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for a specified length of time. If there is some doubt that the eye is functioning properly, an ophthalmologist is often consulted prior to the surgery. If the patient has vision problems, vision should also be tested prior to surgery.
The surgeon should also check the elasticity of the skin on the lower eyelid. Older people with poor skin elasticity run a greater risk that lower eyelid surgery will pull the skin down. To avoid this the tendon of the lower eyelid should be stretched upward during the operation.
Other important preparations for the operation, as previously stated, are to avoid medications that increase bleeding (such as those containing acetylsalicylic acid) for the two weeks prior to surgery and to stop smooking if possible, although with eyelid surgery the risk of complications during healing is very small even for smokers. As with all operations for which anesthetics are given, the patient should avoid eating for at least six hours beforehand.
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Surplus eyelid tissue and hanging eyebrows are best corrected by a combined eyelid operation and eyebrow lift.. This older patient was not suitable for an eyebrow lift and an unusually large amount of upper eyelid skin was therefore removed. The outer portion of the eyebrow is now too low (below).
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Eyelid surgery to remove both surplus fat and xanthelasma.
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