I've surgery scheduled for lower blepharoplasty under local anesthesia for dark circles. My doctor said there isn't enough fat to transpose; that I could benefit from a simpler procedure, where he will fat graft from my abdomen to under the eyelid and release the ligament. No incision on the eyelid, just accessing the site through the cheek. Ive read that sometimes the fat doesnt survive after fat grafting and it can leave an uneven or lumpy appearance. Thoughts?
I am guessing that this may vary among doctors, however, in general - what are the pharmaceutical names of the local anaesthesia usually used for doing lower blepharoplasty? For instance, is Xylocaine a common one and why? How is it different from Lidocaine? And what kind of commonly used oral sedation (e.g. Valium) and IV sedation are used, including Twilight anaesthesia?
The doctor I am considering recommends transconjunctival blepharoplasty with skin pinch and a fat transfer, under local anaesthesia, for my particular case. He says this will avoid the chances of ectropion (is that true?). However, I have read a lot of mixed information, opinions, and results about doing fat transfers under the eye - some say its great, some say its a bad idea. Why so much mixed info? And is a fat transfer best performed at the same time as a lower blepharoplasty?
I have a lower bleph and skin pinch scheduled in December and will get it done subciliary meaning the incision will be on the outside, just under the eyelash instead of inside. I will be awake with local anesthetic. I was reading about subciliary being common reason for lower eyelid ectopion, or sagging of the lid, post op. This is because the surgeon has to cut through skin and muscle instead of just skin. How common is this post subciliary lower bleph? Is ectopion repairable without surgery?
Im looking to get my uppers and lower eyelids done but the doc has also mentioned I may need a temporal brow lift to get the best result. He recommended a GA although my preference was a local as I tend to need to wee regularly. If I didnt get the brow lift to make things less complicated, is there no chance I could have a local? Also, Ive heard its better to be able to open/close eyes during the surgery. Would it be unwise to do this under GA? Lowers would be done from the inside.
Elderly mother seeking an eye lift. Uppers are obvious but perhaps more congruence if adding the lowers. Can both be done under local/IV sedation? Is there an average cost in the Portland metro area? Thanks