Eyelid surgeries a delicate surgical procedure. This must be done with great care and balance to give a good result to the patient. Patients come to Dr. Jacobsen for correction generally of the upper eyelid where there is too much skin that tends to dangle down and cause the appearance of advanced age or can also inhibit the vision of the patient by blocking some of the field of view with your eye.
Removal of this extra skin of the upper eyelid for the most part can be removed in the office under local anesthesia. Dr. Jacobsen has a comfortable suite in his office where this skin removal of the upper eyelid called a blepharoplasty can be performed safely usually in less than an hour.
Sometimes insurance Is will cover the removal of the skin if the skin is physically blocking your vision greater than 50% of your visual field in one direction. This can be measured by year optometrist or ophthalmologist by getting a field of vision view. Your insurance company will have a policy with regard to what they cover and what they do not cover. If your insurance company does not cover this procedure Dr. Jacobsen and his staff have a reasonable fee for this to be done in the office under local anesthesia.
At times however the operation was begun under general anesthesia in the Hospital if there is extensive skin to be removed or additional bulging of fat that requires removal. Normally the upper eyelid incision heals very well and is hidden very nicely as when you open your eyes the upper eyelid gets tucked back into the orbit.
The lower eyelids are more complicated and usually require a general anesthesia to perform safely. These required incisions are designed directly under the eyelash margin of the lower lid and dissection to remove some of the fat bulging underneath the eyeball and causing her eyelid to bulge out. Typically, the reason the lower eyelid looks like it is too bulky is because the fat around the orbit is beginning to bulge out as you age. Sometimes however there is additional skin that requires removal as well. The lower eyelid is more complicated to perform but can be performed safely under anesthesia.
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include oral orintravenous sedation or general anesthesia. Your doctor will recommend the best choice for you. The upper eyelids are often done in the office but the lower eyelids need to be done in the hospital.
Step 2 – The incision
The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.
The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles, and removal of excess skin.
Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.
A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed.
Step 3 – Closing the incisions
Eyelid incisions typically are closed with:
- Removable sutures
- Skin adhesives
- Surgical tape
Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!
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Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.
Dr. William Jacobsen
2400 East Arizona
Biltmore Circle, Ste 2450
Phoenix, AZ 85016
Our Procedures & Treatments
Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.