Lower Eyelid Surgery FAQ Videos

What is the Best Treatment for Tear Troughs?

What is the Best Treatment for Tear Troughs?


When addressing the tear trough area, these elements must be taken into consideration: (1) skin thickness, (2) skin color, (3) bone structure, and (4) the presence or absence of fat pockets. Normally, Dr. Amiya Prasad will opt for dermal fillers such as Restylane to solve the problem, given that there are no bulging fat pockets in the general area. He may also administer platelet-rich plasma to improve volume and skin quality.

Can Eye Bags be Removed without Surgery?

Can Eye Bags be Removed without Surgery?


Eye bags are caused when the fat around the eyes becomes displaced as a natural symptom of aging. Even though there’s an endless array of eye creams and cosmetic treatments in the market that claim to fix eye bags, this cannot be fully accomplished without a surgical procedure such as blepharoplasty, as they do not address the problem underneath the skin

Why do My Eyes Look So Tired? Should I See an Eye Surgeon or a Plastic Surgeon?

Why do My Eyes Look So Tired? Should I See an Eye Surgeon or a Plastic Surgeon?


Eyes can look tired because of saggy eyelids and bulging under eye bags, making them look heavy. Dr. Amiya Prasad, an Oculofacial plastic surgeon for over 20 years, recommends seeing a skilled specialist with a lot of experience with these types of surgery. While it is all too easy to be swayed by terms like “Board Certified”, it must be said that this term is not solely indicative of any specialized training or expertise in the area. Dr. Prasad advises that patients be prudent and do some research before undergoing any kind of surgery. Remember, eye surgery that is poorly done can seriously affect the health and function of the eyes.

How are Upper and Lower Eyelid Surgery Performed?

How are Upper and Lower Eyelid Surgery Performed?


Dr. Amiya Prasad accomplishes blepharoplasty with intravenous LITE™ IV sedation method, which puts patients in a conscious but relaxed state. This method allows patients to recuperate from surgery much faster than they would, had they been placed under general anesthesia, or under local anesthesia only where are conscious but can be nervous and fidgety.

Irregularities with the eyelid crease and extra skin on the eyelid are addressed by an upper eyelid blepharoplasty. Fat sculpting around the eye area may also be done. Eye bags, on the other hand, are addressed with lower eyelid blepharoplasty, and can be done from a transcutaneous (outside) approach or transconjunctival (inside) approach. Regardless of which procedure you decide to have, make sure to meet with a surgeon with advanced eyelid surgery skills to avoid further complications.

What are the Risks of Eyelid Surgery?

What are the Risks of Eyelid Surgery?


Eyelid surgery can incur the following risks: (1) bleeding, (2) infection, (3) drooping of the upper eyelids after surgery, (4) skin shortage that prevents full eyelid closure, (5) unwanted scarring, (6) lower eyelid retraction, (7) ectropion, (8) dry eyes and, (9) corneal ulceration. To avoid these risks, make sure to have a comprehensive medical evaluation of your eyes before having surgery. A thorough checkup should comprise of a diagnosis of any prevailing eye issues, such as ptosis or lacrimal gland prolapse.

How are Eyelid Surgery Scars Minimized?

How are Eyelid Surgery Scars Minimized?


Post-surgery scarring can be prevented through: (1) meticulous planning, (2) minimally traumatic surgery and, (3) speedy post-operative care.

When performing lower blepharoplasty, Dr. Amiya Prasad favors the transconjunctival approach, as it is doesn’t compromise the sensitive areas of the lower eye and leaves no outside incisions on the skin. When performing upper blepharoplasty, Dr. Prasad engages an artistic approach when determining where to place the incisions in a way that will render them barely perceptible once healed, even when the eyes are closed. After surgery, Dr. Prasad uses a suturing technique to close the incision and administers platelet-rich plasma (PRP) to quicken the healing process. This arrangement, along with proper home aftercare, has helped patients get better faster and with less scarring.

How is Transconjunctival Blepharoplasty Different from Other Types of Lower Eyelid Surgery?

How is Transconjunctival Blepharoplasty Different from Other Types of Lower Eyelid Surgery?


