Blepharoplasty
Blepharoplasty
A surgical cosmetic procedure to correct eyelid deformities.
01 - Patient Setup
Pre-op Meds: Oral ETT, Ancef (Clindamycin if allergic), PCS on and pumping
Anesthesia: General or IV sedation
Patient position: Supine
Bed position: 90°
DVT ppx: Compression boots on - working BEFORE induction of anesthesia
Side Table: None
Lights: OR overhead lights
Power: No
Bovie Settings: 10–10, Colorado tip
Preinjection: Bleph solution or 1% lido w/ 1/100k epi
Prep: Betadine ophthalmic (or dilute standard Betadine 50% with saline)
Drapes: 4 towels + split sheet (if combined w facelift, drape per facelift)
Instrument sets: Blepharoplasty/oculoplastics set
03 - Post-Op Information
Admission status: SDS
Estimated time: 30 minutes upper, 1 hr lower, 90 minutes both
Coding: ___
Post-op wound care: Iced sponges to eyes, Tobradex ophthalmic ointment
Post-op activity restrictions: Light activity for 2 wks
Follow up: 1 wk
02 - Case Details
Special Instruments: SCLERAL SHIELDS placed before prep w/ lubricant, set up Mayo stand
Devices/Implants: None
Hypodermic needles: 27 gauge
Syringes: 10 mL
Drains: None
Suture:
-Upper lids: 4-0 Prolene on RB-1 and 5-0 fast gut
Lower lids: 5-0 fast gut, 4-0 PDS if canthopexy
Anesthesia on field: General or IV sedation
Dressing: Topical ophthalmic antibiotic ointment, ice packs
Mayo Stand