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Eyelid Surgery – Eyelid Lift

Blepharoplasty is a relatively small operation that makes a big difference. And that’s because people first show aging in the skin around the eyes. For some people, droopy, down-turned eyes and overhanging upper or lower lids can be hereditary. These less desirable characteristics are easily corrected with eyelid surgery. Dr. Kridel can do eyelid surgery on the upper or lower lids — or both.

Computer Imaging:
As part of your consultation, we will take photographs and do computer imaging so that Dr. Kridel can review with you what can be accomplished with surgery.

Combining Eyelid Surgery with Other Procedures:
Sometimes we combine eyelid lifts with procedures called endoscopic eyebrow and forehead lift (browlift) to improve the height and maintain the contour of the upper eyebrow. We will discuss whether you might benefit from this combined procedure during your consultation with Dr. Kridel.

FPSA Fully Accredited In-office Surgical Center:
Blepharoplasty surgery can be performed on an out-patient basis. Dr. Kridel can perform the surgery at a nearby surgical center or in our office based surgery facility at FPSA. Our surgical facility is accredited and has been certified by the Accreditation Association for Ambulatory Health Care (AAAHC). AAHC is an independent, not-for-profit organization that completes an extensive, rigorous assessment for certification.

For more information about the vigorous accreditation process for our surgery suite, visit http://www.todaysfaceblog.com/category/accreditation-association-for-ambulatory-health-care/

Pre-operative Clearance:
Before you undergo this eyelid surgery, we will ask you to see your eye doctor for clearance. Dr. Kridel wants to make sure that your eyes are healthy and that you have been cleared medically for a cosmetic procedure.

Patients come from all around Houston and the United States to have primary blepharoplasty surgery and revision blepharoplasty (primary blepharoplasty was done by another surgeon) surgery with Dr. Kridel because of his level of surgical expertise in this procedure, as well as other facial plastic surgery procedures.


Questions & Answers



What makes my eyelids look saggy and puffy?

One of the reasons for “tired eyes” is because of droopy eyelid fat. This fat is held back in youth by a thin wall of tissue called the orbital septum wall. It can begin to bulge with age, giving you “baggy” upper and lower eyelids. Eyelid surgery (Blepharoplasty) trims this extra fat and tightens the wall, restoring a youthful appearance.



How does cosmetic eyelid surgery work?

Dr. Kridel removes excess skin through an incision that he makes in the natural crease around the eye. Through an invisible incision made behind the lower eyelid, he removes protruding fatty tissue that causes “bags” under the eyes.



What happens after surgery?

This operation takes about two hours and can be done under either local or general anesthesia. You can be discharged the same day unless you’re having other procedures at the same time. Don’t worry about pain associated with eyelid surgery, but you should expect some swelling and bruising. Wear dark glasses for a few days to hide “black eyes”–this will also help you remember not to touch your eyelids while they’re healing. You may experience slightly blurred vision, eye irritation, or dryness for up to a month after surgery. Dr. Kridel may recommend eye drops or an ointment to promote healing and relieve discomfort. You’ll find that your eyelids heal well because of their rich blood supply, and the scars are barely visible.



How long is the recovery?

Recovery from eyelid surgery is considered “easy” by most patients. You can wear makeup within 5 days. And after a week or less, you should be able to resume your normal routine.


Scientific Papers by Dr. Russell Kridel:
Dr. Kridel has written numerous scientific journal articles on blepharoplasty techniques

Recently, Houston facial plastic surgeon Russell Kridel, MD and Angela Sturm, MD published the scientific journal article in the JAMA Facial Plastic Surgery online and offline journal titled, “Acellular Dermal Grafts for Tear Trough Deformity in Revision Lower Blepharoplasty.”

Revision Blepharoplasty is more complex because fat is no longer available in the area for repositioning in the lower eyelids. During the primary blepharoplasty the surgeon took it out. So many of these patients still have tear trough deformities that can give a “tired” appearance.

The ideal material for restoring volume is safe, long-lasting and natural appearing. Fat transfer has recently received increased interest from surgeons, however, transferred fat is a devascularized graft which is subject to possible issues such as necrosis, resorption and blindness among others. Hyaluronic acid fillers such as Restylane, have been used by surgeons as well. While easily administered in the office, there are potential adverse events such as bruising, erythema, swelling and possible vascular compromise. But, it also requires reinjection approximately every year.

Dr. Kridel and Dr. Sturm have found a surgical approach that appears closer to the ideal- —- the use of an acellular dermal graft. An acellular dermal graft is a safe, biologically inert, acellular matrix that allows in-growth of surrounding tissue. Plus this approach is a long-lasting solution to tear trough deformities.