Dr. Jose Barrera, MD combines minimally invasive eyelid surgery (blepharoplasty) to achieve a rested and refreshed appearance. Dr. Barrera was named a Top Doctor in Eyelid Surgery by Realself.com. In combination with eyelid surgery, a browlift helps to elevate the heavy forehead and improve hooding of the eyelids. CO2 laser resurfacing helps to remove facial and eyelid wrinkles.
Do your friends and family tell you look tired despite having a restful night of sleep?
If friends ask if you’re tired when you feel fine, then blepharoplasty could be the solution. Blepharoplasty is a cosmetic surgery used to improve the lower and upper eyelids. Eyelid Surgery is performed to remove excessive skin, fat bags, pouches, or wrinkles around the eye. It may be performed for patients that have a visual field deficit or for excessive droopiness of the eyelid skin.
Droopy eyelids can make you look older or impair vision. Blepharoplasty corrects the puffiness of the eyelids and smooths the bags and wrinkles around the eyes. It can be performed as a single procedure or in combination with other procedures such as a forehead lift, facelift, laser resurfacing, or fillers. Please contact our San Antonio facial plastic surgery office to learn more about your options.
Is blepharoplasty surgery right for you?
Having good health and the right expectations is necessary when considering facial plastic surgery. Patients with eye conditions such as glaucoma or excessive dryness may need further workup and a visit with an ophthalmologist for evaluation. Having a consultation with Dr. Barrera will give you additional information as to how to complement an eyelid lift with other cosmetic procedures to achieve the best outcome. Dr. Barrera might recommend planning a simultaneous forehead lift to correct a droopy brow or fractional laser resurfacing to remove excessive wrinkles around the eyes. Whether the surgery is performed for functional or aesthetic reasons, we recommend trusting your face to a facial plastic surgeon. You can view how facelift and laser surgery can be combined with eyelid surgery before and after in the video below.
What to expect during the visit?
During your eyelid surgery consultation with Dr. Barrera, you will be asked questions regarding your vision, tear production, use of lenses, and desires for surgery. You may need to see an eye doctor for clearance. A mutual decision will be made by you and your surgeon and realistic expectations will be discussed based on your skin type, severity, age, ethnic background, and degree of obstruction.
The Blepharoplasty Procedure
In upper eyelid surgery, the skin crease of the upper eyelid is identified and the desired fold is marked. The incision is made and excess fat and skin are repositioned. Fine absorbable sutures are placed to close the incisions.
In lower eyelid surgery, an invisible incision is made in the conjunctiva of the eyelid. Excess fat is removed or repositioned. Occasionally, excess skin is removed by making a inconspicuous incision in the lash line or using a fractional laser to tighten the excess wrinkles in the lower eyelid. The operation may take 1 – 2 hours.
Blepharoplasty (EYELID SURGERY)
- Sleep on your back or side with head elevated on two to three pillows.
- Blepharoplasty usually causes little if any post-operative pain. If you (1) notice significant sharp or dull pain which persists or (2) experience any sudden swelling around the eyes or (3) decrease of vision, notify us immediately, Or, if this occurs after hours, please contact the Emergency Department and ask them to page the ENT Doctor on call.
- Use cold compresses (crushed ice in a glove or bag or frozen peas/corn) over your eyes for 20-30 minutes six times per day for the first 48 hours. This will minimize the swelling and bruising.
- Do not take aspirin or aspirin-containing pain medications. TYLENOL, DARVOCET N-100 or other mild pain relievers prescribed are safe, if needed.
- Your eyes may become fatigued after prolonged reading or watching television. We recommend that you limit periods of use to one hour or less for the first 2-3 days after surgery.
- Apply the ointment provided to the incision twice a day. Use sparingly, placing only a tiny amount on the incision lines. As the ointment warms up to body temperature it well thin. Only use the Ophthalmic ointment that has been given to you. If you have crusting you may need to use a small amount of hydrogen peroxide on a cotton tip applicator and gently remove the crusting. If you have been prescribed eye drops use them as directed to keep your eyes moist. It is normal to have a small gap between the upper and lower eyelids after surgery.
- Do not use contact lenses for at least two weeks. Pulling on the eyelids while inserting or removing lenses may interfere with precise incision healing. Glasses may be used at any time.
