Tag Archives: men

Observing Surgery: Blepharoplasty

24 Feb

Case Study:

Today I assisted in a blepharoplasty on both the upper and lower lids of a man in his late 50’s. Interesting right? This stuff is not just for women. And before you have any thoughts about it being a gay man you are completely mistaken. This man was a blue-collar, married man.

This patient’s wife, mother, and other relatives had undergone the same procedure. His upper lid was so saggy it impeded his vision tremendously. Genetics plays a large role in how we age, and considering this man had a number of family members who had undergone the procedure, saggy lids clearly ran in his family tree. The women in his family had such great results; the patient was ready to go under the knife. In 3 hours time, he looked about 20 years younger than when he walked in the door, but the most important part for this patient: his vision was improved! He couldn’t believe what a difference it made!


Time:

10:00 am : Patient is given oral sedation and pain medicine. The procedure is done under conscious sedation (patient is awake but comfortable).

11:30 am : Patient has reached adequate level of sedation. Patient is marked on the lids, where the surgeon will be cutting, and local anesthesia is injected into the area.

12:30 pm : The right eye is finished. Top and Bottom lids have been cut and stitched. The patient already states his vision is improved! AND he looks 20 years younger!

1:30 pm : The left eye is finished. Top and Bottom lids have been cut and stitched. The patient is shown his results. The eye is then taped at the sides to kept tension off the sutures.

Stats:

Total time of procedure start to finish: 3 ½ hours

Total time taken off patients face: 20 years

Total cost to patient: $5,250 (Upper only is $3,250 and Lower only is $3,250)

Follow up: The patient will return in 1 week to have the “tension tape” taken off and the non-dissolvable stitches removed (both dissolvable and non-dissolvable are used).

Downtime: About a week of being black and blue, and having the tape on your face. Tape is in though… Tape is the new black! (Just kidding).


(From the ASPS website)

Also known as a “Bleph.” The technical term for eyelid surgery. It improves the appearance of the upper eyelids, lower eyelids, or both by giving a rejuvenated appearance to the surrounding area of the eyes by removing skin and fat. The result gives a more rested and alert appearance.

Almost 200,000 Bleph procedures were performed in 2011, and it remains in the top 5 most popular cosmetic surgery procedures.


Treatable conditions:

  • Upper eyelid surgery can remove excess fatty deposits that appear as puffiness in the upper eyelids.
  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision (like in the case study!), can be treated by eyelid lift surgery.
  • Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid.
  • Bags under the eyes can be corrected by blepharoplasty.
  • Lower eyelid surgery can correct droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).

Is it right for me?

A blepharoplasty procedure is usually performed on adult men and women who have healthy facial tissue and muscles and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.

You should undergo blepharoplasty surgery for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Good candidates for cosmetic eyelid surgery are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for blepharoplasty
  • Individuals without serious eye conditions

You must tell your doctor if you have any of these medical conditions:

  • Eye disease such as glaucoma, dry eye or a detached retina
  • Thyroid disorders such as Graves’ disease and under or overactive thyroid
  • Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

Prevention

If sagging lids run in your family, there are things you can do to prevent going under the knife. Botox is used to lift the lid (but it can only lift so much). Ulthera is also being used as an alternative to surgery. But remember, non-invasive and minimally invasive treatments won’t give you the extent of the result surgery will. If you start doing this alternative procedures at a younger age (say mid 30’s) you are more likely to prevent the need for surgery.

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Do Whatever You Want, If It Makes You Happy. But First Take This Quiz.

31 Jan

The following quiz is from Joan River’s HILARIOUS book Men Are Stupid… And They Like Big Boobs.  Even if you are in no way, shape, or form planning on having any sort of procedures, this is still a must read!  (taken directly from page 12-14).  Anything in pink italic is my own interjections.  Because I always interject.

So You Think You’re Really, Really

Ready for Cosmetic Surgery?

Answer the following multiple-choice questions to find out if you’re emotionally prepared to make a big change.

1.  Spending money on myself…

A. is morally reprehensible!

B.  runs against everything my parents taught me.

C.  is fine.  What else should I spend it on?  My kids’ college education?

D.  is a touch call, but being happy is worth any price.

If you answered a., that spending money on yourself is morally wrong, then get back inside the convent, and pray for me because I’m clearly bound for hell.  Even Mel Gibson pays for his own SS uniforms.  If you answered c., remind yourself that spending money is good.

