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Yes, whether you are having an upper blepharoplasty, a lower blepharoplasty or a four eyelid surgery, the correction of drooping eyelids can be done at the same time.
No. Upper blepharoplasty corrects excess skin and fat in the upper eyelid, but the degree of eyelid opening depends on the eyelid lift muscle. The only way to correct a drooping eyelid is by acting on that muscle, and only an oculoplastic surgeon has the training to perform this type of intervention.
Yes, but it depends on the type of patient and the type of eyelid droop. If this is done, the patient should only have to tolerate the infiltration of the local anaesthetic for one minute. Afterwards, the patient will not feel any pain since the area will be asleep. Being short term interventions, they are well tolerated by patients.
Only exceptionally do we contraindicate a surgery of this type in a patient with some ocular pathology. These are usually cases of severe dry eye. In these patients, any eye or eyelid surgery may accentuate their problem. Most patients with dry eye have mild or moderate degrees, which is not a contraindication for ptosis surgery but may require more conservative surgery.
Retinal problems or glaucoma are not contraindicated or aggravated by this surgery. La cirugía de cataratas o la cirugía láser para la miopía o la hipermetropía tampoco lo son.
Surgery for drooping eyelids (ptosis) will be covered by your policy in those cases where the ptosis is significant enough to cause a loss of visual field. Most droopy eyelids should be covered by health insurance.
Dr. Nieto works with almost every insurance company in the country.
Anti-aggregate medications (Aspirin, aas, Plavix, Tromalyt and others) and anticoagulants (mainly Sintrom) that many patients take should be discontinued prior to ptosis surgery, as they interfere with blood clotting and may cause post-operative bleeding. We will discuss with your doctor the possibility of stopping this medication.
In some patients who have suffered heart attacks or strokes it is not advisable to stop this medication. In these cases we will evaluate the possibility of performing the intervention depending on the medication and the specific patient.
Most patients have no problem reading from the day after the operation. There may be a feeling of dry eyes the first few days that can be treated with moisturizing eye drops.
It basically depends on what your job is. If it is a job that requires significant physical effort, you should rest for a week, while if you work from home with a computer you will probably be able to do so two days after the operation. The time you take off from work also depends on whether you are facing the public. If this is not the case, you can return to work during the first week when you are sufficiently recovered. We will always try to keep the downtime as short as possible.
It depends. In cases of transconjunctival surgery, during the first week since there is no incision in the skin. In cases that are performed externally, it is better to wait 2 weeks for make-up near the incision.
As long as the purple ones last, you should not sunbathe. Afterwards, in cases of transconjunctival surgery you can expose yourself to the sun. In cases of external surgery you will be able to do it every month with the use of sunscreen in the hot months.
You will be able to shower normally the day after the operation unless the doctor tells you otherwise.
You can probably get them back to normal within 2 weeks of the procedure.
Most patients have no problem reading from the day after the operation. There may be a feeling of dry eyes the first few days that can be treated with moisturizing eye drops.
Dr. Nieto is a reference in oculoplastic surgery. He combines his activity in reconstructive surgery in public medicine with his private reconstructive and cosmetic activity at the Clínica Corachán in Barcelonaand the Instituto Oftalmólogico Gabriel Simón in Madrid.
Clínica Corachán 2, bajos. Plaza Manuel Corachán 4, Despacho 8 Barcelona 08017
Instituto Oftalmológico Gabriel Simón Fuencarral, 7 28004-Madrid