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Having facial surgery is a big decision which requires a commitment of
time, energy and money. It should not be taken lightly. This is especially true when it comes to eyelid surgery. The eyelids are a
delicate facial structure which are more prone to bruising, swelling and prolonged recovery than other areas of the face. This is because
the eyelid tissue is thin and there are many small, yet vital layers and structures within the eyelids which must be manipulated during
surgery. The surgical procedure is a form of trauma (although controlled) and the eyelids do not handle trauma as well as other
arrears of the face.
So what can you, the patient, do or not do to attain the best final result? Firstly, you want to do all you can to reduce bruising and
swelling. This is important so not to stretch or potentially stain (discolor) the thin eyelid skin. The most important thing you can do
to achieve this is to apply ice to the eyelids at frequent intervals the first two days after the procedure. I feel 10 minutes/hour while
awake is an appropriate icing regimen. I prefer frozen peas as they contour to the eyelids well. I ask patients to refrain from strenuous
physical activity for the first week after surgery. Obviously this means absolutely no gym activity. In fact, my basic tenant is no
bending, stooping or lifting for this time period. In addition to reduced physical activity, sleeping with two pillows at the head of the
bed is also of benefit as it reduces swelling gin the surgical area during sleep.
There are a number of over the counter homeopathic medications which may quicken the post-operative recovery (and reduce bruising/swelling).
In the preoperative discussion the use/benefit of these products can be discussed in detail.
It is also important to reduce the risk of infection after surgery. The eyelids are such a well vascularized area (good blood supply) that
infections are rare. That being said, I feel applying topical ocular (appropriate for eyes) antibiotic ointment (with a Q-tip) three times a
day and at bedtime to the stitches is important. I prefer Erythromycin ophthalmic ointment, but others are also useful. Obviously washing
your hands before applying ointment to or touching the eyelids is important.
I do not feel taking a shower is a "don't", as long as care is taken not to put pressure on the lids or get them overly wet. Use similar
judgment when washing your face.
It is ok to go out, watch TV and read as you feel comfortable. You should only drive a car when it feels safe. In his instance, refrain
from applying ointment to the eyelids for a few hours before driving as this can blur vision.
Finally following the postoperative instruction regimen, informing the physician of any questions or concerns about surgery or healing, and
using common sense in regards to wound care is important.
When all stated above is followed closely, recovery from surgery becomes easier. Remember, having surgery is a big deal, so be diligent
about healing so that the outcome will be what you expect.
To make an appointment to see Dr. Massry, please call (310) 453-8474.
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