A transconjunctival blepharoplasty is a surgical eye procedure that resolves the problem of puffy-looking under eyes by addressing fat pockets from the inside of the eyelid. Dr. Amiya Prasad favors this procedure as it does not leave behind any outside scars, and maintains the fragile muscles and ligaments that afford support for lower eyelid. A transconjunctival blepharoplasty may be combined with other treatments such as microfractional CO2 laser treatments and platelet-rich plasma (PRP) to address other under eye skin issues such as wrinkles and dark circles.

Are the Results of Eyelid Surgery Permanent?

Are the Results of Eyelid Surgery Permanent?


Results of eyelid surgery can last anywhere between 5-10 years, given the subsequent conditions: (1) the patient’s age at the time of the surgery, (2) the patient’s overall health, and (3) the state of the patient’s skin. Oculofacial plastic surgeon Dr. Amiya Prasad makes it his priority to help patients understand how our faces age, how this affects the results of surgery, and what kind of realistic expectations they must foster.

How Do I Prepare Before Eyelid Surgery?

How Do I Prepare Before Eyelid Surgery?


Before having eyelid surgery, disclosing the following information is of utmost importance: (1) your overall health status, (2) if you have any prevailing conditions or ailments, (3) if you are taking any prescription medicine or supplements, and (4) if you have or had any eye disorders such as dry eyes or blepharitis. By disclosing these, you’re providing your surgeon valuable information that will help diagnose and treat your case more efficiently, without incurring any additional complications. The more comprehensive you are about your medical history, the more advantageous it will be for both you and your surgeon.

What are the Potential Eyelid Surgery Complications?

What are the Potential Eyelid Surgery Complications?


Some of the most common complications patients may experience are: (1) droopy upper eyelids, (2) skin shortage that hampers the eye from closing fully, (3) lower eyelid scleral show, (4) lower eyelid retraction, and (5) ectropion. To prevent problems like these, engage the services of a surgeon who has significant experience with these types of eye surgery, as you will be guaranteed that he will have a deeper and more wide-ranging level of training and knowledge in the field. Seek out a surgeon who will also be dedicated to understanding the kind of results you’d like to see.

Which Doctor is Best for Eyelid Surgery?

Which Doctor is Best for Eyelid Surgery?


The first step to finding the best doctor for your case is to do research. Eye surgery is a very multifaceted procedure, and it calls for skills and knowledge that most general surgeons simply do not have; thus it is critical to look for a professional with the suitable training background to do the job for you. How much experience a doctor has is another significant value to consider. As a practicing Oculofacial plastic surgeon for over 20 years, Dr. Amiya Prasad prioritizes educating his patients about eyelid surgery so they can make knowledgeable decisions.

My Eyelids were Pulled Down after Eyelid Surgery. What Should I Do?

My Eyelids were Pulled Down after Eyelid Surgery. What Should I Do?


“Pulled down” eyes, otherwise referred to as “rounding”, “scleral show” or lower eyelid retraction, are caused by loss of tissue that leads to weakened support of the lower eyelids. A patient may opt to have revision surgery, wherein and eyelid specialist surgeon will re-establish the correct position of the eyelids. Remember that before revision surgery can be performed, proper eye lubrication must be maintained at all times, especially on the unprotected areas of the eye, in order to keep infection and irritation at bay.

My Under Eye Bags Don’t Go Away No Matter How Much I Sleep. Why?

My Under Eye Bags Don't Go Away No Matter How Much I Sleep. Why?


Under eye bags are not directly affected by the amount of sleep one gets every night, but by something called “lower eyelid fat prolapse”, which occurs when the fat around the eyes sag and become displaced. Most people opt for eye creams in the hope of getting rid of their eye bags, but these creams only work on improve the exterior quality of the skin around the eyes and do not address the underlying cause of the puffiness which is the fat beneath the skin.

What Type of Anesthesia is Best for Eyelid Surgery?

What Type of Anesthesia is Best for Eyelid Surgery?


