Smoothing of crow's feet may require chemical peeling or resurfacing procedures.
Circles beneath the eyes caused by dark pigmentation may be treated with a
bleaching solution or chemical peel.  Alternately, sinking around the bony orbit
below the eye can be addressed with fat grafting.

High blood pressure, thyroid problems or diabetes are some of the conditions that
can increase the risks of eyelid surgery. Dr. Callaghan will ask if you have
allergies and if so, how they affect your eyes. We will also need to know if you
have ever been told that you have "dry eye" or any other eye problems.

Dr. Callaghan will discuss two different approaches to lower lid surgery: one uses
an external incision and the other is performed from inside the lower lid. Your age
and the extent of the fatty deposits you have will determine which approach is
used.

An incision is hidden within the natural fold of the upper eyelid for upper eyelid
surgery and it is through this incision that excess skin and fat are removed.
Because the incision follows the natural contour of the upper eyelid, it will be well
camouflaged when it is healed.

For lower lid surgery the incision is usually hidden below the lower lashes.
Through this incision, excess skin, muscle and fat are removed. Fat may also be
redistributed to eliminate puffiness or bulges. Other adjustments such as
canthopexy may be made to correct special problems such as muscle laxity or
cheek bags.

You and Dr. Callaghan may decide that the best approach for removing excess fat
is a technique that needs no external incision. This procedure is called
transconjunctival lower blepharoplasty. While it is a good approach for younger
patients, it cannot be used to remove excess skin.

After your surgery, you may have a temporary feeling of dryness or irritation in the
eye. This may require drops and lubrication for treatment. There is also a chance
of a temporary reduction in eyelid sensation or reduced eyelid function. Any
change lid function can be treated with additional surgery if it persists.

Mild swelling persists for several weeks in some cases while others see swelling
resolve in just seven days. Bruising normally disappears in seven to ten days and
you may use makeup within the first week to hide discoloration.

You may find your eyes are temporarily sensitive to light. You may also
experience some excess tearing or dryness. Dr. Callaghan may recommend eye
drops to relieve burning or itching. You may want to wear dark sunglasses for a
couple of weeks to protect your eyes from the wind and sun.

The incision lines will fade over several months until they become barely visible.






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