Doctor, what to prepare before and after eyelid surgery?

After you have decided to undergo an eyelid surgery, it would be helpful to know what preparation you can do to facilitate the procedure/ surgery. Also, what you can do after the procedure/ surgery to enhance the recovery.

The following is a list of before (pre) and after (post) procedure/ surgery instructions. Please note these instructions may vary between doctors.

PRE-OPERATIVE INSTRUCTIONS:

A. Medications:

The following medications, oil and herbs have blood thinning properties and should be stopped prior to surgery to reduce bleeding during surgery and thus will also reduce swelling and bruising after surgery .

Please STOP the following 2 weeks before and 1 week after procedure/ surgery:

1. Anticoagulants :- 1. Aspirin
                                 2. Clopidrogel (Plavix)
                                 3. Warfarin (need physician clearance)

2. Fish & Liver oil :- Omega-3, Cod Liver Oil, Salmon fish oil, Krill Oil
3. Flax Seed Oil
4. Vitamin E
5. Pain Killer :- Non Steroidal Anti Inflammatory Drugs (NSAIDs)
                          1. Ibuprofen (Brufen)
                          2. Mefenamic Acid (Ponstan)
                          3. Indometacin (Indocin)
                          4. Naproxen (Naprosyn)

6. Herbs / Traditional Medicine :- 1. Ginseng
                                                       2. Gingko Biloba
                                                       3. Dong Quai
                                                       4. Jamu etc
7. Smoking
8. Reduce Ginger and Garlic intake

If you have high blood pressure, diabetes and high cholesterol, please CONTINUE the medications like normal.


B. Preparation from home:

1. The day before surgery, shampoo your hair. Before heading to your surgery, wash you face with cleanser and water. Do not apply any moisturizers, lotion or make-up.

2. Do not wear jewelries, including rings, bracelet, earrings.

3. If you wear contact lens, be prepared to remove them. Preferably, wear your glasses.

4. Bring a hat/ cap/ scarf and sunglasses to be worn after surgery to cover your eyes.

5. No need to fast as most eyelid procedures are performed under local anesthesia with or without sedation. You may take light meal on surgery day and resume normal meal or as tolerated after surgery.

6. Prepare ice or eye pack for compression after surgery.

7. If you have opted for sedation, please have someone accompany you after surgery.

8. Start supplement Vitamin C 2000-3000mg (Brand Ester C by Kordel available in pharmacy or Ester C by American Health in GNC)

POST-OPERATIVE INSTRUCTIONS:

1. Rest with your head elevated about 30 degrees.

2. Use ice packs immediately after surgery and for the first 2 days on the operated area as frequent as possible. You may alternate cold and warm compress after 2 days when the bruise begin to appear. Ice compression helps with swelling while warm compression helps to disperse the bruising.

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3. Please take pain medicine if in pain. If there's sharp, pricking pain, please contact your doctor.

4. Do not exercise or lift any heavy objects or bend down for the first week. You may walk around without exertion as mobility will improve blood circulation and helps with wound healing.

5. Apply the ointment prescribed as instructed.

6. Take high dose vitamin C (2-3gm/day) to enhance wound healing.

7. You may take shower and wash your face but be very gentle with the incision site. You may dap dry the incision area but please do not rub.



THINGS TO KNOW ABOUT POST-OPERATIVE RECOVERY:

1. The swelling will worsen for the first 48 hours before it gradually resolves.

2. Occasional discharge including blood, tears and mild oozing is normal. However, if there's continuous fresh blood discharge, please contact your doctor.

3. Sutures are removed 1 week after surgery

4. Avoid direct sunlight to your eyelids esp if incision was made on the skin. Cover the incision site with the ointment prescribed.

5. 70-80% of swelling and bruising is usually gone at 2 weeks, it may take several months for the remaining swelling to completely dissipate. Final results usually take upto 6 months. This is normally applied to incision on the eyelids. Suture method for double eyelid usually take shorter downtime.

6. Numbness, swelling, tingling sensation, itching, discoloration, bumpiness, crusting, tightness and redness around the incisions are normal and should resolve with healing.


If you have further questions, kindly call 03-22846090 or email alicegoh@isec.my

What is BB Double Eyelid?

BB Eyes （BB眼睛）

“BB eyes” stands for Bigger and Brighter eyes. This is a series of customized cosmetic eyelid surgeries created by oculoplastic surgeon Dr Alice Goh. As she believes that no two eyes are the same, each eyelid design is customized to cater for each individual’s need.

BB Double Eyelid Suture Method (BB 双眼皮)

This is a safe and lasting double eyelid procedure invented by Dr Alice Goh to create a natural eyelid crease. This method is safe and uses high quality suture material to create the double eyelid.  It is performed in a hygienic procedure room and sterilized instruments. The double eyelid procedure alone takes approximately 15 mins each eye. However, additional time required if more procedures are done at the same time.

