As one ages, the eyelids undergo changes that can make one look tired and older. Many factors, including heredity and sun damage, can accelerate these changes. Dr. David Janssen and Dr. William Doubek, the board certified plastic surgeons of Fox Valley Plastic Surgery are able to brighten and restore the appearance of the entire face with eyelid surgery in Wisconsin. This procedure can be performed to remove those “bags” beneath the eyes as well as loose skin of the upper and lower eyelids.
Dr. David Janssen and Dr. William Doubek are experts in blepharoplasties. The Wisconsin plastic surgeons are helping women and men from places such as Green Bay, Appleton, Fond du Lac, and Sheboygan perfect their personal Renaissance. To learn more about eyelid surgery, request your consultation in either the Oshkosh or Appleton office using our online form or contact us at (920) 233-1540. The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure.
Eyelid surgery, technically called blepharoplasty, can be performed on either the upper or lower lids, or both. The discreet placement of incisions helps ensure no visible scarring around the eyes. In addition to its aesthetic benefits, blepharoplasty can also be of medical benefit to those patients whose field of vision is impaired by excess, sagging skin. Eyelid surgery can treat:
In order for insurance to cover the cost of a blepharoplasty, patients need to take a visual field test. The visual field test is an objective test, typically done in an ophthalmologists’ office, that confirms whether eyelid skin is responsible for blocking vision. The test involves evaluating each eye separately. There are brief flashes of light, and with each flash the patient is asked to push a button. If the patient cannot see the flashes in the upper field of vision, and the ophthalmologist concurs that this is from excess skin, or from significant descent of the brow and eyelid skin, then an insurance carrier may consider surgical management as “medically necessary.” Generally speaking, if the eyelid covers part of the pupil, a blepharoplasty may be covered by insurance. Every insurance company has rigorous standards, so this needs to be pre-determined before surgery can commence.
For patients who do not qualify for insurance coverage, the procedure can be done as an elective procedure. In general, a blepharoplasty costs $5700 for the upper lids only, $6700 for the lower lids only, and $9750 for both lower and upper lids at the same time. The price includes the surgeon’s fee, the facility fee at the Theda Care Surgery Center, and anesthesia. The pricing is subject to change, and will change if the surgery is done at another facility, and if there are unique circumstances surrounding the surgery, etc.
The use of Stratamed® immediately after wound closure and for several weeks afterwards, is highly recommended for optimal healing. Stratamed is the first film-forming silicone gel-based wound dressing approved for the use on open wounds and compromised skin. Depending on the length of the incision, a tube of Stratamed® costs $35-$95.
There are also multiple procedure discounts: 15% off the surgeon’s fee for the 2nd procedure, and 30% off the surgeon’s fee for the 3rd procedure. There is a 50% discount off the facility fee for the 2nd procedure. Anesthesia is based solely on time. There are financing options, such as Care Credit available. However, payment by cash gives the patient an additional 5% discount. There could be additional discounts, which are too varied to be mentioned here.
The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure. The consultations for insurance covered blepharoplasties will be billed to insurance.
In general, good candidates for a blepharoplasty include:
The appearance of a drooping upper lid may be due to relaxation of the forehead skin and eyebrow. Sometimes a drooping eyelid is caused by stretching of one of the upper eyelid muscles. The plastic surgeon thoroughly evaluates the patients to determine the causes of the eyelid appearance, and recommends the best procedures to remedy them.
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Patients preparing for surgery may be asked to:
Preparing for surgery with a clear, complex-carb rich beverage will keep you strong and enhance your recovery. Drinking ClearFast PreOp prior to your medical procedure is a safe way to speed up recovery time, nourish your body, and reduce post-operative nausea and vomiting. It is available at Hometown Pharmacy on N. Sawyer Street, Oshkosh at $8 a bottle. The recommended dosage is one bottle the night before your surgery once you are in the fasting window, and a second bottle two hours before surgery. Consult with your anesthetist before taking the beverage. Afternoon surgery patients are encouraged to take this beverage.
Eyelid surgery may be performed in an accredited office-based surgical facility, outpatient or licensed ambulatory surgical center, or a hospital. Patients must arrange for someone to drive them home from surgery and to stay with them for at least the first night following surgery.
Anesthesia is administered for the patient’s comfort during the surgical procedure. The choices include local, intravenous sedation or general anesthesia. The surgeon or anesthesiologist will recommend the best choice for the patient. The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region. The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles, and removal of excess skin.
Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.
A transconjunctival incision, created on the inside of the lower eyelid, is an alternate but less common technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed. Eyelid incisions typically are closed with removable sutures, skin adhesives, or surgical tape.
During recovery, lubricating ointment and cold compresses may be applied, and in some cases the eyes may be loosely covered with gauze, after the procedure is completed. Patients will be given specific instructions that may include how to care for the eyes, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site, and when to follow-up with the office.
Initial healing may include some swelling, bruising, irritation or dry eyes, and discomfort that can be controlled with medication, cold compresses, and ointment. Irritation at the incision sites is also possible.
Most patients can return to work at a desk job in 5-7 days. Depending on how comfortable patients are with going out with bruising and swelling, patients may be back on their feet earlier or later than the average time. Moving the eyes around too much within the first two days following surgery puts stretch on the incision lines and tugs at the fragile attachments starting to form under the surface of the skin. This can stir up various degrees of bleeding, which will cause more bruising and swelling. Keeping the eyelids closed as much as possible and keeping them fixated on something directly in front of them when they open their eyes, greatly improves recovery time. Applying cold compresses and keeping the head elevated for the first 2 or 3 days, helps to keep the eyes at rest and minimizes bruising.
The majority of patients are able to get back to their social activities and work activities within a week of surgery. Patients who are physically active will have to wait at least three weeks to resume activities. The final result is usually evident in 4-6 weeks with continued improvement over several months. Life-long sun protection and a healthy lifestyle will help extend the results of the blepharoplasty.
Dr. David Janssen and Dr. William Doubek combine experience, refined surgical techniques, and artistry to produce beautiful results for their plastic and reconstructive surgery patients.
Eyelid surgery risks include:
These risks and others will be fully discussed prior to giving written consent.
Read about Julie’s experience with the Medispa and other real patient stories in the Real Patient Stories section of our website. Julie’s interest in the Medispa started simply with eyelash tinting. With a Visia skin complexion analysis, Julie was able to see where and how she could improve. Her husband and we agree she looks radiant.
During the eyelid surgery consultation patients should be prepared to discuss:
The plastic surgeon will also:
From Milwaukee to Madison, Green Bay and beyond, our plastic surgeons have opened eyes for many satisfied patients in Wisconsin. Contact Fox Valley Plastic Surgery at (920) 233-1540 or request your consultation online. The non-refundable $80 cosmetic consultation fee can be applied towards the cost of the procedure.