Upper blepharoplasty surgical ethics
Doctor Answers 6
All of us have different ways of approaching the procedure, and the patient. I prefer to see and speak with someone (sitting up) just before a surgical procedure to make sure we both have the same expectations and plan. I also mark patients for blepharoplasty in a sitting position, but have known good surgeons who prefer to do marking with the patient already resting comfortably on the bed. No matter the technique, I hope you have had a wonderful result from your procedure!
This is not a question of ethics, but rather surgical preference. Surgeons have different techniques which work best in their hands. The lid crease is visible before and after the injection, lying down or sitting up, and can be marked before or after the injection. If the lid crease is visible to the surgeon, it does not necessarily have to be marked. The excess can be determined lying down or sitting up. My preference is to have my patient lying down, inject, prep, mark after 5-10 minutes when the anesthetic has settled and the prep is dry, then proceed. Discussion during the consultation should give you information that you feel is important prior to entering the operating room. Hope you experience excellent results. Best wishes.
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Upper lid blepharoplasty - surgical ethics?
- It sounds as though you had an unsettling experience during your upper lid lift - I am sorry about that.
- Every surgeon does things differently.
- My approach is to measure and mark my patients sitting, show them the marks and get their approval -
- Sometimes patients see things I don't, and vice versa so I like the team approach.
- Then, once the patient is lying down, I may re-measure and adjust the marks.
- Then I inject and then I do the surgery.
- Most plastic surgeons will not inject before marking - because the injection distorts the anatomy.
- I hope you had a good result - even if your surgeon's approach unsettled you.
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