You must stop taking anticoagulants 10 days before the operation. However, before stopping, you must consult your doctor and check that he or she agrees that it is safe to do so. If you are taking MARCOUMAR you will be offered a plan so that you can take an alternative drug as a replacement. Your doctor will be consulted about this to make sure that he or she agrees. If anticoagulants prescribed for a general illness cannot be stopped, it is possible that the eyelid surgery will not be able to go ahead.
The whole of your face will be disinfected with Isobetadine and sterile tissues will be placed around your face like a turban. Your nose and mouth will still be free so that you can breathe normally.
During the operation you will not be able to touch your face. This is because it needs to be kept sterile.
The doctor will then give you subcutaneous (i.e. under the skin) injections (lidocaine 2% with adrenalin 1: 100,000). These injections are similar to the injections you have at the dentist. The anaesthetic will start to work immediately and will last for approximately one hour.
During the operation you will have to sit up a few times so that the doctor can judge the results more effectively.
At the end of the operation an antibiotic ointment will be applied to your eyelids. You will then get a cooling mask that you will have to leave on your eyes for half an hour. When you go home, it is important that you use the cooling mask every hour for 10 minutes. Alternatively, you can use a packet of frozen peas because they will mould to your face easily. This cooling is very important as it helps to reduce the swelling, but it is only effective during the first 24 hours after the operation. If this causes pain, you can take some paracetamol (as this does not contain any anticoagulant substances).
Cool your eyelids with ice (3 times). You will notice that the swelling gets worse up until the third day after the operation and then it will start to get better thereafter.
It is possible that your skin will be blue for about a week. The swelling can last for up to three weeks. Don't worry about any haematomas (blood clots under the skin), as these will gradually disappear.
While you still have the sutures, you must not get any water on your eyes. You are also advised not to wear any make-up. Do not massage your eyelids in any way during the first three weeks. Do not put any dressings on your eyelids.
The sutures will be removed 5 to 7 days after the operation. Once they have been removed, you may use water on your eyelids again. You will have another check-up 4 weeks after the operation.
Stay out of the sun as it can cause nasty scars. You can avoid it by using total sun block (factor 60) or by wearing a hat. Sunglasses do not offer you sufficient protection.
If you want more information, or would like to make an appointment:
Contact us or call 0032 (0)2 741 69 99