Ask the Surgeon: What to Know about Double Eyelid Surgery (Part 2)

Part 1 of this series answered some common questions about double eyelid surgery, a specialised surgical procedure that involves the creation of a natural-looking crease in the upper eyelid. In this post we will outline care instructions regarding what to expect before and after your operation.

 

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Which methods for double eyelid surgery are available at Eastern Plastic Surgery?

Blepharoplasty surgery, in particular double eyelid surgery, is an operation that Mr Frank Lin specialises in. As such, Eastern Plastic Surgery is able to offer the full range of different surgical methods to suit your individual needs. These include the closed suture method, semi open 3-point method and the incisional method. While the incisional method is Mr Lin’s preferred form of Asian double eyelid surgery, there are advantages to all the methods and these can be carefully tailored to your individual needs at your initial consultation.

 

Where will my surgery be performed?

Double eyelid surgery is generally performed as a day case. Your procedure may be performed safely and comfortably at our fully equipped procedure room in our main facility in Box Hill. Or if you prefer deeper levels of sedation the operation can be performed at a number of fully accredited private hospitals. In a private hospital, one of our specialist anaesthetists will administer the anaesthetic and care for you for the duration of the operation.

 

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What can I do to prepare for the operation?

Regardless of the method of surgery, we would recommend the following:

  • Some medications or supplements may interfere with healing or clotting. If you are on any blood thinning medication or herbal supplements, please be sure to let your surgeon know at your consultation.
  • Keeping healthy, having a balanced diet and avoiding smoking are important aspects of surgical preparation. In particular, smoking interferes with your ability to heal and may contribute to poor scars. We would recommend no smoking for at least six weeks prior to your operation.
  • Many Asian patients suffer from a tendency to form keloid or thick scars. While the risk is low for surgery of the eyelids, please make sure you let your surgeon know during the consultation.

 

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What can I expect after the operation?

Immediately after your procedure:

  • Mr Lin will apply an antibiotic eye ointment to the suture lines to protect the area.
  • The local anaesthetic usually keeps you comfortable for 4-6 hours after surgery. Most patients will need to take some pain medication for 1-2 days.
  • Please arrange to be driven home and accompanied by a responsible adult for at least 24 hours following surgery.
  • You will be provided with a post surgery instruction sheet, as well as a 24-hour phone number for any urgent concerns.
  • Once home, gently clean the suture line twice daily with a cotton bud and water, followed by re-application of the antibiotic eye ointment.
  • To reduce swelling, cool packs can be applied for the first 48 hours following surgery. It is also recommended that you sleep with your head slightly elevated – eg. on two pillows.
  • Please wear sunglasses to protect your surgical site from UV exposure when outdoors.

 

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  • Generally, your first post-surgery review will be between 5-7 days following surgery. Sutures are usually removed at this appointment.
  • A course of 3 sessions of Healite II LED treatment is provided within the first two weeks. This is a soothing treatment and takes around 15 minutes. It does not cause discomfort and has been shown to promote healing and reduce swelling and bruising.
  • During the second week, our nurses and dermal therapists will also commence education about managing the surgical scar. This includes a combination scar massage with an appropriate Vitamin E cream, and the use of medical grade silicon gels to promote scar maturation and minimise the risk of a thick or keloid scar.
  • It is common to have some swelling and bruising after any eyelid operation. This usually persists for several days following suture methods, or 1-2 weeks following the incision method. Overall, in 80% of Mr Lin’s patients, the majority of swelling will be resolved after two weeks. Most patients are happy to return to office work after one week.
  • Note that light exercise and physical activities can usually resume after two weeks, while heavy sporting activity will require 4-6 weeks.

Author Info

Claire