New Body Cosmetic Surgery Center, Pasadena, CA

Blepharoplasty & Eyelid Surgery Before & After Photos

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Case Number: 292

 
Before   Approximately 2 months after

This gentleman had lower blepharoplasty.  The modern method for taking the bags out of the lower eyelids involves making an incision or cut in the lower lid on the inside of the lid.  Older methods cut through the skin on the outside of the lid, but unfortunately, these methods left a large number of people with drooing eyelids.  The reason?  This involves cutting through a structure in the lower lid called the orbital septum, which contracts unpredictably after being cut and will often pull the lower lid down.

In any case, this gentleman had steel eye shields placed over his eyes and the laser was put in the cutting mode, an incision less than two centimeters long was made in his lower lid and the fat was carefully removed from the inside.  This fat has blood vessels in it and so using the cutting laser to remove fat is a big advantage because bleeding becomes very unlikely, and bleeding is what causes difficult recoveries around the eyes.  Bruising around the eyes can take many weeks to recover from and with bleeding, there is even a small chance of blindness if the blood vessel goes behind the eye and creates a great deal of pressure.  These chances have been estimated for lower eyelids as between 1 in 10,000 to 1 in 40,000.  To the best of my knowledge, this has never occured with a laser blepharoplasty or with upper lid surgery of any kind.

After this gentleman had his lower lid fat bags removed, he then had the laser set on another setting and the skin on the outside of the lid was resurfaced.  Resurfacing of the skin involves a light laser treatment that removes the outer layer and shrinks the lid.  Now, in the lower right hand photograph, you can see that this, though at two weeks after the procedure, still had redness in his lower lids.  This redeness ultimately goes away as seen in the two-month photographs.  You can see that not only was the skin tightened by the laser resurfacing on the outside of the lid, but that the fat bag was removed on the inside of the lid.

This man had monitored anesthesia care sedation, which means that he does not remember the procedure, but was not under general anesthetic.  He had local anesthetic injected in the area underneath his eye into the fat directly in order to effect good pain control without using general anesthesia.  For more information about the anesthesia techniques we used, see http://www.dryoho.com/dr-yoho-book/chapter13-1.cfm.

Surgeon: Dr. Yoho
Patient Gender: Male
Race: European descent

Click below for other views of this patient


Before
Approximately 2 months after
Approximately 2 weeks after
Approximately 2 weeks after

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