This section of the forum is dedicated to discussions on fractionated, non-ablative, and ablative laser and non-laser skin treatment methods for facial conditions other than acne scarring (See Acne/Acne Scarring Forum).
thanks for the questions:
1. any surgeon who would do an elective eyelid surgery on a pregnant woman is taking undue risk in my opinion. i would not perform a blepharoplasty on a pregnant woman.
2. LASIK can predispose toward dry eye and so can blepharoplasty. You may need eyelid drops afterwards for a while. The way that I do blepharoplasty in my opinion is much safer for someone who has had LASIK as I do not believe in cutting much skin and almost never fat (except the little bulge that may occur in the inner part of the eye in about 1 in 25 patients) from the upper eyelid. in 4 out of 5 patients, i don't even believe in removing skin, and i have entirely stopped during browlifts. for the lower eyelid, i do not believe in cutting any skin at all and using no incisions. now the reason that is so important is first the lower eyelid is the principal drainage mechanism of the eyelid. when you cut the lower eyelid skin you can disrupt the integrity of the lower eyelid and the pumping mechanism thereby predisposing more significantly to dry eye. what is interesting is that i have actually fixed 3 patients whom i can remember who had dry eye from bad skin incision lower eyelid surgery by putting fat back into the hollow orbital rim. Also, if you cut too much away from the upper eyelid, not only is this very ugly but you also predispose toward dry eye. Ditto for a browlift. Anyway, you can still have dry eye after LASIK and a blepharoplasty that I would do but just wanted you to know why out of any procedure out there, you have a far less chance of having a problem after any eyelid work that I do. The reasons that I do my technique however will be most likely impossible for you to understand until you come to see me for consultation. My technique is so far different than most peoples out there. Don't get a standard cut job. Get informed.
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery