What causes eyelids to sag and droop?
As with most things with our body, the primary reason is due to the age process. As we age, the brow line begins to fall and the skin on the upper eyelids tends to crowd and bunch up. As you age, the skin around the eyelids stretches, muscles weaken, and fat gathers over and under the eyes. This may cause sagging eyebrows, drooping upper lids, under-eye puffiness or bags, and dark circles. Also, excess upper lid skin develops due to the decrease in the eyelid skin elasticity.
What exactly is eyelid (blepharoplasty) surgery?
Simply stated eyelid surgery removes excess skin and fat from your eyelid. Eyelid surgery is an excellent procedure that has helped thousands of patients to eliminate the “hooded or drooping” appearance in the upper eyelids or the “saggy-baggy” puffy skin and bag of the lower eyes. Blepharoplasty is often performed in conjunction with a browlift so that the brow is elevated giving you a more “open” and youthful appearance.
How long will it take to recover from eyelid or eye bag surgery?
The majority of my patients find that they are ready to go out in public in about 10-14 days following eyelid surgery. Based on the surgical technique I utilize most of my patients swelling and bruising will have subsided after this period of time.
What can I expect after blepharoplasty surgery?
In the many years I have been in practice, I find that my patient’s experience some discomfort from swelling immediately following surgery to your eyelids. However, the discomfort or pain typically stops in a few days after the surgery, but some degree of swelling may persist for over two weeks.
What should you do after a blepharoplasty (eyelid surgery) operation?
I tell my patients that it is very important that you follow the advice given to you by me and my nursing team. Some of the general post – surgery advice may include:
1. Decrease exercise
2. Sleep elevated
3. Take prescribed medicines
4. Applying any antibiotic ointment recommended
5. Please check with me before beginning to exercising and more strenuous activities as sweating and the shaking or jarring of the skin is not always helpful to the healing process.
Note: Contact me if you notice any signs of infection or if you experience bleeding or a sudden increase in pain.
Spider Vein FAQs
How do I know if I have spider veins? Are they different from varicose veins?
I treat many patients with spider veins in my practice. Spider veins are characterized by small clusters of blue, purple or red veins on the legs and ankles. Spider veins usually have many symptoms such as itching and burning that can also be associated with varicose veins.
Varicose are a much more serious condition as the veins are enlarged, can be blue, red, or flesh-colored and tend to swell and can cause leg pain. The veins are unattractive as they look like ropes or cords and appear twisted and bulging. To learn more about varicose veins and the treatments, refer to our varicose veins treatment page.
Why do spider veins develop?
In the United States approximately, 50 to 55 percent of women and 40 to 45 percent of men in have some type of vein problem. There is also a hereditary risk factor, as most people with vein problems have a family member who has them. For women spider veins also appear due to hormonal changes and due to pregnancy.
Sun exposure without adequate sunscreen protection can cause spider veins to worsen.
How do you treat spider veins?
As medical director at Vein Centers of America in Orlando, I have treated thousands of legs using sclerotherapy. I advise all my patients that with the treatment I use an FDA approved solution of sodium tetradecyl sulfate. I then proceed to carefully inject the solution into the individual small spider veins using a tiny needle. Over a course of a few treatments, the vein dissolves and is reabsorbed by your body.
What are some of the most common benefits of spider vein treatment?
Although treatment does not prevent the development of new spider veins, the removal of existing veins can dramatically improve the appearance of the affected area, providing a more youthful, healthy look and an even color pattern to the skin.. Veins lighten after each treatment and two or more sessions are usually required for the best results. As the spider veins disappear, so do the symptoms associated with them disappear too.
What will happen at the initial consultation for my spider veins?
During the consultation, I begin with a physical examination and a complete medical history. I will also need to know the medications you are currently taking, any history of blood-borne diseases, and whether or not you are pregnant or nursing. After completing the examination using a Doppler, I will discuss the spider vein procedure itself, its risks and limitations, and expected outcomes from the spider vein removal.
In some cases, further tests such as ultrasound or Doppler are necessary to treat Large Vein disease. Often patients will have both spider veins and varicose veins, and I may need to use these tests to clearly differentiate between the two.
What can I expect after treatment for my spider veins?
Be sure to call my office and let my nursing staff know about any discomfort you may be having, such as pain, itching, or swelling. Dr. Jan Karlin explains that these symptoms may indicate more serious circulatory problem. If your doctor does suspect a more serious condition, you may be referred to a specialist for further evaluation. Any underlying condition should be treated before sclerotherapy treatment is begun, says Dr. Jan Karlin.
About Jan V. Karlin, MD
Dr. Karlin has practiced plastic and reconstructive surgery for over 20 years. He also practices phlebology, an area of medicine that specifically focuses on the treatment of varicose and spider vein conditions. An exciting new area of his practice is his introduction of anti-aging and hormone replacement. And to supplement these anti-aging therapies, Dr. Karlin incorporates the most advanced non-surgical age reversing facials and micro-current treatments to turn back the hands of time.