Wisconsin Cosmetic Eye Surgery-FAQs

Below are frequently asked questions regarding reconstructive and cosmetic eye surgery and answers from Wisconsin's top cosmetic eye surgeon. From determining eyelid surgery candidacy to learning everything involved, you’re certain to find the answers you need to make your decision simple. For additional inquires not addressed below, contact our Milwaukee eye surgery center online now.  A staff member will respond to your question in a prompt manner.

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    It's said, “The Eyes are the Window to the Soul” The look of our eyes is our most important feature in social interaction. Everyone we meet, everyday, looks first directly at our eyes just as we do in the morning mirror. And with that interaction, a silent powerful message is sent. How our eyes look, for better or for worse, says how we feel and are.  Our eyes can define our health, vigor, age, mood and even our intentions.

    Anatomically, the look of our eyes is determined by our genetic inheritance and our age. Our delicate eyelid tissue layers annually lose the firmness of youth resulting in the wrinkling, sagging, bagging and darkening that makes us appear more tired and older than we feel. The most common complaint of my patients seeking eyelid rejuvenation is that they look tired.

    Very early aging changes of the eyelids for the most genetic types occur in ones twenties and thirties. These subtle changes are often improved with the subtle changes offered by spa treatments. However, the latest miracle creams, injections, lasers and spa treatments will not correct more advanced aging changes of our 50’s and beyond and in some cases, may make proper surgical correction more difficult (i.e. eye fillers).

    Those who are surgical candidates will only be helped by rejuvenating surgery because topical treatments cannot remove, tighten or sculpt the deeper, delicate eyelid tissues responsible for the look of aging eyes.

    There’s a reason why the Oil of Olay® commercials show models in their teens and twenties!

    Heavy upper eyelids are the result of one or all of three possible factors.

    Children to adults can have a drooping lid level on the eye known as “ptosis”.  This represents a problem with the inner lid lifting muscle which, when repaired, corrects to normal the height of the upper lid on the eye.

    What people commonly refer to as a “lid lift”, better known as “blepharoplasty”, addresses redundant, sagging, puffy eyelid tissue, layers of skin, muscle and fat which are removed, tightened and sculpted on an individual basis. Bulging fat pads are a herniation of normal orbital (eye socket) fat.

    These fatty tissues are not related to body weight and are present to protect and cushion the delicate eye socket structures.

    Heavy upper eyelids are often affected directly by eyebrow and forehead tissues sliding down with age necessitating forehead and/or brow lifting.

    Lower eyelids, at times, need to be tightened to avoid downward sagging (canthoplasty). Lower eyelid “double bags” involve swelling of the cheek tissues below the true eyelids and may benefit from lifting support.

    Any or all of these anatomic changes may be present in one individual and may need to be addressed surgically as will be determined at the time of a presurgical consultation and examination.

    Dr. Massaro, as a Board-Certified member of the prestigious American Society of Ophthalmic Plastic and Reconstructive Surgeons (ASOPRS), is the most highly skilled best choice for eyelid surgery in Wisconsin.

    While other types of doctors might include occasional eyelid surgery as one of the things they do, only an oculoplastic specialist like Dr. Massaro evaluates and treat eyelids every day. It’s our training, our expertise, our profession.

    That’s why Dr. Massaro is the choice of other doctors, nurses and skincare professionals when they have concerns regarding the delicate and cosmetically sensitive eyelid tissues.

    Dr. Massaro specializes in eyelid surgery and does not sell or offer creams or spa treatments.

    Eyelid rejuvenation is individualized to each patient’s needs, anatomy and goals. Eyelid surgery of the top and/or bottom lids (blepharoplasty) involves the careful removal of excess tissues, sculpting and tightening of remaining tissues and delicate closure with fine sutures. Forehead-brow lifting may be done via small scalp incisions behind the hair line.

    All surgeries; lid, brow and forehead, are outpatient procedures done with varying levels of sedation and always local anesthesia. Most surgeries are completed in less than two hours.

    Healthy, individuals can, at times, opt for office based procedures when appropriate, with little or no sedation. Dr. Massaro is known for a conservative approach to surgery where the goal is to clearly look healthy and more youthful but not strange or different.

    Eyelid surgery is unique in planning as it involves the middle of one’s face. This mild downtime is a “necessary evil” as no non-surgical remedies correct the aging changes of those who really need surgery.

    I tell all patients to choose the best time in your calendar year since aging slowly advances on an annual basis.  Don’t complicate the things you like to do (sports, travel, and social events).

    Everyone needs a driver the day of surgery and must be home the first two days to “religiously” apply compresses over closed eyes (taking compresses off only to eat and use rest room). We supply the compress and advise on the cold packs that are used by day for two days. This is done to minimize bruising and swelling.

    Eyelid surgery recovery is not painful and non-aspirin Tylenol® is sufficient if necessary at all.

    Most patients take a week off work to “hide out”. Those in sales or sensitive jobs might take two weeks. Refrain from using make-up or contact lenses during the first week.

    Most patients return in one week for suture removal (must be in town for two weeks).

    My suggestion is to find the best month socially and buffer big events like weddings by 6 weeks.

    I ask to limit aerobic activity for 7 to 10 days and will advise further at your first post-op visit.

    You may shower the day after surgery but not wash the surgical sites (gentle pat-dry).

    All blood thinners will be adjusted or withheld for the week before and after surgery. I do not recommend herbal supplements for eyelid healing but do not object to their use if reviewed before surgery.

    Dr. Massaro as an Oculoplastic specialist treats all cosmetic and medical eyelid conditions. Insurances only consider coverage when your eyelid conditions limit health and function and documentation supports that request. In general, insurances are unlikely to provide coverage for “tired looking eyes”.

    If, at the time of your consultation, Dr. Massaro feels you have legitimate functional medical compromise, we will assist you in your request for insurance coverage. It is generally pointless to call your insurance and ask if they cover eyelid surgery as anything they might say means nothing without specific claim supporting data.

    At the conclusion of your initial consult, exact costs of all proposed surgeries are fully discussed and documented.

    We do not provide financing.

    Most people can undergo eyelid surgeries safely despite their existing medical conditions. Medical conditions may determine where the surgery occurs.

    Whether your cosmetic concerns are best addressed by surgery, they will be clearly answered at your initial eye surgery consultation with Dr. Massaro.

    It is not appropriate to speculate on what might be best for you over the phone or internet.

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