- Do not use mascara, eye liner, or eye shadow until approved by us (usually 10-14 days) Minimal makeup applied to any bruising of the lower lid is acceptable at any time, but do not pull on the lids or incisions.
- Any apparent redness of the whites of the eyeball is only a form of bruising, and will subside during the early healing process.
- Do not engage in vigorous exercise or sports for at least 3 weeks or until approved by your doctor.
- You may bath or shower the day after surgery, but do not get your eyes wet.
- If you experience oozing or bleeding along the suture line, do not rub the area.Apply gentle pressure and blot the eye with sterile gauze, holding slight pressure in this area. Remove the compress and then apply ice. This will usually stop any leakage, but if it is excessive please notify the doctor.
- Stitches are removed at different times after surgery depending upon the extent of surgery carried out, type of stitches, and the type and quality of your skin. We will advise you accordingly.
- It is not uncommon to feel slight itching and tightness of the eyelids during the early healing period.
- As part of the pre-op process, you must be informed of reasonable risks and unexpected complications; even those that are a rarity. You are informed of the following: bleeding, scarring, infection, reaction to anesthesia, airway obstruction, milia, chemosis, granuloma, ectropion, entropion, dry eyes, loss of vision, facial paralysis, and need for further surgery. Please ask your physician or nurse for the meaning of these terms if you have further questions.
- Take your temperature every 4 hours after the operation or before each dose of pain medicine. If above 101, notify the ENT doctor or nurse.
- We greatly appreciate the confidence you have shown in us by allowing us to assist you in improving your appearance and health, and you may be assured of our best efforts to achieve the most satisfactory surgical result possible for your particular individual anatomy and condition.
What to expect after the surgery for Blepharoplasty San Antonio?
Immediately after eyelid surgery San Antonio, small sterile bandages may be placed under the lower eyelids. These tiny bandages or steri-strips will peel off by themselves. Ointment will be placed under the eyes. Eye drops for the first two weeks are recommended. Dr. Barrera may also prescribe antibiotic or a mild steroid eye drop to help with healing and itchiness. The risks of blepharoplasty are minimal but excessive swelling, persistent fat or loose skin, dry eyes, and rarely visual loss have been reported.
Does insurance cover blepharoplasty San Antonio cost?
Insurance doesn’t cover eyelid surgery cost San Antonio performed for aesthetic reasons. If the surgery is performed to correct vision or an eye deformity, the surgery may be partially reimbursed. Dr. Barrera will refer for a peripheral field test to determine if there is a visual problem. The average cost for eyelid surgery San Antonio is between $3500 – $4000 plus facility and anesthesia fees depending on patient concerns and complexity.
What is Forehead Lift or Browlift Surgery San Antonio?
Do excessive wrinkles or drooping of your eyelids bother you or limit your vision?
A forehead or brow lift San Antonio helps to minimize forehead lines, wrinkles, and droopiness of the forehead. Botox or Dysport may also be used to improve excessive wrinkles of the forehead and provide a chemical brow lift. Dr. Barrera performs Browlift San Antonio through minimally invasive endoscopic browlift or in the hairline providing natural forehead lifts.
Browlift San Antonio can be combined with a facelift and CO2 laser resurfacing. Browlift Surgery before and after can viewed at http://youtu.be/5mTpsqtFcpo.
Is a Browlift Surgery San Antonio right for you?
The brow and forehead show the first signs of aging. The skin loses its elasticity and excessive sun damage causes wrinkling and brown spots. Patients may be mistaken for looking angry or tired. Many patients opt for forehead surgery to provide a “natural” yet rejuvenated appearance to the forehead and eyelids.
As with any elective procedure, good health and realistic expectations are important. The forehead lift is usually done for patients between the ages of 40 to 70. The texture of the skin, the amount of droopiness and wrinkling, and the amount of scalp hair affect the type of brow lift recommended.
Understanding the Browlift San Antonio
The browlift San Antonio or forehead lift surgery can be performed through minimally invasive incisions in scalp whereby a scope will assist in the release of the scalp and forehead. Realself Top Browlift Doctor Jose Barrera, MD performs various forehead lift procedures. Other techniques involve making an incision in front of the hairline. Male patients with male pattern balding may need a mid-forehead incision placed in a natural skin crease. San Antonio Browlift can be performed at the same time as eyelid surgery.