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for Eyelid and Facial Plastic Surgery

Dr. Kevin Perman


Phone (301) 571-0000
6420 Rockledge Drive, Suite 4300 | Bethesda MD 20817



1. Do I need surgery?

Only you can decide when is the time to pursue surgery. If it is "too soon" for surgery, you can consider office procedures like neurotoxins (botox, xeomin, etc.) fillers (Perlane, Juvederm, Boletero, Radiesse, etc) or skin peels (Vi peels or TCA, etc)

2. How long will my blepharoplasty last?

Certainly your age at the time of surgery plays a significant factor, but the relative youthful enhancement should last 12-15 years.

3. When can I wear make up?

Camouflage makeup in the form of blush or foundation can be applied to the cheeks and lower face in a few days. Upper eyelid makeup in the form of liner or shadow is not used for a few weeks. We don’t want patients rubbing their upper lids.

4. When can I wear my contact lenses?

Again, because we do not want patients who have had eyelid surgery, pulling, stretching or rubbing their lids, contact lenses may not be worn for approximately two weeks.

5. When can I return to being active after surgery?

You can go for walks immediately as your energy level allows, but any physical activity that involves bending, lifting or aerobic activity will be restricted usually for two weeks..

6. Will my eyes be covered?

Some eyelid procedures will be patched overnight. Blepharoplasty patients are not patched. All eyelid surgery patients will leave with iced compresses covering their eyes which they will continue to apply once at home..

7. Can I have eyelid surgery if I have dry eyes?

Our surgical mantra is, "LESS IS MORE." As oculo-facial plastic specialists, we approach the eyelids conservatively. A minimal amount of skin is removed, with little if any disruption of tear-producing glandular elements. If you already suffer with dry eye issues, please bring that to our attention during your consultation. Generally, the surgery will not aggravate your condition and you may still pursue it..

8. What is laser blepharoplasty?

Laser in this setting is nothing more than a light amplified cutting device, and will not make any long term difference in your final result. The best application of laser in facial surgery is resurfacing for skin rejuvenation, not as a cutting tool.

9. Will insurance cover my upper eyelid surgery?

The insurance criteria for coverage of any part of the surgery are very strict, visual field testing may be required from your referring eye care professional. Although a failed visual field test will cover addressing the correction of a weakened muscle to raise the eyelid, fat sculpting to correct the pooches is still considered cosmetic, and thus, not covered.

10. When can I fly?

This is a common question as many of our patients are from out of town or travel for business. We encourage staying in town and refraining from flying for about one week. Facelift patients are encouraged to stay a bit longer.

11. What can go wrong?

The risks and benefits of any surgery will be fully discussed at time of consultation. Certainly everything has been discussed in the medical literature; from death to blindness, but these are statistically the rarest for eyelid or facial surgery. Revisions or enhancements are required less than 1% of the time and can ususally be performed in the office without full anesthesia. With over 50 years of combined experience, we tell every patient that there are two kinds of perfect surgeons: ones that lie and ones that don’t do any surgery.