EYES – BLEPHAROPLASTY DENVER, CO

EYELID SURGERY (BLEPHAROPLASTY)

“The eye is the jewel of the body.” -Henry David Thoreau

purpose

The eyes may be the jewel of the body, as Thoreau so eloquently said, but what if your eyes are revealing the wrong thing?  As we get older the skin and muscles around our eyelids begins to sag, causing us to appear tired even if we are rested. The goal of both upper and lower eyelid surgery is to restore the youthful appearance of your eyes; allowing additional light to enter and reflect against the eye itself. By doing so, your eyes will look larger and you appear more refreshed and awake.

PROCEDURE

When assessing the eyelids, it is important to note the position of the brow, the amount and degree of skin laxity, fine wrinkles, position of the eye fat, and vision.  There are multiple approaches to eyelid surgery and we consider each patient’s needs separately when choosing the correct procedure. Dr. Ladner may recommend additional procedures to complement the blepharoplasty and provide the best results.  Incisions are always camouflaged, whether it is placed inside the eyelid or in hidden creases. Redundant skin and/or muscle is removed and the underlying fat is either removed or placed back into its original position to maintain a youthful look.  Dr. Ladner then meticulously closes the incisions using fine sutures to avoid a scar. Depending on the individual patient needs, the procedure takes 1-2 hours. Upper blepharoplasty can be performed under local anesthesia, while Lower blepharoplasty is done under conscious sedation or general anesthesia.  Together with Dr. Ladner, the appropriate anesthesia plan will be determined.

RECOVERY

Most patients can expect to return to work within one week of the surgery. Eyelid swelling and bruising is common and generally disappears within 10 to 14 days. In addition, bruising around the eyelids can be hidden with use of makeup.  During the acute postoperative period, you will be asked to clean the incisions and apply a moisturizing ointment, as well as cold compresses, and to elevate your head while sleeping to expedite the healing process. Sutures are removed within 7-9 days.

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BROWLIFT & FOREHEAD LIFT

Purpose

As we age we can develop horizontal wrinkles in our forehead and vertical lines between our eyes, causing us to appear angry or exhausted.  A brow or forehead lift can restore a youthful, fresh appearance to your face, helping to diminish the ravages of the aging process. In addition, the position of our eyebrows can drop and cause hooding of the eyes due to excess skin, which can further affect the appearance of the face.  The goal of a forehead or brow lift is to correct these changes in a way that fits your face, restoring your youthful appearance with a natural looking result.

Procedure

Elevation of the brow and correction of forehead wrinkles can be performed many ways and should be tailored to the shape of your forehead and position of your hairline.  Many patients are candidates for the minimally-invasive, endoscopic brow lift which makes use of small incisions hidden at or in the hair and utilizes an endoscope the size of a drinking straw.  The forehead tissue and brow is elevated and released off of the underlying connective tissue and the muscles that create the furrows between the eyes are weakened to minimize the angry, scowl look.  The brows are then re-suspended in their ideal location and the incisions are closed. The procedure usually takes about 1.5 hours and can be performed under conscious sedation or general anesthesia.

Recovery

Down time is minimal after a brow lift, and most patients should be able to return to work within a week.  Headaches are a common complaint after the procedure but they are easily controlled with over-the-counter or prescription pain medications.  Swelling and bruising is minimal and the sutures are removed within 10 days.

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PTOSIS REPAIR

Purpose

Whether due to trauma, previous orbital surgeries, congenital causes, or normal aging, one or both eyes can become droopy, which can have a significant impact on the overall aesthetic appeal of your facial features.  This usually becomes apparent when there is asymmetry between the appearance of the two eyes or when there is noticeable visual obstruction. Correction of droopy eyelids allows you to appear less tired and can improve the amount of light entering your eye for visual clarity.

Procedure

In addition to extra skin above the eyelids, it is important to assess the height of the eyelid with the eyes open as treating extra skin without accounting for lid position can lead to suboptimal results.  Generally speaking, a droopy eyelid is repaired with a hidden incision in the natural crease of the upper eyelid or on the inside of the eyelid, the eyelid is then pulled up through this incision to its desired position.  Once this is complete, Dr. Ladner meticulously closes the incision using fine sutures to avoid scarring. Depending on the individual patient needs, the procedure takes approximately one hour. Ptosis repair is commonly performed under local anesthesia, with or without sedation.

Recovery

Most patients can expect to return to work within 1 week of surgery.  Eyelid swelling and bruising is common and generally disappears within 10 days, however bruising around the eyelids can be hidden with use of makeup.  During the acute postoperative period, you will be asked to clean the incisions and apply moisturizing ointment, cold compresses and to elevate your head while sleeping to expedite the healing process.

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