FAQS AND RELATED LINKS

FAQS AND RELATED LINKS

Whenever new potential patients are interested in learning about the facial reconstructive and cosmetic surgery options offered by Dr. Taban, we aim to provide them with the best level of customer service possible. Oftentimes, we see people for their initial consultation who have the following questions and concerns, which may be similar to your own.eye plastic surgeon los angeles

 

Common Questions & Concerns

Q: What should I bring to my Initial Consultation?

A: If you did not receive a New Patient Packet in advance by email, we ask that you arrive 15 minutes early to fill out your paperwork. You’ll also be asked to bring the following with you: health insurance card (if applicable), close-up portraits or pictures of yourself from various periods of your life taken before surgeries or before the current problems began, and any related laboratory or imaging such as CT or MRI scans.

Q: If I decide to have surgery, when can it be scheduled?

A. Surgery may be scheduled as soon as one week after your initial consultation providing there is availability and that you are cleared for surgery by your primary care physician, internist or cardiologist. Our office routinely keeps surgery time available for those who desire to schedule right away. Our surgery coordinator will walk you through scheduling and preoperative requirements.

Q: Can I finance my surgery?

A. We accept cash, checks, and credit cards (Visa, Mastercard, American Express, Discover).  Alternatively, our office offers financing through Care Credit, available to anyone who qualifies. You may qualify in advance at their website or by calling them directly.

Q: Where will my surgery be performed?

A. Dr. Taban is affiliated with multiple outpatient Ambulatory Surgery Centers in the area (including Specialty Surgery Center, LaPeer Surgery Center, Lasky Surgery Center, Santa Barbara Surgery Center), along with Hospitals (UCLA, Cedars-Sinai, Cottage). The location will be determined based on availability, patient preference, type of surgery, and patient health status. Procedures under local anesthesia can be performed in our office procedure room, with a certified nurse.

Q: What type of anesthesia will be used for my procedure?

A. There are three types of anesthesia: local, local with IV sedation (MAC), and general anesthesia. The choice of anesthesia depends on the type of surgery, patient’s preference, and patient’s health status.
Most surgeries are performed under local anesthesia, with or without IV sedation (MAC).  MAC anesthesia is light “twilight sleep”, similar to what happens during colonoscopy. The main advantages of this anesthesia are: (1) it does not require putting a breathing tube, (2) the recovery is much faster, (3) there is less nausea after surgery, and (4) safer.  Furthermore, this is ideal in operations where patient’s cooperation is necessary during the surgery (such as asking the patient to open and close the eyes for proper positioning).  MAC anesthesia is performed by an anesthesiologist.  Local anesthesia alone is performed without an anesthesiologist, which can be done in the office procedure room.

Q: Is there anything I should do to prepare for my surgery beforehand?

A. Yes! It’s important to see your primary care physician or internist at least one week prior to your surgery for standard preoperative clearance. You will have blood drawn and an EKG (if applicable). You will need to take our History and Physical Exam Form with you to the appointment which explains to your physician what blood tests to order. If you live out of the area you may have this done near your home. History and Physical Forms can be emailed, faxed or mailed to you and/or to your physician.

Avoid medications which thin the blood for two weeks prior to surgery. These include aspirin, ibuprofen, Aleve, Motrin, Excedrin and Coumadin. Also avoid vitamins E & C and herbal supplements such as Gingko Biloba and St. John’s Wart. Patients who are taking daily doses of aspirin and Coumadin may need to see their cardiologist, in addition to seeing their internist or regular primary doctor, to be cleared for surgery.

Make arrangements for someone to pick you up the day of your surgery and someone to stay with you for at least the first 8 hours. If you live out of the area and will be traveling alone to Los Angeles for your procedure, our office can arrange for a nurse to accompany you to your hotel immediately following surgery and to stay with you for 8 hours.

Q: How is long is the recovery period and how much time should I plan to take off work following surgery?

A.Patients should rest the day of surgery, but they should be up and about in a day.  Strenuous activity is to be avoided for about one week after surgery. That means any activity that has the potential to raise your blood pressure such as exercising, bending, lifting, brisk walking and sexual activity. Avoid alcoholic beverages (and smoking) and medications that thin the blood (unless otherwise noted by your doctor) during the recovery period. You should be able to shower and shampoo your hair within two days, or as soon as the bandage is removed. Normally most patients feel comfortable returning to work and resuming their social activities within 7-10 days. This may vary depending on your type of procedure and how quickly you heal.The majority of the bruising and swelling will resolve by one to two weeks. Minor swelling and bruising can be concealed with a special camouflage makeup.

Q: When will my first follow up appointment be scheduled?

A. Typically, 1 week following surgery. The surgeon will determine this on the day of your procedure. On that day you will be given an appointment for your first post-operative visit along with detailed instructions which you must follow carefully.

