1(919)876-4064      Schedule a Free LASIK Consultation

Eyelid surgery, blepharoplasty, ptosis, extra eyelid skin - A State of Sight #15

Special guest, oculofacial surgeon Renzo Zaldivar, MD joins A State of Sight with Isaac Porter, MD to discuss eyelid surgery. He explains the medical need for eyelid surgery when heavy or drooping eyelids interfere with a patient's vision.



(Dr. Porter)
Welcome to A State of Sight, your update in ophthalmology and eye care. Today, we have a very special guest, Dr. Renzo Zaldivar, an oculofacial plastic surgeon, who is an ophthalmologist that decided to specialize in plastic surgery. He is going to explain eyelid surgery.
 
Great to have you Dr. Zaldivar!
 
A lot of our patients think that eyelid surgery is purely cosmetic,could you please give us an idea who would be a good candidate for it?
 
(Dr. Zaldivar)
Sure, that’s a common misconception that a lot of patients have. They think that eyelid surgery is strictly a cosmetic procedure. In fact, there have been a lot of studies that have shown a decrease in quality of life if there’s a significant heaviness on the eyelid. That heaviness can be caused from a lot of factors, whether it’s coming from their forehead, brow, excess baggy skin, or an eyelid muscle that is stretched out.
 
It could be anybody, male or female, as early as their 40’s all the way to the 80’s or 90’s. We look at our patients and and try to figure out what is causing their decrease in vision. Droopy eyelids can in fact cause a real decrease vision.
 
(Dr. Porter)
Okay, what type of problems can you see with their vision?
 
(Dr. Zaldivar)
The definition of vision is not just what you can see in the distance, it’s also your peripheral vision. There are diseases that cause decrease in peripheral vision and the eyelid can cause decreased peripheral vision up above and off to the side. We can measure this with visual field testing.
 
Once peripheral vision is decreased, it can start to affect central vision as well. Once we can show that to the patient, then we can usually get  the surgery approved so they can go ahead and improve their quality of life.
 
(Dr. Porter)
Great, what can they expect  with surgery?
 
(Dr. Zaldivar)
The surgery is an outpatient surgery, similar to cataract surgery, where they come in and have surgery and go home the same day. They are usually sedated, so they don’t feel or remember much, and depending on what kind of surgery they have for their eyelids, they may or may not have to participate in the surgery. The patient will go home the same day and usually have to use lots of ice. That will be very important for them as far as recovery goes and they will usually be a little black and blue and swollen for about 5 - 7 days.
 
(Dr. Porter)
When does lot of the recovery happen, when are they feeling better?
 
(Dr. Zaldivar)
Usually after the first week, that’s usually when most of the swelling is starting to subside and they will then start to see the dramatic improvement from surgery. That improvement will continue for about two or three weeks afterwards before stabilizing.
 
(Dr. Porter)
I know that there are a lot of great procedures that you have available for eyelids and people that are having trouble with their vision and their visual field.
 
(Dr. Zaldivar)
Absolutely, and we can talk about that further as far as if it’s the upper or lower lids causing the problem.
 
(Dr. Porter)
We want to thank Dr. Renzo Zaldivar very much for being with us today. As always, if you have any questions or comments for Dr. Zaldivar or myself, please post below and we will be happy to answer them. We hope to see you again soon, next time on A State of Sight.