Steroids if no steroids after lower bleph?

Question

I am very confused about the use of steroids in helping resolve swelling with lower bleph. Some doctors advise a short series and others strongly caution against it. What's going on?

John J. Martin, Jr., MD · Answer

I am assuming you are talking about oral steroids with your question.  Many surgeons will use a 6 day course of low dose steroids which are tapered over the 6 days, and patients say this can help significantly with their swelling. A low dose is used to help diminish side effects.  Some patients will complain of poor sleeping with the steroid.  And if you are a diabetic, you will have to carefully monitor your blood sugar as the steroid can make your glucose levels rise.

Michael I. Echavez, MD · Answer

Steroids can be used in a variety of forms and to treat various conditions.  Some surgeons may use steroids with cosmetic surgery and others may not.  Generally speaking, I do not prefer to use injectable or oral steroids with cosmetic surgery unless there is a specific issue I am treating.  For lower blepharoplasty, I prefer to use an eye drop with a steroid in it to help prevent swelling that can develop in the eye after surgery.  I generally have patients use these drops for a week after the procedure.

Kenneth D. Steinsapir, MD · Answer

Steroids are immensely helpful when used correctly.  They are not without profound potential complications that can vary from tissue atrophy to actual permanent loss of vision. For this reason, considerable clinical judgement is needed to best use this product.  If your surgeon is contemplating injecting steroids after eyelid surgery, it means you are having a complications and honestly many of these are not benefited from steroid injection.  The reason for this is that the lid is generally pulled down after surgery ( a common indication for steroid injection after lower eyelid surgery) not because of scaring but rather from motor nerve damage due to the actual surgery.Oral steroids are another matter.  This can be useful if there is unusually severe swelling after surgery.  Risk for tissue damage is small.  However, there can be significant side-effects including psychosis.  In 20 years of practice, I have had to admit two patients to psych hospitals for a couple of days as a result of steroid related psychosis.  It does cause one to respect the power of these medications.Still there can be very good reasons for using these medications despite the potential risks. Making these decisions and advocating for you is the job of a good cosmetic surgeon.

Steroids if no steroids after lower bleph?

Answers (3)

More Eyelid Surgery Questions

Can lasers help improve tear troughs and indents under my eyes? If so, which lasers?

When can you go to the gym after upper cosmetic bleph surgery? When can you shower? When can you wear make-up?

Can I change my eye shape to look more like a male model? (photo)

Is there any way I can widen the inner corner of my eye so the caruncle is more visable? (photo)

Will my tear troughs fade after my weight loss? (photo)

Can I apply a thin layer of coconut oil or other natural oil after on my eyelids after blepharoplasty?

WE SEND PRETTY
EMAILS