Ali Sepehr, MD, Facial Plastic Surgeon

Groupon Laser Upper Eyelid Lift

BeforeAfterView the Gallery

One of the first areas of the face to exhibit signs of aging is the area around the eyes. As eyelid skin stretches and becomes loose, the eyelids can droop resulting in a fatigued or tired appearance. Correction of a drooping eyelid, or blepharoplasty, is a relatively minor cosmetic procedure; yet it provides one of the most dramatic improvements, refreshing the appearance of the face and leaving it looking years younger. While most people who undergo eyelid surgery are older than 35, those who have inherited droopy eyelids sometimes undergo the procedure as early as their 20′s.


About The Laser Upper Eyelid Lift

Dr. Sepehr is dedicated to bringing the latest and safest technology to his patients. Laser upper eyelid lifting is a procedure that rejuvenates the eyes by removing excess tissue from the upper eyelid to correct drooping. He can perform this advanced procedure in the office just using a mild oral sedative and a little local numbing medicine in about 1 hour, and you can go home comfortably the same day. He will first mark the individual creases of the upper eyelids in order to keep the scars as invisible as possible along these natural folds. They are very well hidden and concealed. Your eyelids will be cleansed and surrounded by sterile drapes. The excess skin will be removed along natural skin lines using the laser. The skin is closed with fine sutures that dissolve within a week.

Recovery


Recovery from laser upper eyelid lift is relatively easy and yields the best results when instructions are followed closely. Most patients feel remarkably well immediately after the procedure, and have minimal discomfort which is alleviated with a mild narcotic. For the first few days, ointment for the skin will be prescribed. Ointment and drops will also be prescribed to prevent eye dryness. Among other precautions, the head should remain elevated as much as possible. Consistent use of cool compresses help shorten the recovery period. The laser seals the blood vessels and minimizes swelling and bruising for a quicker recovery. If necessary, bruising can be camouflaged with make-up, and most patients can return to work on average within a few days and full activities within 2 weeks of their procedure. The results of laser upper eyelid lift are typically long-lasting and very satisfying for the patient.

Complications are rare and you can reduce the risks by strictly following the instructions before and after the procedure. There may be tiny whiteheads that your surgeon can remove. There may be slight asymmetry before and after procedure. In some patients the eyes may open slightly during sleep causing dry eyes; very rarely this condition may be permanent. As with any procedure, there may be bleeding or infection. However, the benefits that laser upper eyelid lift affords, like an enhanced appearance and improvement in sight for those with extremely droopy eyelids, are long-lasting and can be life-changing.

Here are some already asked questions on a preview release of this feature.

Q. Are you good at this procedure?

A. Dr. Sepehr is board certified and he is also a fellowship trained in Facial Plastic and Reconstructive Surgery. He is a published expert. He has focused on plastic surgery of the face and eyes and performs all the procedures personally himself.

Q. I have heard this procedure requires a series of treatments with weeks to recover in between. Is this true?

A. I believe you are referring to different types of laser procedures for skin resurfacing. This type of Laser procedure that we are referring to here is an all laser, a bladeless method to remove the excess redundant skin from the eyelids – to rejuvenate the area – and for many women – making it much easier to put on make-up etc. – for many men & women – a better first impression to people in social or business situations…

The procedure is done in ONE session – and will need a brief follow-up in about 1 weeks time.

Hope this clarifies your question.

Q. Can I get this if I have had my upper lids done before?

A. Yes, if there is enough loose/drooping skin to remove.

Q. Are there sutures? Do they have to be removed?

A. Yes, but they can be the self dissolving kind that don’t have to be removed.

Q. Can I get this done if I have other medical problems?

A. If you have Grave’s disease or Sjogren’s syndrome you are not a good candidate for this procedure. Otherwise, yes.

Q. What type of laser is used for this procedure?

A. The laser we use is the Cynosure Smartskin CO2 laser . This machine is considered by most to be the “Cadillac” of lasers as far as effectiveness, purity of energy, and dependability.

Q. How long do the results of this procedure last?

A. It is always interesting to think about how long a procedure lasts; the accurate way to look at the procedure is that we are able to knock off many years of aging from the eyelids – restore them to what they looked like 10 or 20 years ago depending on the individual; however, even the sophistication of our laser cannot stop the march of time . We are turning back the hands of times regarding your lids , but we cannot stop the progression of time. If you are taking care of the lids (protection from the sun & UV light ) we expect that you would not be noticing any progression of more bagginess for many years.

Q. Also, how long have you been performing this particular procedure and about how many per month do you average?

A. Dr. Sepehr has been performing this procedure for about 7 years. We are excited about the laser technique , because of the precision of the results, and the minimal swelling in the post-op period. We do not track exact numbers, and these numbers do vary, but Dr. Sepehr has done over a hundred of these procedures.

Q. I had deep laser resurfacing three years ago and was very happy with the results. In this procedure, do you remove excess skin and glue (or something) the area back together? With a blepharoplasty, sutures are required to bring together the area after tissue is removed.

Will you please explain how this differs?

A. Our Cynosure Smartskin laser can be used for resurfacing as well as for cosmetic eyelid surgery. This upper eyelid lift (also known as blepharoplasty) is done in a unique was by us because of the use of the laser. The laser precisely and cleanly makes the fine incision , and the bruising is minimized because the laser simultaneously is cauterizing any small vessels along the way. A fine suture is utilized , creating a fine , discrete incision that is in the fold of the upper lid. The suture is easily removed after two weeks. Because of the minimal swelling , an individual is able to return to work and other normal activities very quickly.

