What To Expect

What To Expect

During Your Consultation

During your initial consultation, Dr. Kang will perform a thorough examination and address all of your questions and concerns. Different treatment options, both surgical and non-surgical, will be reviewed in detail. For medical-related issues, certain tests and measurements may have to be taken in order for your medical insurance to approve for treatment. After deciding on a treatment plan, the surgery coordinator will help schedule the date of your procedure. Pre-operative and post-operative instructions and what to expect during the healing process will be reviewed. Logistical information regarding insurance coverage and out of pocket costs will also be discussed.

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What To Expect

During the Healing Process

Bruising and swelling may initial worsen before starting to improve. Patients may experience some dull aching and tightness/discomfort the first few days. Pain level is usually described as mild and can be relieved with frequent cool compresses and over-the-counter max-strength Tylenol (if no contraindications), or prescription pain medication if indicated. We recommend icing the eyelids 20minutes of every hour while awake during this time.

Most bruising should resolve, but this can vary depending on the patient’s individual response to healing. Your incisions may become itchy and irritated. During your first post-operative visit (usually 1 week after surgery), your sutures will be removed. Warm compresses can be applied to the bruises for faster resolution. You can start wearing eye make-up at the end of the 2-week mark.

The swelling will continue to significantly improve. During this time, your incision will start to appear more pink/red or dark brown. Small bumps/bumps and a “tight” sensation are to be expected.This stage of healing typically lasts 6-8 weeks, and then discoloration and bumpiness will start to fade and soften with time. UV protection with sunscreen and topical scar treatments can be applied to help minimize the appearance of the incision.

At this point, there will be near-complete resolution of the swelling and bruising. Appearance of incisions will have significantly improved. For some patients, a minimal amount of swelling may persist up to 6-12 months. This is usually the final post-op visit with Dr. Kang.

How Can You Minimize Bruising?

Stop blood-thinner medications

Make sure to stop any blood-thinner medications (including NSAIDS, baby aspirin, warfarin, etc.) prior to surgery. Certain medications will need to be discontinued at specific times, which will be instructed by your PCP or cardiologist. There are also several OTC herbal supplements and vitamins that can also increase risk of bleeding and bruising (i.e. fish oil/Omega-3, vitamin C & E, ginseng, gingko biloba, garlic, ginger, tumeric, flaxseed, etc.), which should be stopped. A full comprehensive list will be provided to you during your surgical consultation.

Avoid alcohol

Avoid alcohol 24 hours before and after treatment (causes vasodilation)

Potentially helpful

Can take oral Arnica Montana supplements 5 days before and 5 days after (available OTC in drugstore or on Amazon)

Avoid bending over

Avoid bending over, straining (including high-intensity exercise) or heavy lifting for the 1st week

Sleeping guidance

Sleep with head of bed elevated during the first week to minimize swelling

Post Operation Incision / Scar Care

Keep incision well moisturized with antibiotic ointment for the first 10 days. Avoid letting the incision dry out. The formation of scabs helps stop the bleeding but impairs proper wound healing, so try to keep the incision clean

Use a clean fingertip only to apply the antibiotic ointment. The cotton Q-tips at home (non-medical grade) are too fuzzy and the fibers will get stuck in the incision

Avoid smoking, as this can cause vasoconstriction and possible necrosis

After suture removal, can start using topical scar cream or gel (SkinUVA, Strataderm) to incisions. Be conservative and apply a minimal amount, as sometimes these products can cause eye irritation

UV protection with a mineral or physical sunscreen (at least spf 30 or more) on the eyelid incision will help prevent discoloration (mineral formulations are gentler on the eyes compared to chemical sunscreens)

Other treatment modalities such as CO2 laser, microneedling, and serial injections with steroids and/or 5-fluorouracil can be used to help improve the appearance of the scar

Book an Appointment

Want to make booking or have a question?

Call us on 770-629-0600 or simply contact us

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