As a practicing Oculofacial plastic surgeon for over 20 years, Dr. Amiya Prasad developed his own method of sedation for surgical procedures – LITE™ anesthesia. LITE™ anesthesia stands for “local”, “intravenous”, “tumescent/twilight” with “ease of recovery”. This type of sedation technique puts the patient in a relaxed, sleepy state, yet still conscious as the procedure is being done. After decades of experience, Dr. Prasad has found, this method much less demanding on the body, as opposed to the effects of general anesthesia where recovery time is longer, and safer than local anesthesia where a patient is awake, but not relaxed during surgery.

I have Dark Skin. Is Upper Eyelid Surgery Safe for Me? I Don’t want Keloids.

I have Dark Skin. Is Upper Eyelid Surgery Safe for Me? I Don't want Keloids.


Keloids in darker skinned individuals can be prevented if extra precaution is taken. In an article written by Dr. Amiya Prasad entitled, “Ethnic Considerations in Eyelid Surgery”, he explains that a deep understanding of the skin type, facial anatomy and optimum positioning of incisions on darker skinned people can help prevent the formation of keloids. It is therefore worthwhile to seek out a surgeon with noteworthy experience in treating darker skinned people and who allocates the needed time to fully evaluate a patient’s case, and understand the kind of results they want.

When can I Go Back to Work after Eyelid Surgery?

When can I Go Back to Work after Eyelid Surgery?


In order to lessen the downtime after surgery, Dr. Amiya Prasad developed his own treatment system which helps patients recover faster. It all begins in his Joint Commission-approved operating facilities, where all his surgeries are performed with the aid of a highly proficient team of nurses who he regularly works with. Many years of experience has revealed that working in your own private facilities with a team you’re accustomed to makes surgical procedures flow faster and smoother. When surgery is completed, speedy one-on-one aftercare is given to the patient. This has also been shown to help patients recover faster. Patients are usually able to go back to work within one week.

Is Eyelid Surgery Safe if I have Dry Eyes?

Is Eyelid Surgery Safe if I have Dry Eyes?


Dr. Amiya Prasad has successfully performed eyelid surgery on many patients with severe cases of dry eyes, and even on patients with Sjogrens syndrome, rheumatoid arthritis and thyroid eye disease. Eyelid surgery can be done safely on patients with dry eyes, given that proper precautions are taken. Before having eye surgery, patients are assessed in order to determine the most ideal position for the lower eyelid, which will better enable proper lubrication of the eyes.

What’s the Best Cream for Under Eye Bags?

What's the Best Cream for Under Eye Bags?


Eye creams, at best, can only improve the skin’s quality, texture and color. Though some claim to be able to get rid of eye bags, this is not the case, as they do not address the underlying root cause of eye bags which is lower eyelid fat prolapse that lies under the skin. In order to properly address eye bags, surgery will be needed in order to sculpt and relocate the displaced fat layer under the skin.

Can Surgery Remove Wrinkles Around the Eyes?

Can Surgery Remove Wrinkles Around the Eyes?


Blepharoplasty can do little to remove eye wrinkles, because it only addresses wrinkles that are part of the skin being removed during the actual procedure. Other options one may look into to treat wrinkles include platelet-rich plasma (PRP) and microfractional CO2 lasers. These address static wrinkles, which are wrinkles that are present on the face even without muscle activity. On the other hand, Botox® and Dysport address dynamic wrinkles, which are wrinkles that appear in facial movement in expressions.

What’s Best for Under Eye Wrinkles: Lasers, Radio Frequency, or Surgery?

What's Best for Under Eye Wrinkles: Lasers, Radio Frequency, or Surgery?


Patients often turn to thermal stimulation of the under eye skin in order to increase the amount of collagen under the skin and treat eye wrinkles. However, because the skin around the eyes is especially thin and delicate compared to the rest of the skin on your body, these high heat devices often cause more damage than good. It is important that your surgeon customizes his approach to heat treatment to suit the individual. In his practice, Dr. Amiya Prasad makes use of the microfractional CO2 laser on light-skinned patients, and the Pellevé radio frequency treatment on darker skinned patients. Dr. Prasad also uses platelet-rich plasma alongside the treatment to help increase the collagen production and speed up healing.