The conventional double eyelid formation rely almost solely on the suture to create the eyelid crease. Over time, the tensile strength of the suture reduces and therefore the force of keeping the eyelid crease is also compromised. She believes that BB Double Eyelid technique will last longer because of an additional step which create tissue adhesion to reinforce the lid crease formation. Therefore, as time passes when the tensile strength of the suture reduces, the tissue adhesion will continue to hold the lid crease formation.

The double eyelid procedure can be combined with other procedures to enhance the results of the double eyelid. In patients with puffy eyelids, fat removal can be performed together with the double eyelid procedure without any additional incision on the eyelids. Droopy eyelid can also be corrected without addition skin incision. Other enhancement and lengthening procedures such as Magic Epicanthoplasty (开眼角) and Lateral Canthotomy （开眼尾）can also be done together. 

The 10 advantages of BB Double Eyelid Suture Technique:

1.      Safe

2.      Scarless

3.      Natural

4.      Lasting

5.      Quick procedure

6.      Quick recovery

7.      No suture removal

8.      Fat removal possible without additional incision

9.      Droopy eyelid can be corrected together without additional incision

10.  Lengthening eyelid procedure such magic epicanthoplasty and lateral canthoplasty can be done together.

Call us at 603 22846090 for an appointment to consult Dr Alice Goh.

Follow us at Facebook: Dr Alice Goh
Instagram @dralicegoh

                Cases 1: BB Double Eyelid (Suture Method) with Magic Epicanthoplasty

Case 2: BB Double Eyelid (Suture Method) with Scarless Droopy Eyelid Correction

                    Case 3:BB Double Eyelid (Incision Method) with droopy eyelid correction
                                                          and Magic Epicanthoplasty

                           Case 4: BB Double Eyelid (Suture) with Droopy Eyelid correction

                                            Case 5: BB Double Eyelid (Suture method)
                                               with Scarless Droopy Eyelid Correction

Case 6: BB Double Eyelid (Suture Method) with Scarless Droopy Eyelid Correction

and Magic Epicanthoplasty 

Good turn-out for the Aesthetic and Cosmetic Surgery updates. Here are our lucky winners!

On 16 October 2014, ISEC Penang organized a talk on "Advances of Aesthetic & Cosmetic Surgery from Korea & USA".

I presented 3 talks :

1. New Concept on Facial Ageing
2. Advances of Aesthetic & Cosmetic Surgery from Korea & USA
3. DOs and DON'Ts in Aesthetics

It was a fun-filled day. The turn-out was very encouraging despite being a weekday and during office hours. I am glad to meet all the attendees and had a good interactive sessions with them. I also managed to do a live demo for dermal filler injection of the eyebag. It was the first time for many of them to watch a live injection.

There were 3 lucky draw winners, each received free aesthetic treatments. The grand prize winner walked away with a free eyelid and medial epicanthoplasty surgery.

Yummy and healthy food for the participants.

 I will be visiting ISEC Penang 20 & 21 November 2014. For appointments kindly call 04 228 8802. Address 229, Jalan Burma, Penang.

Combined Double Eyelid and Epi Surgery is more superior than Double Eyelid Surgery alone 联合双眼皮和眼角手术是比单纯做双眼皮手术更出众

In Asians or Orientals, there is a skin fold that covers the inner corner of the eye which makes the eye look small and narrow. This fold of skin is called the epicanthal fold. Inner corner eye surgery or medial epicathoplasty or in short, epi surgery is a surgery to correct the epicanthal fold and widen the width of the eye so that the eyes become larger and brighter. 

The conventional double eyelid surgery may increase the vertical height of the eye but does not address the epicanthal fold. Correcting the epicanthal fold will increase the horizontal width of the eye thus making the eye even larger and more attractive. In addition, it is easier to apply eyeliner and shimmery eye shadow when applied can be seen which brightens the eye further. 

Google Translate:

在亚洲人或东方人，有一个皮肤褶皱，覆盖这使得眼睛看起来小而窄眼睛的内角。皮肤褶皱这种被称为内眦倍。内眼角眼部手术或内侧epicathoplasty或短，外延手术是一种外科手术，以矫正内眦倍和扩大眼睛的宽度，使眼睛变得更大，更明亮。

传统双眼皮手术可能会增加眼睛的垂直高度，但并没有解决内眦倍。校正内眦折将增加的眼从而使眼睛变得更大，更吸引人的水平宽度。此外，它是比较容易申请眼线和当施加可以看出其照亮眼睛还闪闪眼影。