If you are thinking about undergoing cosmetic eyelid surgery in Chicago, here are the FIVE questions that you need to ask your surgeon.
Are there non-surgical treatments that can achieve the same results?
The answer is usually YES, but you may not get the full improvement that you desire and/or the results could be temporary. A perfect example is using dermal fillers to rejuvenate the area around the eyes. It is worthwhile to have this discussion with your plastic surgeon and see if non-surgical treatment can be a good option for you. The results can be remarkable especially in individuals who have early or minor changes to this area.
Do I have droopy upper lids that need to be fixed at the same time?
Upper blepharoplasty removes the excess skin in the upper lid and corrects hooding. However if the lid itself is droopy, also known as “ptosis”, because there is a problem with the muscle that lifts the eyelid and opens the eye, it has to be corrected separately. Ptosis can be present since birth, result from a trauma to the eyelid, or can occur with aging. It is important to recognize a droopy eyelid before surgery to the upper lid, because if it is present and not corrected at the same time the results won’t be satisfactory.
Do I need a brow lift?
There is a dynamic relationship between the brows and the eyes. One can’t treat the eyelids without addressing the brows, so they both should be dealt with as one unit. Not every patient needs a brow lift or is a good candidate for the procedure, but this should be discussed with your doctor. Some form of brow lifting, even with Botox or fillers can compliment your upper blepharoplasty results. Look in the mirror and place a finger right above the tail of your brow and give it a slight pull – you will immediately see an improvement in your overall eye shape!
Where are the incisions made and how are you going to maintain the shape of my eyes?
This is an important question to ask, since incisions can vary – especially for lower lid blepharoplasty. Some surgeons make an incision on the inside of the lid while others make it on the skin under the lash line. These are completely different techniques and you should know which one you are having, why your surgeon chose one and not the other, and what are the limitations of each technique. More importantly, you should ask your cosmetic surgeon if he or she is planning to stabilize the lower lid during the healing process. This is typically done with a specialized stitch at the outer corner of the eye known as “canthopexy.” This stitch keeps the lid secured in its position during the healing process and prevents the scar tissue that forms early after surgery from pulling the lid down. In other words, this stitch is critical in maintaining the shape of the eye and helps prevent complications after surgery.
Are you going to remove or add fat?
Now you are really asking smart questions and showing your doctor how sophisticated you are. Fat can be removed, rearranged, or added during eyelid surgery. It all depends on what you start with. Each patient has unique features and therefore different things can be done with the existing fat to accomplish the desired look.