What is the Second Look® Eye Procedure?
This procedure corrects fullness and bagginess around the eyes. The result is long lasting and may never have to be repeated.
As we age, the skin and tissues around the eyes start to loosen and relax. In the upper lids, extra tissue develops which creates a fold. This fold can actually fall down onto the eyelashes. Occasionally, if there is a great deal of extra skin in the upper lids, vision can be impaired. In the lower lids, there may be puffiness as well as lines and wrinkles from loose skin. Heredity may play a big role in the timing and degree of change that occurs. Some young men and women may have fullness in the upper lids and puffiness in the lower lids at an early age, and consideration of eyelid surgery at younger ages may be appropriate as well. Our Second Look eyelid surgery removes the extra skin and tissue in the upper lids, eliminates the puffiness in the lower lids and tightens some of the skin as well. As a result, the eyes look more awake and the face has a more youthful, rested and vital look.
There is a natural cushion of fatty material around the eyeball. This is held in position by a thin membrane. It is the relaxation of this membrane that causes the puffiness in the lower lids as well as some of the puffiness in the upper lids. Eyelid surgery removes the extra skin and tissue in the upper lids, eliminates the puffiness in the lower lids and tightens some of the skin as well. As a result, the eyes look more awake and the face has a more rested and vital look.
How and where the surgery can be performed.
This procedure is done in as little as an hour in our office surgical suite. On very rare occasions, if needed or desired by the patient, it is done in one of our associated Ambulatory Surgery Centers. The patient is kept quite comfortable with preoperative relaxing medication, light IV sedation and local anesthesia. In the upper eyelid, an incision is made in the natural crease line, and the excess tissue is removed. The incision is then closed with a stitch that runs underneath the skin. This stitch is usually removed about one week later. In the lower lid, if fatty deposits are present, a small incision is made on the inside of the eyelid. Through this small incision, the fat causing the puffiness is removed. If there is no looseness of skin, skin need not be removed and there is no external incision line. If the skin needs tightening, a small incision is made on the outside of the lower eyelid just below the eyelashes, and the extra skin is removed. Sometimes, a light acid peel is done in the lower eyelids in conjunction with the Second Look Eye Procedure™ to lighten dark circles and smooth the skin. All these options are discussed thoroughly at the time of your consultation to determine which technique is best for you.
What to expect for your recovery.
Immediately following the surgery and for the next 24 hrs. to 48 hrs., we recommend the use of cold compresses on the eyes. This helps diminish bruising and swelling. We also recommend that you sleep with your head slightly elevated. The operation itself does not cause a lot of pain or discomfort, but there might be a feeling of tightness. Usually, extra-strength Tylenol or an occasional pain pill is all that is needed to control any discomfort. If sutures are used within the lower eyelids, they are usually the dissolving type and disappear on their own within four to five days. You may be as active as you wish a day or so following eyelid surgery. If you feel up to it, you may be up and around, you may drive a car, and you may do pretty much as you wish. We do advise not to do any heavy lifting or bending, however. A pair of dark sunglasses will mask the bruising and allow you to be out and about. The first postoperative visit is made about one week after the procedure. At that time, the upper lid sutures are removed and you may use make-up. We recommend that you wait approximately one week following surgery before resuming the use of contact lenses. If you wear hard lenses, you may wish to consult your optometrist regarding methods of removing them without pulling the lids. During the next several weeks, you will feel irregularities of the lids as the healing process continues. There may also be some numbness of the upper and lower lids. All this is to be expected and will disappear in due time.