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The Ultimate Guide to In Office Blepharoplasty: A Step-By-Step Walkthrough

Chris Thiagarajah MD




Eyelid surgery, known as blepharoplasty, is gaining popularity among those seeking a refreshed look. Patients appreciate its ability to enhance the eyes, addressing concerns like drooping skin and puffiness. With a 2020 report from the American Society of Plastic Surgeons noting a 14% increase in eyelid procedures from the previous year, it’s clear that many others are choosing this path. In this guide, we’ll walk you through the in-office blepharoplasty process, outlining what you can expect before, during, and after the procedure. In Dr Thiagarajah's office in Greenwood Village, he performs eyelid lifting in the office every week. The process is smooth and efficient and many Denver patients seeking eyelid lifts get it done with Dr T.


Understanding Blepharoplasty


Blepharoplasty specifically focuses on rejuvenating the upper and lower eyelids. Many patients seek this surgery not just for aesthetics but also to improve their vision, often hindered by sagging skin. In the office, Dr Thiagarajah performs cosmetic upper eyelid blepharoplasty or eyelid lifting. It is one of the most common procedures he performs where he removes skin from the upper eyelid to enhance the appearance. For instance, research shows that approximately 60% of patients who undergo the procedure report significantly improved vision alongside enhanced appearance.


The Importance of Consultation



Before making any decisions, it’s critical to hold a detailed consultation with a qualified cosmetic surgeon. During this meeting, your surgeon will evaluate your eyelids, review your medical history, and determine if you’re a suitable candidate. This is also the perfect time to discuss your aesthetic goals. Studies show that effective communication during these meetings can increase satisfaction rates among patients by up to 30%. Dr Thiagarajah gives patients a book titled "So you want to get your eyelids done" as a guide to what patients should know about eyelid lifting. It helps give patients the knowledge before the procedure to understand everything they will be undergoing.


Preoperative Instructions


Once you're cleared for surgery, your surgeon will provide specific preoperative instructions. These typically include:


  • Avoiding blood thinners, such as aspirin

  • Halting smoking at least two weeks prior to surgery

  • Preparing yourself for the procedure such as getting aftercare medications, ice bags etc.


Following these recommendations is essential. They help mitigate risks associated with bleeding and complications during recovery. A study revealed that patients who adhered to preoperative guidelines had a 25% lower incidence of complications.


The Day of Surgery


On surgery day, arrive with a clean face and no makeup. Wear clothes that you can be confortable in. Dr Thiagarajah will walk you through the procedure. This step not only prepares you for what’s to come but also significantly reduces anxiety. Most patients have read his book so are well prepared for the procedure. A calm mind can enhance surgical outcomes and overall patient satisfaction.


Available on Amazon
Available on Amazon


Administration of Anesthesia


In an office setting, blepharoplasty is commonly performed under local anesthesia, which numbs the eyelid area while keeping you awake. Research indicates that when patients are informed about anesthesia options, their anxiety can decrease by as much as 40%. This discussion occurs during the consultation with Dr Thiagarajah. The numbing medicine is given initially as a pinch and a burn to help the eyelids numb for the procedure. Then Dr Thiagarajah sterilizes the eyelid to prevent infection with a benign cleaning solution.


Incision Techniques


With anesthesia in place, your surgeon will make precise incisions. For the upper eyelids, incisions are typically placed along the natural crease, while lower eyelid surgery involves incisions located just below the lash line. This meticulous placement is crucial for minimizing visible scarring. Statistics show that patients reporting minimal scarring can be as high as 85% when incisions are placed strategically. The eyelid folds are marked before the procedure typically by Dr Thiagarajah which result in better results than when one is lying down.




Tissue Removal and Adjustment


Once incisions are complete, the surgeon will remove excess skin and fat or reposition tissue to restore balance and a natural appearance. The surgeon tailors this step to each patient's individual needs, ensuring the best possible outcome. Surgeons often use techniques that have been refined to enhance aesthetic results, leading to greater patient satisfaction levels. Dr Thiagarajah discusses these techniques with the his patients at the consultation most often.


Closing the Incisions


After making necessary adjustments, the surgeon will carefully close the incisions using sutures. Dr Thiagarajah removes these sutures at one week. This step is vital to ensure proper healing and to minimize any potential complications. Reports indicate that proper closure technique can decrease healing time by an average of one week.


Recovery Insights


Post-surgery, patients are monitored briefly before discharge. Surgeons provide detailed aftercare instructions that include:


  • Guidelines on cleaning the eyelids

  • Recommendations for managing discomfort

  • An outline of when to return to regular activities


Adhering to these instructions can significantly reduce the risk of complications, with a reported success rate of over 90% when guidelines are followed.


What to Expect After Surgery


Most patients notice an immediate improvement in the appearance of their eyelids, with further enhancements becoming apparent as swelling subsides. The first week can have significant swelling but it often goes down to a tolerable level at 9-10 days. Typically, patients can expect to see final results within a few months. Many report feeling not only more youthful but also enjoy a boost in self-confidence, with studies showing a 70% increase in self-esteem post-procedure.


Risks to Consider


As with any surgery, blepharoplasty involves potential risks such as infection, bleeding, and dry eyes. Understanding these risks and discussing them with your surgeon can help you make an informed decision. Visibility of risks in discussions has been linked to higher patient satisfaction and better-prepared individuals.


Final Thoughts


In-office blepharoplasty presents a convenient and effective solution for those seeking to enhance their eyelids. By following a structured approach and maintaining open communication with Dr Thiagarajah you can look forward to achieving noticeable improvements in your appearance. He has performed 1000s of procedures over 15 years. If you are contemplating this procedure, discuss your goals with him to explore how blepharoplasty can work for you.




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