Q. When would I be able to schedule an appointment?

A. You can schedule your consultation with your Groupon by calling us at 949-371-MYMD (6963). During this consultation, we will be able to meet each other and explain the experience to you in more detail to increase your comfort level.

Q. Where can I see before and after photos?

A. You can see a couple of expected/usual results on our website in our Laser Upper Eyelid Lift Gallery

We can also show you more photos in the confidential environment of our office.

We’ll look forward to meeting you!

Q. What about the lower eyelid, it is the same fee? How much for both?

A. The Groupon deal is specifically for the upper lids. However, we customarily often do all 4 lids. With our background and experience in cosmetic eyelid surgery, we are able to perform most of the steps on the lower lid from the inside of the lid.

We do offer the Lower lid procedure at a reduced fee for our Groupon deal individuals. The Lower Lid procedure may require deeper sedation or general anesthesia. We are offering the Lower Eyelid Lift procedure for 25% off our regular fee.

If you are thinking of having all 4 lids rejuvenated, the protocol would be to have you purchase the Groupon for the upper lids during its limited time of availability, and when you bring the coupon in to the office, you would be eligible for the additional fee reduction for the lower lids.

Q. How is this procedure different from a brow lift?

A. A brow lift involves a surgical elevation of the much thicker tissue at and above the brow. Our Groupon deal involving the Laser eyelid lift addresses the eyelids as opposed to the brows. We are focusing on the drooping of the eyelids with this Groupon. However, if during the consultation Dr. Sepehr finds that you would also benefit from a brow lift he will demonstrate that to you and our Groupon patients would be eligible for a 25% reduction in the brow lift fee.

Q. Do you have before/after pics on your site.

A. We have some pics on our photo gallery.

And you can see more when you come into the office.

Q. Is this procedure painful?

A. During the procedure, we are able to keep you comfortable with the local anesthetic – feels like a momentary mosquito bite on the surface of each eyelid. This anesthetizes the whole area and you are comfortable for the rest of the procedure. If necessary, we can also give you some mild oral sedation.

After the procedure, we find that people are significantly more comfortable with the laser method as opposed to the traditional method because there is generally significantly less swelling. Most people are able to return to light activities by the following day.

Q. The Groupon must be used by 1 year. Do you personally perform all the surgeries? How many per day are you comfortable performing, as I wouldn’t want you to be rushing?

A. We expect that a significant proportion of people, after taking advantage of the purchase of the deal now, plan to have the procedure months down the road. We have previously decided that from a scheduling standpoint we will do what it takes to accommodate our patients schedules.

Dr. Sepehr does all the procedures. We have a great team of staff; we pride ourselves on performing the procedures efficiently and meticulously. Utilizing the laser (as opposed to the traditional scalpel) helps that efficiency. Dr. Sepehr never rushes and takes his time to make sure that everything is just right. It is clearly to everyone’s benefit to utilize whatever amount of time is needed to perform the procedure. We generally allocate 1 hour per procedure; that usually is more than enough time. We are quite comfortable with our capacity for this Groupon feature.

Q. What formula do you use or how do you go about determining and agreeing with your patient on how much upper lid will be visible in the final result?

A. The Laser technology we use is part of the “Science” of medicine: determining the amount of tissue to remove is part of the “Art” of medicine. Our goal is to remove just enough tissue that the fold of the upper eyelid is restored without any excess tissue. Our experience with eyes gives us the background of respecting the importance of not over-doing it, since we are always cognizant and respectful of the health of your eyes as well. Everyone’s lids are a little different, and part of what we discuss when we see you will be a customized plan for your individual circumstances, always in the background respecting and communicating what is best for the final appearance as well as the health of your eyes.

In short, our patient’s goals are always our goals, but it is only with detailed communication during the consultation that Dr. Sepehr gets a clear picture of those goals and also helps in defining what may or may not be the safest and most natural results.

Q. I hear that this procedure can be covered by insurance if your vision is somewhat impeded. I’m considering this procedure one way or the other, but was curious if you accept insurance for this procedure.

A. Insurance companies occasionally cover eyelid surgery if there is drooping of the lids that is so extreme that it obstruct vision. This Groupon deal is for cosmetic improvement of the eyelids as a result of drooping. As you are aware , no insurance company will cover any cosmetic procedure.

In addition, on the occasional covered procedure, where the eyelids are actually obstructing vision, insurance will NOT cover the use of the laser – only the old scalpel method (with its issues of extreme post-operative swelling & bruising – unlike the laser procedure)

This Groupon deal is not a procedure that is covered by insurances.

Q. Can I purchase outside of Groupon.

A. In order to be able to accommodate everyone, we highly recommend purchasing through Groupon. Based on the doctor’s discretion, he may extend the same fee if paid within 5 working days after the Groupon closes.

Q. Is this safe?

A. Your eyes are protected throughout the entire procedure. It is very safe.

Complications are rare and you can reduce the risks by strictly following the instructions before and after the procedure. There may be tiny whiteheads that your surgeon can remove. There may be slight asymmetry before and after procedure. In some patients the eyes may open slightly during sleep causing dry eyes; very rarely this condition may be permanent. As with any procedure, there may be bleeding or infection. However, the benefits that laser upper eyelid lift affords, like an enhanced appearance and improvement in sight for those with extremely droopy eyelids, are long-lasting and can be life-changing.

Q. Is there an age limit?

A. Its never too late to get this done and look your best…especially with the technology available today. While most people who undergo eyelid surgery are older than 35, those who have inherited droopy eyelids sometimes undergo the procedure as early as their 20′s.

Driving Directions

Dr. Sepehr also offers his services to patients traveling from nearby communities. For your convenience, we have provided directions from the neighborhoods below.