Q: When will my stitches be removed?

A. Normally in about one week, or when the wound is adequately healed.

Q: Can I do anything to minimize bruising and swelling?

A. Of course. Sleep in a reclining (not horizontal) position for 1 week following surgery to minimize the collection of fluids in the face and eyelids. Follow the instructions you will be given about making and administering your cold and warm compresses. Taking Arnica or Bromelin prior to surgery and during your recovery can help minimize bruising.  These are natural and potent supplements.

Other frequently asked questions and answers :

Q: Who should perform eye plastic surgery? Who should perform blepharoplasty? Who should perform droopy eyelid surgery?

A. Eye or eyelid cosmetic plastic surgery is best performed by an experienced MD trained in oculoplastic surgery. An oculoplastic surgeon is an ophthalmologist who has completed additional 2 year fellowship on cosmetic and reconstructive eye plastic surgery (including eyelids, orbits, lacrimal system, and surrounding facial structures).  They use minimally invasive techniques to provide the quickest and best natural results possible, avoiding unnecessary complications and the dreaded “surgical look”.

Q: Is it possible to change eye shape?

A. The answer depends on exact existing anatomy of the individual patient’s eyes and facial structures and what their desire is. In general, it is not a good idea to do such procedure, unless there is reasonable problem or asymmetry is present. No matter what, the goal is to provide improved eye appearance and function, without taking unnecessary risks, while keeping natural eye appearance and avoiding “surgical look” or need to look like somebody else.

Q: What causes eye or eyelid asymmetry? Why is one eye larger or smaller than the other eye?

A. Eye size asymmetry can be due to many causes. True eye size asymmetry (from one eyeball being bigger or smaller than the other) is rare but can happen. Most commonly the asymmetry is illusion due to other eyelid asymmetry and/or eyeball position asymmetry. One common cause of eye asymmetry is asymmetric upper eyelid ptosis (droopy upper eyelid), causing the eye with the droopier eyelid to appear smaller. Its treatment is droopy eyelid (ptosis) surgery. Another related cause of eye size asymmetry is upper eyelid retraction where the eye appears bigger than the other eye. Its treatment is eyelid retraction surgery. Another cause of eye size asymmetry is if one eyeball is more bulgy (protruding) than the other other eyeball, making the eye appear larger. Its cause needs to be determined and possibly treated via orbital decompression surgery to make the eyeball go back. Another related cause of eye asymmetry is if one eyeball is more sunken than the other eyeball (enophthalmos), making the eye appear smaller. Again, the cause of enophthalmos needs to be determined and then treatment could be considered.

Q: What is the best procedure for bulging/prominent eyes?

A. First, the cause of the bulgy/prominent/protruding eye(s) needs to be determined. The two most common causes of bulgy eyes (aka proptosis) is thyroid eye disease (Graves disease) and inherited bulging or large eyes. The treatment of true bulgy eye is orbital decompression surgery. Another cause of prominent eye could be eyelid retraction where the upper eyelid is too high or the lower eyelid is too low, giving appearance (illusion) of prominent eye. The treatment for eyelid retraction is eyelid retraction surgery.  Individual consultation is necessary to determine the cause and treatment of large/big eyes.

Q: Which filler is best to treat under eye hollowness or dark circles? What filler is best to treat sunken eyes?

A. The important properties for the ideal eye filler include safety, effectiveness, ease, longevity, and reversibility. Currently on the market, the best two eyelid filler materials are Belotero and Restylane.  Both are made of hyaluronic acid gel, safe, effective, and reversible (using hyaluronidaze). These filler types last 1 to 2 years around the eyes, but can last even longer.  These fillers are be injected around the eyes to treat under eye hollowness, dark circles, tear trough deformity, sunken eye appearance, and upper eyelid hollowness, thereby giving more youthFUL eye and facial appearance.

Q: What is the best treatment for under eye dark circles?

A. Under eye dark circles are usually caused to shadow effect that occurs when eye bags cast on hollow under eye area. The best treatment for under eye dark circles depends on the specific individual and their anatomy. In general, if there is excess eye bags (fat prolapse) present, then lower blepharoplasty may be the best long term option. If there is more hollowness than bags present, then the best treatment might be to fill the hollow area with either eyelid filler injection or eyelid fat grafting/transfer. In person consultation will determine the best treatment for eye dark circles.

Contact the Los Angeles Oculoplastic Expert

Dr. Taban is one of the leading oculoplastic eye surgery doctors in the LA region. Contact us via online support form, or via telephone at: (310) 499-2565

Dr Taban’s answers to real patient questions on RealSelf.com in purple like the other headers

RealSelf Q&A with Mehryar (Ray) Taban, MD, FACS

Dr. Taban’s answers to real patient questions on RealSelf.com.

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