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Surgical Options

By carefully listening to your concerns and thoroughly examining the area, we will explain the
entire surgical procedure to you including what to expect during and after the procedure.

Facial rejuvenation sometimes requires surgery to bring you the best result. Fortunately, at Denovo we specialize in combining non-surgical and surgical options for maximal effects. Our approach to surgery is one that respects your unique facial aesthetic. By carefully listening to your concerns and thoroughly examining the area, we will explain the entire surgical procedure to you including what to expect during and after the procedure.

Because eyes are a focal point of the face, eyelid procedures are some of the most popular elective surgeries. Droopy, saggy or puffy eyelids can make you look tired or aged even when you feel well rested. Blepharoplasty (from blepharo meaning eyelid and plasty meaning to repair or restore the form or function of) involves removing some of the soft tissue of the eyelid to restore a more youthful, refreshed appearance.

Where can surgical options be used?

While there are a myriad of surgical options to restore or enhance the facial aesthetic, at Denovo we specialize in procedures addressing the eyebrows, eyelids and mid face.

What does surgery consist of?

Although each surgery is individualized and therefore different, some similarities exist. Careful measurements are taken prior to the procedure and reconfirmed immediately prior to the surgery. Surgery requires a sterile field so it is performed in an outpatient or procedure room setting. The area to be treated (usually a portion of the face) is cleaned with alcohol or other preoperative antiseptics and draped in a sterile fashion. Topical, oral, intravenous and/or local injectable anesthesia may be given before and during the procedure to ensure your comfort. Depending on the procedure to be done, an incision is made and dissection is performed as needed. For many procedures around the eyelid incisions can be camouflaged in natural facial creases like the upper eyelid crease or hidden inside the lining of the lid. The incision is closed and an antibiotic ointment applied.

Expect some bruising, swelling and perhaps some itching after surgery. Icy cold packs can diminish bruising and swelling and are recommended for the first few days after surgery. Any postoperative discomfort is usually mild and time limited. You will need to continue to apply the antibiotic ointment for the first week or so after surgery. Depending on where the incisions are, you may need to avoid makeup in the area because the incision line can incorporate the pigment as it heals, leaving you with permanent discoloration. You will want to rest after your surgery and avoid touching the area as often there are fine stitches that can be broken by rubbing or massaging. This recovery time is a good excuse to put your feet up and relax for a little while.

When will I notice the effects of a surgical procedure?

The beauty of surgery is that it brings about a noticeable result relatively quickly. Once any bruising and swelling subside, you will note the effects.

What is the downtime after a surgical procedure?

As mentioned earlier, bruising and swelling are common after surgery. Downtime is variable and depends on your body’s internal healing time clock. Some medicines and medical conditions prolong healing. We will discuss which medicines and supplements to forego prior to surgery. For most people one to two weeks are sufficient to allow a return to most activities. Because surgery can be scheduled, make sure you plan some time out from your typical social and work activities to allow you to relax and heal after surgery. For example, plan your blepharoplasty a month before the wedding or class reunion rather than the week before.

What happens as the effects of a surgical procedure wear off?

The effects of surgery tend to be long lasting. Whatever process caused the problem originally can continue, leading to recurrence; so if eyelid rubbing contributed to loose eyelids initially, stopping the rubbing will prolong the surgical result.

Are there alternatives to surgery?

When loose redundant tissue is the issue, surgery is the most effective way to resolve the problem. Depending on the problem, other options may provide sufficient improvement such that surgery can be avoided or postponed. For example, mild drooping of the eyebrows can be helped with a Botox® brow lift, which provides a temporary lift that can be repeated to maintain the effect.