What is Eyelid Surgery Recovery Like When Performed by Oculofacial Plastic Surgeon Dr. Amiya Prasad

What is Eyelid Surgery Recovery Like When Performed by Oculofacial Plastic Surgeon Dr. Amiya Prasad


Successful ptosis surgery is dictated by the following factors:
(1) The kind of surgery
(2) Whether other surgeries are performed alongside it
(3) The kind of anesthesia used
(4) The surgical team
(5) The surgical technique used
(6) The post-operative care

Dr. Amiya Prasad has worked out a sedation method that is specifically for his practice. This method, called LITE™ IV sedation, lets patients recover from surgery without the heavy, groggy feeling associated with general anesthesia. It has been shown that this sedation method also decreases the post-surgery downtime period.

To keep surgical procedures running efficiently, Dr. Prasad operates in his own Joint Commission-accredited operating facilities with a regular team of highly adept professionals. Working in this kind of setting makes everything immensely convenient for both the surgical team and patient, because they are able to give patients the speedy care they need. This has been proven to ultimately lead to an improved recovery experience for patients, and they are usually able to work again after 5-7 days.

Dr. Prasad emphasizes that with any kind of surgery, technical know-how, experience, and an artistic eye are requisite. He also stresses that exposure to various cases is of immense value to a surgeon’s ability respond appropriately and to make more accurate decisions.

Plastic Surgeon, Ophthalmologist, or Eyelid Specialist for Eyelid Surgery?

Plastic Surgeon, Ophthalmologist, or Eyelid Specialist for Eyelid Surgery?


What is the Difference Between an Eyelid Lift, Blepharoplasty, and Ptosis Surgery?

What is the Difference Between an Eyelid Lift, Blepharoplasty, and Ptosis Surgery?


Eyelid lifts are executed to eliminate or sculpt the excess skin and fat around the eye area, while blepharoplasty is performed on the upper and lower eyelids to address issues concerning extra skin and displaced fat pockets, as well as other structural issues. Patients may choose to have an upper or lower eyelid blepharoplasty, or both. On the other hand, ptosis surgery is a procedure specifically intended to improve the positioning of the eyelid margin relative to the pupil. Supplementary treatments may also include levator muscle advancement, levator resection, and frontalis sling.

What is Transconjunctival Blepharoplasty?

What is Transconjunctival Blepharoplasty?


Transconjunctival blepharoplasty is a type of eye surgery that addresses puffy eyes and saggy under eye bags. The incision is made on the inside of the lower eyelid, thus leaving no scars or obvious signs that you’ve had cosmetic surgery. This type of approach is also favored because it preserves the patient’s eye shape much better.

How Blepharoplasty is Performed by Oculoplastic Surgeon Dr. Amiya Prasad

How Blepharoplasty is Performed by Oculoplastic Surgeon Dr. Amiya Prasad


Blepharoplasty is a surgical procedure of the upper and lower eyelid, and is intended to address any issues concerning the look and function of the eyes, as well as extra skin and swollen fat pockets around the eyes. Dr. Amiya Prasad, a dedicated Oculofacial plastic surgeon with more than 20 years of experience, stresses that performing blepharoplasty with a deep understanding of eye health, is of utmost importance. Many of Dr. Prasad’s clients come to him to get revision surgery for procedures that were unsatisfactorily done by other surgeons. He attends to patients in his Joint Commission-accredited operating facilities, using his own LITE™ IV sedation technique. Within 1 week, his patients are usually able to their normal day-to-day activities.

What are the Possible Complications of Blepharoplasty (Eyelid Surgery)?

What are the Possible Complications of Blepharoplasty (Eyelid Surgery)?


The most common problems that can occur during or after blepharoplasty are: (1) too much bleeding, (2) infection, (3) undesirable scarring, (4) vision loss, and (5) double vision.

Issues like excess skin and baggy fat pockets around the eye area are not considered complications, but typically fall under “enhancements”. A lot of Dr. Amiya Prasad’s clientele are people seeking corrective surgery to fix disappointing results from an earlier surgery done by another surgeon. The most recurrent cause as to why people get corrective surgery is to fix retraction of the lower eyelid, a problem wherein the lower eyelid droops, thus exposing the lower part of the eye and making it prone to irritation. Dr. Prasad recommends seeking out a surgeon who specializes in such cases in order to avoid any further complications.