Postoperative Instructions and Information
The goal of Alford ENT and Facial Plastic Surgery is to make your surgical experience and recovery as comfortable and pleasant as possible. By studying and applying the following recommendations for postoperative care and the other written and verbal information you have received from Dr. Alford, you will play an active and essential role in your recovery process thus shortening your recuperation time.
You will receive sedative medication and/or general anesthesia which may make you drowsy for as long as 24 hours:
Swelling / Discoloration
After this type of procedure, the eyelids are usually swollen and may show noticeable bruising. Most swelling usually resolves quickly over 1-2 days (more slowly if you suffer from allergies), while the discoloration will diminish more gradually over 7-10 days. You may notice that one eye will be slightly more or less swollen than the other – this is normal and is not a cause for concern. The feeling of tightness is normal.
Occasionally, swelling may cause the lower lid to become separated from the eye and may lead to incomplete eyelid closure for a few days. Both of these conditions will resolve as swelling diminishes. Tearing or eye irritation, if present, will usually resolve as swelling decreases and eyelids close.
Some patients may experience discoloration in the whites of their eyes. This condition is painless, generally subsides within 7-10 days, and will not harm your vision.
Following, are some recommendations directed at relieving discomfort and speeding the recovery process:
You will be given an antibiotic, an anti-nausea prescription, eyedrops, and a prescription for pain relief (generally, Loratab ® or Tylenol-3 ®, if you have no history of sensitivity to these products). Be diligent about taking your antibiotic until completely gone. Nausea rarely occurs following blepharoplasty surgery; however, if you should experience nausea follow the instructions for administration of Phenergan suppositories. Anti-nausea medication will provide relief for the nausea but will cause you to feel drowsy and dizzy. Use the eyedrops as often as prescribed, as these help to keep the eyes moist. There is little, if any, pain with blepharoplasty surgery; therefore, it is recommended that prescription-strength pain relievers be used sparingly, if at all.
Frozen Pea Packs
Frozen English peas (from your grocer), placed in ZipLock ® bags, provide the simplest and most effective cold compresses to reduce swelling, discoloration, and discomfort following surgery. During your waking hours, apply the pea packs to your eyes as often as possible for the first 48-hours following surgery. You may continue to use the pea packs as much as you like for up to 2 days after your surgery.
Warm Rice Compress
Dry rice placed in a ZipLock ® bag and heated in the microwave will provide the simplest and most effective warm compress. In general heating in the microwave for 15 to 30 seconds followed by wrapping the bag in a cloth is very comforting and reduces swelling. Be sure to check the temperature of the compress against your hand or arm prior to applying to the surgical site to avoid burning the skin.
As mentioned above, there is little, if any, pain associated with blepharoplasty surgery. You may experience a dull ache and tightness in the eyelids, but it is very unusual to have significant, sharp pain. If cold compresses do not provide sufficient relief from the discomfort associated with blepharoplasty, take Extra Strength Tylenol ® according to the package instructions. Under no circumstances should ASPIRIN or medication containing aspirin or salicylates be taken (See comprehensive list of medications to be avoided, which you received with “General Preoperative Surgical Instructions”). If you are not sufficiently relieved of pain, try alternating doses of Extra Strength Tylenol ® and the pain medication prescribed by Dr. Alford. (We recommend alternatives to prescription-strength pain relievers because they can cause sensations of light-headedness, particularly in the immediate postoperative period and, consequently, seem to make recovery more difficulty). If you have increasing eye pain or any “burning” of the eyelids, please inform Dr. Alford.
You can expect to have very slight blurring of vision for a few days due to the swelling and ointment still present in the eyes from surgery. Any progressive or one-sided decrease in vision should be reported to Dr. Alford immediately.
It is not uncommon for very small, white inclusion cysts to appear near the suture line in the first few weeks to a few months following surgery. These can easily be managed in Dr. Alford’s office during a postoperative visit.
Generally, the body temperature does not rise much above 100 degrees following a surgical procedure. A rise in temperature is an appropriate part of the healing process. You should check your temperature by mouth three times per day. If you have a persistent fever above 101.5 degrees that is not relieved by Tylenol ®, call Dr. Alford’s office.
If you experience oozing or bleeding along the suture line, do not rub the area but apply gentle pressure to the area using a sterile pad followed by a cold compress. Pressure and cold compress should be effective; however, if these measures do not stop any oozing/bleeding, please inform Dr. Alford.
Daily Wound Care
If no Steri-Strips ® are in place, gentle cleansing of the suture line along the lower lashes and the upper eyelid should be done 2-times daily with warm soapy water (taking care to avoid contact with the eyeball). Cleansing will help to loosen any crusting or debris that forms. After cleansing, a small amount of Bacitracin Ointment™ or medicated cream prescribed should be applied to the suture lines.
In most patients, small anti-tension adhesive strips (Steri-Strips ®) will be placed over the sutures of the upper eyelids to support the outer corner of the eyes. Try to keep these steri-strips as dry as possible. Leave these and all sutures undisturbed until Dr. Alford removes them.
During the first several days following surgery, the scars will be imperceptible. They then go through a period of slight swelling and reddening, especially at the outer corners. As this subsides, the scars become virtually invisible again. This is the normal maturity process of scars. Any unevenness of the edges of the incisions or lumpiness of the scars is usually temporary and will subside with the passage of time.
Your Postoperative Office Visits
Sutures will be removed at your first postoperative visit, generally, 3-7 DAYS AFTER YOUR SURGERY. Following suture removal, you will be asked to return to the office for followup evaluation at 2-WEEKS AFTER YOUR SURGERY and again at 1 MONTH POSTOPERATIVELY. Please arrange your schedule to accommodate these appointments, which we urge you to make immediately following surgery.
Your surgery, recovery and ultimate result is very important to us. Please read this handout carefully and keep it readily accessible as a reference after your surgery. If you have any questions or problems not addressed in this handout, please do not hesitate to call us, at anytime at 713-532-3223.