor, as cataract surgery is commonly covered by insurance, while most upper blepharoplasty, except where a visual field defect is present, is considered elective, or cosmetic. If a cosmetic procedure is performed in conjunction with a medically necessary one, the costs can often be prohibitive. Consult an opthalmoloic surgeon who performs both the procedures and follow their recommendations.
Helpful
April 26, 2019
Answer: It would be below the standard of care to perform both surgeries together. That is fancy language for saying that if anything bad happened, doing both surgeries together would be presumptive evidence of medical malpractice. Cataract surgery is highly reliable, safe but not without risks. For that reason, it is essential not to deviate from established best practices. That means no blepharoplasty with your cataract surgery. Have your cataract surgery, recover, and when you are ready, you can have your blepharoplasty.
Helpful
April 26, 2019
Answer: It would be below the standard of care to perform both surgeries together. That is fancy language for saying that if anything bad happened, doing both surgeries together would be presumptive evidence of medical malpractice. Cataract surgery is highly reliable, safe but not without risks. For that reason, it is essential not to deviate from established best practices. That means no blepharoplasty with your cataract surgery. Have your cataract surgery, recover, and when you are ready, you can have your blepharoplasty.
Helpful
April 27, 2019
Answer: Cataract Surgery should never be performed with Blepharoplasty Cataract surgery is not risk free and it is below the standard of care to perform both of these procedures at the same time. I know of no surgeons that would be willing to do this to someone. Best wishes with your cataract surgery! Damon B. Chandler, MD Harvard-Penn Trained Oculofacial Plastic Surgeon
Helpful
April 27, 2019
Answer: Cataract Surgery should never be performed with Blepharoplasty Cataract surgery is not risk free and it is below the standard of care to perform both of these procedures at the same time. I know of no surgeons that would be willing to do this to someone. Best wishes with your cataract surgery! Damon B. Chandler, MD Harvard-Penn Trained Oculofacial Plastic Surgeon
Helpful
April 26, 2019
Answer: Can cataract surgery be performed at the same time as a upper blepharoplasty? A cataract specialist and an eyelid surgery specialist would be required in order to perform both of these together. Always best to check with your ophthalmologist first, but is probably going to be better to separate these 2 procedures a month apart.
Helpful
April 26, 2019
Answer: Can cataract surgery be performed at the same time as a upper blepharoplasty? A cataract specialist and an eyelid surgery specialist would be required in order to perform both of these together. Always best to check with your ophthalmologist first, but is probably going to be better to separate these 2 procedures a month apart.
Helpful
April 26, 2019
Answer: Cataract surgery and upper lid blepharoplasty I understand that you would prefer to do both operations at the same time, but this may not always be the best option for either surgery. There are several potential issues with this. First, you will not find very many surgeons in this country who do quality intraocular surgery such as cataract surgery and also do quality cosmetic eyelid surgery. Most Oculoplastic surgeons, although Broad certified Ophthalmologists, don't perform cataract surgery in their practice and most haven't done cataract surgery since Ophthalmology residency. You would need two surgeons, both an Ophthalmologist and an Oculoplastic surgeon to work together. Yes they both can be done at the same sitting, but that brings me to my second concern. The block you would get behind your eye for the cataract surgery would make it difficult to evaluate your lid during surgery to make sure the height and curve are appropriate and would make the success rate lower. If the blepharoplasty were done first the sutures might rupture with the manipulation from cataract surgery and also liberate bacteria which might pose an increased risk for infection from the cataract surgery. You should ask your cataract surgeon if they work with any Oculoplastic surgeons. After you consult with them the three of you can make an informed decision. I would advise against it.
Helpful
April 26, 2019
Answer: Cataract surgery and upper lid blepharoplasty I understand that you would prefer to do both operations at the same time, but this may not always be the best option for either surgery. There are several potential issues with this. First, you will not find very many surgeons in this country who do quality intraocular surgery such as cataract surgery and also do quality cosmetic eyelid surgery. Most Oculoplastic surgeons, although Broad certified Ophthalmologists, don't perform cataract surgery in their practice and most haven't done cataract surgery since Ophthalmology residency. You would need two surgeons, both an Ophthalmologist and an Oculoplastic surgeon to work together. Yes they both can be done at the same sitting, but that brings me to my second concern. The block you would get behind your eye for the cataract surgery would make it difficult to evaluate your lid during surgery to make sure the height and curve are appropriate and would make the success rate lower. If the blepharoplasty were done first the sutures might rupture with the manipulation from cataract surgery and also liberate bacteria which might pose an increased risk for infection from the cataract surgery. You should ask your cataract surgeon if they work with any Oculoplastic surgeons. After you consult with them the three of you can make an informed decision. I would advise against it.
Helpful