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Cosmetic Surgery for Asian patients is a unique field. While many of the surgical techniques developed in North America were designed specifically for Caucasians, unique features for asian cosmetic surgery necessitate a different approach, in particular when considering the nose, upper eyelid and chin.
Dr. Andrew B. Denton is as a board certified facial plastic surgeon with fellowship training from the University of California San Francisco who practices in Vancouver, British Columbia. Because both of these locales boast vibrant and large Asian communities, Dr. Denton has extensive experience and expertise in the field of Asian cosmetic surgery.
During your consultation, you will have the opportunity to discuss your treatment options with Dr. Denton in a confidential and unhurried setting. Computer imaging will be performed to demonstrate to you the expected result following your procedure. Surgery is performed in Dr. Denton's fully accredited private operating facility for Asian cosmetic surgery in Vancouver, British Columbia.
Like facelift surgery, browlift techniques have evolved significantly over the past decade. Previously, browlifting required large scalp incisions and lengthy healing periods. Modern methods utilize endoscopic telescopes that minimize incisions and recovery time.
Browlifting works by restoring the forehead skin and eyebrows to a more youthful position. Individuals with drooping eyebrows, heavy upper eyelids and prominent horizontal and vertical forehead wrinkles may all benefit from this procedure.
On the night before your surgery we ask that you not have anything to eat or drink (including coffee, tea and juice) after 12:00 am. This allows your stomach to empty thereby minimizing any postoperative nausea.
Surgery is performed in our fully accredited operating room under twilight anesthesia. After surgery, patients are taken to our specially equipped recovery area. Once recovered, all patients proceed home or to an after care facility.
When considering cosmetic surgery of the lower eyelid, fewer differences exist between the techniques used in Asian and Caucasian patients. In both ethnic groups, the goals are to reduce eyelid puffiness and skin wrinkles. At our private operating facility, Asian eyelid surgery is performed in Vancouver, British Columbia.
Upper eyelid surgery begins with a skin incision hidden within the upper eyelid crease. Incisions are made with either the CO2 laser or a scalpel. Excess skin, muscle and fat are then carefully removed to leave a more youthful and well-contoured eyelid. Finally, the incision is closed with a fine line of stitches.
Lower eyelid surgery techniques are more variable. If excess skin is not present, all incisions are made on the inside of the eyelid to avoid any external scars. The bulging fat that gives lower eyelids their puffy and tired appearance is then meticulously removed. If excess or wrinkled skin is present, it can be removed at the same time or smoothed with the CO2 laser.
Droopy, heavy upper eyelids and puffy lower eyelids with or without baggy wrinkled skin are effectively treated with modern blepharoplasty techniques. In both men and women, a forehead lift should be carefully considered with upper eyelid surgery if the eyebrows have dropped significantly with age.
On the night before your surgery we ask that you not have anything to eat or drink (including coffee, tea and juice) after 12:00 am. This allows your stomach to empty thereby minimizing any postoperative nausea.
Two weeks prior to your surgery all blood thinning medications and supplements (e.g. aspirin, ibuprofen, ginko, ginseng and vitamin E) must be stopped. This reduces the amount of swelling experienced postoperatively. A prescription for antibiotics and pain medication will be supplied to you. It is important to take the antibiotics as directed until finished.
A simple blood test to measure your hemoglobin level is performed prior to surgery and, if you are over 50 years of age, a cardiogram is required for your safety. A preoperative visit with your ophthalmologist may be necessary with any history of eye problems.
Surgery is performed in our fully accredited operating room under twilight anesthesia. You will be asked to arrive 30 to 45 minutes prior to the onset of surgery. After surgery, patients are taken to our specially equipped recovery area. Once recovered all patients proceed home accompanied by a responsible adult or to an after care facility.
Moderate swelling and some bruising are normal in the early postoperative period. Stitches used to close any skin incisions are removed in 5 days. Stitches placed inside the lower lid dissolve on their own within several days.
Following surgery, you should rest quietly for the first 24 hours. Sleeping with two pillows under your head for the first 2 nights helps minimize swelling and bruising. Cold compresses placed over the eyes are soothing and will also help with swelling.
Patients are permitted to shower and wash their hair 3 days after surgery.
Bending, lifting and straining are prohibited during the first 48 hours. Light non-cardiac exercise can be resumed two weeks following surgery and slowly increased over the ensuing seven days.
Make-up can be applied to the upper eyelids as soon as the skin incision has healed and to the lower eyelids within 7 days. Most patients are back at work within 7 days of surgery.
Following your consultation, a quote is given which is guaranteed for one year. Our quotes include all costs: pre-operative tests, anesthesia, facility charges, the services of our staff, and applicable taxes. You are encouraged to make cost comparisons. In comparing, be sure you determine the total of all costs related to the surgery.
A deposit is required at the time the surgery is scheduled in order to hold a specific date for you. The balance is due two weeks prior to your surgery. For your convenience, we accept MasterCard, VISA and debit cards.
We have arranged a financing plan for our patients with an outside financial institution. Ask our patient care coordinators for details about how to qualify.
Occasionally, provincial health care plans and insurance companies will pay for upper eyelid surgery in cases where vision is restricted by excess skin. If this is a consideration, a visit to your ophthalmologist to test for vision restriction will be required by the insurers prior to your surgery.
Not infrequently a heavy brow contributes to drooping upper eyelid skin and, in these individuals, a browlift procedure should be considered at the same time as eyelid surgery.
In the absence of excess fat in the lower eyelids, a simple resurfacing procedure may be all that is necessary.
Laugh lines or "crow's feet" are not corrected by blepharoplasty, but do respond well to treatment with Botox™.