What should I expect during a consultation for eyelid surgery?

Before blepharoplasty (eyelid surgery), the lower lids are evaluated not only for skin and fat, but for elasticity. If the tone and support to the lid is poor, the position of the lid may drop. Patients with poor tone have lower lids that can pull far away from the eyeball.

If not dealt with at the time of the lid lift, a pull-down of the lower lid, called an ectropion, may result. It looks bad, but, more important, can lead to a drying of the eyeball and infection, possibly even blindness. During your consultation, the plastic surgeon will examine your lids and make these observations.

He will take photographs and perform digital simulations. An ophthalmologist, a medical doctor specializing in eyes, should do a complete examination prior to surgery. He'll evaluate your teardrop production and quality.

If not enough tears are produced, dry eye problems are likely to follow the surgery. In this case, more conservative surgery may be performed. In fact, patients with dry eyes can undergo careful blepharoplasty.

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