The correct answer is D., that there’s no better investment than your own confidence and happiness.

Joan couldn’t be more right!  Spending money on yourself is ok.  Spend wisely! 

2.  I want to make a change in my appearance because…

A.  my husband has been begging me to get implants since his secretary died.

B.  my friend told me every attractive woman has had something done.

C.  I’ve hated my nose for years, and I’m sick of walking into parties backwards.

D.  when I saw myself in a recent photo, I looked like my mother.

If you answered a. or b., you’re wrong.  Screw your boob-loving husband and peer-pressuring friend.  The one and only reason to get surgery or a non-invasive beauty procedure is for yourself.  If you think having work done will make you a happier, more confident, contented person, go for it.

If you answered d., you’re still wrong.  Those of you who have the fear that you’re turning into your mother, make a shrink appointment.  In the meantime, guess what?  Surgery won’t alter your genetic code.  Even if you’ve had a face lift, you’ll probably still look like your mother.  (This drives my daughter Melissa crazy.)

The correct response is c., because the motivation for change has to come from inside you.

The only reason you should do ANYTHING is for yourself.  I have SO many patients that tell me they don’t want their husband knowing, because they “wouldn’t understand.”  I get into countless debates, mostly with men – but some women, about how someone’s choice to do Botox is their personal preference, and because it’s a very safe procedure, there shouldn’t be as much controversy as there is!  Be supportive of your friend or spouse’s decision.  It’s THEIR body.

3.  The actual surgery will be…

A.  a snap.

B.  the first day of a completely different life.

C.  rough.  It’s major surgery and should be taken seriously.

D.  a bloody nightmare.  I don’t know how I let Joan Rivers talk me into this.

The correct answer is c.  Plastic surgery, from a blow lift to a butt lift, is major surgery and not to be taken lightly.  You have to be prepared to do whatever your doctor instructs you to do, before surgery and during the recovery.  You’re looking at up to a month of convalescence.  It’s not a walk in the park.  But, once the recovery is over, you’ll be thrilled you had the surgery.

The one thing you hear most from women who’ve had cosmetic intervention:

“I wish I’d done it sooner”

(This is also the biggest complaint I hear from women with Botox!)

4.   Self-Improvement is…

A.  selfish vanity.

B.  what we should all strive for throughout our lives, physically, emotionally, mentally.  Otherwise, why not just crawl under a rock?

C.  impossible.  I’m already as good as I’m ever going to get.

D.  embarrassing.  I’m loathe to reveal my insecurities and flaws to myself, let alone a stranger, especially an attractive doctor.

The correct answer is b.  Of course we should all strive to improve ourselves!  The pursuit of betterment is hardly selfish vanity!  Do we educate ourselves out of vanity?  Do we expose ourselves to culture to be selfish?  Physical improvement via cosmetic intervention is on a par with going to the gym, which most people consider to be masochistic but not vain.  Vanity is thinking you’re already perfect.  And if you’re perfect, put this book down and leave the rest of us humans alone.

** I would like to add, attractive doctors exist in Orthopedics (sports medicine) and on T.V. shows for the most part. 

5.  Beauty is…

A.  an unfair societal demand put on women so makeup companies, plastic surgeons, diet-pill manufacturers, and hair salons can stay in business and make tons of money.

B.  in the eyes of the beholder.  When I see a beautiful woman walking down the street, I’m so jealous I want to spit – in her eye.

C.  for the very young and/or the very rich.

D.  within  your grasp, a worthy goal, the way to feel good about yourself and stay vital in the world.

Beauty can be a source of a.) anger, b.) jealousy, and c.) envy.  You wouldn’t have those negative emotions if you felt beautiful yourself.  Imagine being free of jealous, envy, and anger-and not having first woken up dead and found yourself an angel.

Those who answered d. understand that beauty is within your grasp.  Now go out there and get some!

Ok, I know not everyone loves Joan as much as I do.  (We’re on a first name basis).  But, I think she has some very valid points, and I also think she looks the way she wants to, and she is happy with her results.  She makes millions a year off her surgically altered botox’d up face.  All the power to you Joan.  I hope some day the same is said about me! 

Joan Rivers’ Men Are Stupid… And They Like Big Boobs:  A Woman’s Guide to Beauty Through Plastic Surgery with Valerie Frankel

It’s absolutely hilarious, and discusses procedures from laser to lipo.  I highly recommend it.  I don’t agree with everything she says, but I think she gives mostly valid information!

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