A Detailed Walkthrough of In-Office Blepharoplasty at Denver Eyelid Specialists
- Chris Thiagarajah MD
- Jun 17
- 3 min read

Undergoing blepharoplasty at Denver Eyelid Specialists, led by Dr. Chris Thiagarajah, is a comprehensive journey that prioritizes patient comfort, precision, and aesthetic outcomes. Here's a step-by-step guide to what you can expect from the moment you step into the clinic.
1. Arrival and Check-In
Upon arrival, you'll be greeted by the friendly staff at Denver Eyelid Specialists. You'll complete any necessary paperwork, including medical history forms and consent documents. This is also an opportunity to ask any last-minute questions before the procedure.
2. Preoperative Assessment
Before the surgery begins, Dr. Thiagarajah will conduct a thorough evaluation, including:
Medical History Review: Discussing any underlying health conditions, medications, and previous surgeries.
Physical Examination: Assessing eyelid anatomy, skin elasticity, and the degree of excess skin or fat.
Photography: Taking before photos for medical records and to plan the surgical approach.
3. Anesthesia Administration
For in-office blepharoplasty, local anesthesia is administered to numb the eyelid area. Patients are typically awake but relaxed during the procedure. Sedation may also be offered to enhance comfort. The anesthesia ensures a pain-free experience throughout the surgery.
4. Surgical Marking
Once anesthesia has taken effect, Dr. Thiagarajah will carefully mark the eyelids to plan the incision sites. For upper blepharoplasty, incisions are typically placed along the natural crease of the eyelid to conceal scars. For lower blepharoplasty, incisions may be made just below the lash line or inside the lower eyelid (transconjunctival approach) to remove or reposition fat.
5. Incision and Tissue Modification
With precision, Dr. Thiagarajah will make the planned incisions. Excess skin, fat, and sometimes muscle are removed or repositioned to achieve a more youthful and rested appearance. The amount of tissue removed is carefully determined based on individual needs to avoid over-resection.
6. Closing the Incisions
After the desired adjustments are made, the incisions are closed using fine sutures. In some cases, absorbable sutures are used, eliminating the need for removal. The closure technique aims to minimize scarring and promote optimal healing.
7. Immediate Postoperative Care
Following the procedure, you'll be monitored in a recovery area for a short period. Cold compresses may be applied to reduce swelling. Patients are typically able to go home the same day with the assistance of a friend or family member.
8. Postoperative Instructions
Dr. Thiagarajah will provide detailed instructions for at-home care, including:
Cold Compresses: Applying cold packs to reduce swelling during the first 48 hours.
Medication: Taking prescribed medications as directed to manage discomfort and prevent infection.
Activity Restrictions: Avoiding strenuous activities and bending over for at least 3-4 weeks.
Incision Care: Cleaning the incision sites with a gentle solution and applying prescribed ointments.
9. Follow-Up Appointments
Dr. Thiagarajah will schedule follow-up visits to monitor your healing progress. During these appointments, sutures may be removed, and any concerns or questions can be addressed.(denvereyelid.com)
10. Final Results
While initial swelling and bruising subside within the first two weeks, the final results of blepharoplasty become more apparent over several months. Patients typically notice a more youthful, refreshed, and alert appearance, with improved eyelid function in cases where excess skin was causing obstruction to vision. Scarring is usually minimal, as the incisions are placed within the natural eyelid crease.(denvereyelid.com)
Choosing Denver Eyelid Specialists for your blepharoplasty ensures a personalized approach tailored to your unique needs. Dr. Thiagarajah's expertise and commitment to patient care provide a foundation for achieving natural and satisfying results.
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