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Before You Receive A Blepharoplasty You Can Make Last Minute Changes
The morning of the eyelid lift surgery, the plastic surgeon will meet with the patient to go over the procedure in fine detail again so that both the surgeon and the patient understand one another. Although you should discussed all the things you wanted and what to expect during your consultation, at this time, any last minute minor modifications to the surgical plan for the blepharoplasty can be discussed. Patients will also meet with an anesthesiologist from the medical center during this pre-operative visit the morning of the surgery. The anesthesiologist will also verify that the patient has had nothing to eat or drink since midnight. If routine medications need to be taken (such as blood pressure pills, etc.), they can be taken with a small sip of water. The anesthesiologist will ask about certain medications, food allergies, latex allergies, or any allergic reactions to anesthesia.
After talking to the anesthesiologist, patients are brought into the formal operating room where an intravenous line is started, usually in the right hand, and a sedative is given to relax the patient. The anesthetic given that puts patients to sleep is called propofol. Once the patient is asleep, a small breathing tube called an LMA (laryngeal mask airway) is inserted on top of the vocal cords and is left in place for the surgery. Patients are breathing on their own under a general anesthesia and there is no recollection of the procedure. Anesthesia is now much safer than it was many years ago due to improvements in technology, the anesthetics, and the monitoring agents used during the surgery. There is also a local anesthetic placed in the eyelids to prevent any bleeding.
To ensure the patient's complete safety, the physician anesthesiologist monitors the patient's vital functions the entire time the anesthesia is being administered in the doctor's eyelid and blepharoplasty surgery center. While the plastic surgeon concentrates on making the refinements to the new eyelids, the physician anesthesiologist focuses on the patient's anesthesia and the equipment monitoring heart, breathing, oxygen, and circulation levels. The monitors that are employed are EKG, which is heart tracing, blood pressure cuff to monitor blood pressure during the procedure, pulse oximeter, which measures oxygen concentration in the blood stream, and a ventilator monitor, which is usually monitoring the patient's own breathing and respirations. Carbon dioxide and temperature monitors are also used during the surgery to closely monitor the patient's safety.
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