Cosmetic Procedures - Eyelid/Brow Surgery - Before Surgery

A thorough examination of the eyes and the tissues surrounding them (eyebrows, forehead, and cheeks) is initially made and photographs taken. The length of the forehead, the amount of eyebrow sagging (ptosis), and the amount of excess skin and fat of the eyelids is recorded and the various surgical options for correction of the problem is discussed. An examination by an opthalmologist may be recommended particularly if one has symptoms of loss of the upper visual fields, dryness or itchiness of the eyes, or problems with their vision. This examination must be completed prior to surgery

The main surgical options to be considered include removal of skin and fat from the upper and/or lower eyelids (blepharoplasty), elevation of the eyebrows through small incisions in the scalp through a specially designed scope (endoscopic forehead lift), elevation of the eyebrows and forehead through an incision along the frontal hairline (pretrichial forehead lift), elevation of the brows through the eyelid approach (transbleparoplasty browlift), or combinations of any of these procedures. Which procedures and combinations thereof require thorough discussion of their advantages and disadvantages of each.

Medications that contain aspirin are to be discontinued two weeks prior to surgery to decrease the possibility of excess bleeding during or after surgery.