Blepharoplasty (Eyelid Revision)

Initial Consultation:

You will meet with Dr. Pousti for a private consultation to discuss your goals. Dr. Pousti will discuss options, risks, benefits and possible complications of different surgical procedures with you. Questions regarding optimal timing of surgery and typical post-operative care issues will be addressed.

Examination:

Dr. Pousti will examine you and advise you accordingly. He will let you know if you are a good candidate for surgery and if he can achieve your goals. Questions such as placement and incisions, expected scarring, choices of implants and your specific concerns will be addressed.

Tailoring the Surgery to Meet Your Goals:

Dr. Pousti will review several albums of pre and post operative patient’s pictures with you. He wants to have a full understanding of your desired result and pictures aid in this communication. He encourages you to bring in pictures from magazines or off the internet to assist in this communication. He is interested in what you like as well as what you don’t like. This enables Dr. Pousti to have a clear three dimensional understanding of your goals. During this process he creates a “portfolio” of your pictures that he takes into the operating room on the day of your surgery.

Pre-Operative Appointment:

The medical history of the patient is reviewed, consent forms are signed, and prescriptions for post-op medications are given. Post-op instructions are discussed and “Before” pictures are taken. Dr. Pousti discusses size and placement of incisions ensuring the patient of the best results possible.

This is a 43 year old patient from San Diego who was interested in getting rid of the puffiness and her “droopy” eyelids. After meeting Dr. Pousti and consulting with him on her surgical options, she was excited and ready to start the process.

Markings:

Before each surgery, Dr. Pousti takes time to perform “markings” which prepares the patient and Dr. Pousti for the upcoming surgery. Dr. Pousti understands that every patient is unique with different body types and structure. Measurements are always carefully made to achieve the desired goal of the individual patient. Markings are then reinforced prior to surgery.

In the Operating Room:

By the day of the surgery, Dr. Pousti hopes that you will feel comfortable knowing that he has a good understanding of your goals. Some anxiety as well as excitement is to be expected.

Dr. Pousti performs the surgery in a fully licensed surgicenter with a compliment of caring nurses and board certified anesthesiologists. Dr. Pousti is with with you, holding your hand as you go to sleep.

Dr. Pousti takes time to study your pictures prior and during your operation, using them as a reference to achieve your anticipated goal.

Dr. Pousti uses every technique available to avoid complications such as infection, bleeding, scarring and loss of sensation. You will receive medications (antibiotics and anti-nausea) intravenously during the operation.

The Procedure:

As you can see, prior to the procedure  Dr. Pousti  marks the individual lines and creases of the lids in order to keep the scars as invisible as possible along these natural folds. The incision is made, and excess fat, muscle, and loose skin are removed(shown in the picture above). Fine sutures are used to close the incisions, thereby minimizing the visibility of any scar.

Recovery:

Directly following your procedure, you will be wheeled into a recovery room where trained and skilled nurses are very attentive to you, making sure you are comfortable as you slowly awaken. It is very important to Dr. Pousti that you are taken care of and are as comfortable as possible. To ensure this, Dr. Pousti has made sure that the nurses there are ‘first class’ and exceptional at what they do.

Five Days Post-Operative:

The patient is doing well and her eyelid incision lines are healing nicely. Today she had her eyelid sutures removed and Benzoid steri-strips were applied. The patient came back in 5 days later and had her strips removed.

Four Weeks Post-Operative:

After only one month post-surgery this patient is very pleased with her results. Her eyelid incisions have healed nicely, she had no complications and loves her new look.