eyelid surgery (blepharoplasty)
Preoperativ fas med Dr. Tolga Aksan
Konsultation och Utvärdering:
- Medicinsk Historik och Fysisk Undersökning: Dr. Aksan reviews the patient’s medical history, focusing on eye-related conditions, allergies, and any medications that might affect the surgery.
- Discussion of Goals: The patient’s aesthetic goals, such as addressing droopy eyelids, puffiness, or under-eye bags, are discussed.
- Physical Assessment: Examination of the eyelid structure, skin quality, and surrounding areas, including the forehead and cheek.
Preoperative Tests:
- Complete Blood Count (CBC): To check for anemia, infection, and other blood-related issues.
- Coagulation Profile: Including PT (Prothrombin Time) and aPTT (Activated Partial Thromboplastin Time) to assess blood clotting.
- Electrolyte Panel: To check the balance of sodium, potassium, chloride, and bicarbonate in your body.
- Blood Urea Nitrogen (BUN) and Creatinine: To assess kidney function.
- Liver Function Tests: To evaluate the health of your liver.
- Fasting Blood Sugar: To check for diabetes or pre-diabetes conditions.
- Lipid Profile: To assess cholesterol levels.
- Urine Analysis: To detect any urinary tract infections or kidney issues.
- Pregnancy Test (if applicable): To rule out pregnancy before the surgery.
- EKG (Electrocardiogram): Especially for patients over 40 years or with cardiac risk factors, to check heart function.
- Chest X-Ray: To evaluate lung health and rule out respiratory issues.
- Hemoglobin A1C: For patients with diabetes, to assess blood sugar control over the last three months.
- HIV and Hepatitis Panel: Depending on the clinic’s policy and patient’s risk factors.
- COVID-19 Test: Depending on current health guidelines and policies.
Planning and Marking:
- Dr. Aksan may mark the eyelid area to outline the extent of the incisions and the areas of fat or skin to be removed or repositioned.
Surgical Procedure by Dr. Tolga Aksan
Anesthesia:
- Eyelid surgery is typically performed under local anesthesia with sedation or general anesthesia, based on the extent of the procedure and patient comfort.
Incision:
- Upper Eyelid Surgery: Incisions are made in the natural crease of the upper eyelid.
- Lower Eyelid Surgery: Incisions are made just below the lash line or inside the lower eyelid (transconjunctival approach) for invisible scars.
Removal or Repositioning of Fat and Skin:
- Excess fat, muscle, and loose skin are removed or repositioned to create a more youthful and refreshed appearance.
Closing the Incisions:
- The incisions are closed with fine sutures to minimize scarring.
Postoperative Care by Dr. Tolga Aksan's Team
Immediate Recovery:
- Patients may experience swelling, bruising, and discomfort around the eyes. Cold compresses and medication can help manage these symptoms.
Postoperative Instructions:
- Dr. Aksan provides detailed care instructions, including how to clean the eyes, use of prescribed eye drops or ointments, and when to return for a follow-up.
Follow-up Visits:
- Follow-up appointments for suture removal and to check on the healing process.
Long-Term Care and Results:
- The final results are typically visible within several weeks, with continued improvement over the following months.
- Scars continue to refine and fade over time.
Key Considerations
- Individualized Approach: The procedure is tailored to the patient’s specific needs and facial structure.
- Recovery Time: Recovery time can vary, but patients are usually able to return to normal activities within a week or two.
- Risks and Safety: Potential risks, such as dry eyes, temporary blurred vision, and the need for revision surgery, are discussed thoroughly by Dr. Aksan.
Dr. Aksan’s approach to eyelid surgery combines meticulous surgical technique with a deep understanding of facial aesthetics to achieve natural-looking and rejuvenating results. He ensures comprehensive patient care from the initial consultation through the complete healing process.
