Eyelid Surgery (PTOSIS, BLEPHAROPLASTY, ECTROPION, ENTROPION, EYELID CANCER, MOHS RECONSTRUCTION, TARSORRAPHY, LID LENGHTHENING, GOLD WEIGHTS)
Eyelid surgeries are outpatient procedures i.e. you usually do NOT stay overnight in the hospital.
Please read the following instructions:
1. Provide Dr. Ing with a clearly focused, head-on face PHOTO of yourself that may be required during surgery.
2. The potential RISKS of any surgical procedure include uncontrolled bleeding, infection, vision loss/blindness, overcorrection, undercorrection, asymmetry, persistent eye irritation/dry eye, double vision, skin scars, and possible extrusion of implants. Some patients may have chronic discomfort or dry eyes. Rarely patients may develop a severe allergic reaction to the anesthetics, or other medicine used during surgery. Strokes and death from heart/lung disease are extremely rare complications of ophthalmic surgery.
3. STOP ASPIRIN, ADVIL, VITAMIN E, GINGKO BILOBA, GINSENG and other blood thinners IF possible. If you take aspirin, consider stopping it for 10 days prior to your surgery, IF agreeable with your family doctor/internist. (If you take PRADAX, XARELTO, COUMADIN or PLAVIX, consult with your family doctor or internist before stopping it.) Tylenol (acetaminophen) can be used for pain relief without increasing your bleeding tendency. You can usually restart your aspirin or advil 1-2 days after surgery.
4. DO NOT EAT OR DRINK AFTER MIDNIGHT IF YOU ARE GOING TO THE MAIN OPERATING ROOM THE NEXT DAY. You can take prescription medications with a sip of water. Diabetics should NOT take their diabetes pills the morning of surgery, and use at most half their normal insulin dose.IF GOING TO THE MAIN OPERATING ROOM, ARRIVE 2 HOURS BEFORE THE SCHEDULED SURGERY TIME. ARRANGE FOR SOMEONE ELSE TO DRIVE YOU HOME THE DAY OF SURGERY
5. YOUR EYE/EYELID MAY APPEAR PUFFY AND BRUISED FOR MANY WEEKS. The eyelid is the thinnest skin in the body, has an excellent blood supply and bleeds readily during surgery. For these reasons, your eyelid may be swollen and bruised for several weeks after surgery. If you have to pose for an important picture wait at least 6 weeks after the surgery, so that you will look more natural.
6. CARING FOR YOUR SKIN AND EYE AFTER THE SURGERY To minimize post-operative swelling, apply cold compresses every 15-30 minutes on the operated eyelid area while you’re awake. Do this for the first 2 days. Cold compresses can be made by dipping a clean cloth or tissue in ice water, or by placing some frozen peas in a plastic bag. Raising your head when you sleep e.g. by using extra pillows may help decrease the post-operative swelling. Usually Dr. Ing asks you to put some antibiotic ointment (e.g. Tobrex) on the eyelid 2-4 times a day, for a week. It is common to have your eye(s) feel itchy, scratchy, gritty, dry or even watery after surgery. If this happens use over-the-counter lubricating drops or ointment (e.g. Celluvisc, Tear Gel or Lacrilube) in your eye 4-6 times per day, and you will feel better. Try using the drops even if your eyes seem to water at first. You can do light work the day after surgery. However avoid dusty, dirty environments for about 4-7 days. Do not lift anything heavier than 20 pounds for the first week. You can shower the day after your surgery, but do not rub the incision or get it dirty. Wash your hands frequently.
Depending on your particular operation, the doctor or his assistant may check you in the office the day after the surgery, or in 1-6 weeks post-operatively. If you perceive a problem after surgery, phone Dr. Ing’s office during the day, or if you cannot reach him, try faxing 416 385-3880 or 416 465-2035. For emergencies phone 416 469-6580.
In some patients, a plastic or button bolster may be placed to prevent the stitches from cutting in to the skin. This bolster is often removed a week or two after surgery.
Stitches are generally removed 5 days to 2 weeks after surgery.
7. MORE THAN ONE OPERATION MAY BE REQUIRED.To minimize scarring, corneal drying and overcorrections, it is better to do less surgery than too much surgery. Depending on how you heal, an augmentation procedure may be indicated to give you the optimal result. Many procedures may have to be repeated within two to five years as the face continues to age, descend and tissues become more lax.
8. Each patient has a unique perspective on what is functional, or aesthetically pleasing. The surgeon can in no way guarantee that the patient will be completely satisfied with a surgical procedure.
POST-OPERATIVE EMERGENCIES: If Dr. Ing’s office is not open, go to the emergency room or phone 416 469-6580