It can be applied to external incisions. Ophthalmic antibiotic ointment can be used as well. Iced saline gauze or crushed ice packs may be used for the first 48 hours. The patient should keep their head up and avoid straining or strenuous activity for 7 days. The patient may wash their face in 24 hours and reapply ointment to their eyes. A mild non-aspirin containing analgesic can be prescribed and the patient should be instructed to call immediately if pain occurs which is not relieved with this mild analgesic or if the patient has any visual disturbance.Preoperative instructions are about the patient’s use of medication.
The treating physician should inquire about the patient’s use of medications that affect bleeding. The treating physician and patient should discuss appropriate discontinuation of these drugs prior to surgery. Upper Eyelid surgery is performed to remove excess eyelid skin, muscle or protruding orbital fat. When the brow position does not need to be raised and only the eyelid skin and fat are to be addressed, the patient may be marked prior to surgery. The upper lid markings are placed such that the final scar will fall in the supratarsal fold. The CO2 lasers are also can be used as the incision tool as well as for orbicularis tightening and for periocular skin resurfacing.
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