General FAQs

What Should I Bring With Me Upon Arrival?

On the day of your visit you will need to complete the intake forms or you can bring the following forms already filled out:

HIPPA Privacy Practices

Patient Intake Form

What is the Payment Policy?
Elective treatments are not covered by health insurance. All fees are to be paid at the time of treatment by cash, personal check or credit card. Major credit cards are accepted.

Eyelid Surgery FAQs

What Should I Bring With Me Upon Arrival?
On the day of your procedure or treatment do not bring any valuables. A secure setting will be provided for your belongings. Please bring your driver’s license or other form of identification and your payment method for the procedure or treatment with you.
What is the Payment Policy?
Cosmetic surgery are not covered by health insurance. All fees are to be paid at the time of your pre-operative visit or two weeks, in advance of surgery by cash, personal check or credit card. Major credit cards are accepted.
What should I wear to surgery?
Please wear loose clothing that closes in the front. A shirt that either zips or buttons up the front is recommended. This will allow for easier dressing and undressing on the day of surgery.
What is the recovery time from eyelid surgery?
In the first days to weeks after surgery, your eyes may feel sticky and rarely, dry. Your vision may also be blurry from the swelling and healing ointment. Bruising and inflammation can last from one week to a month, but there should be little discomfort. To minimize swelling and speed healing, apply cold compresses and keep your head upright as much as possible while sleeping. You may also be given eye ointments or eye drops. Expect to return to the office from 1 to 12 days after surgery to have your stitches removed. You can apply makeup to camouflage any bruising in areas away from stitches soon after surgery. Once stitches are removed, you can wear makeup as usual. Detailed instructions will be provided both verbally and in writing for your aftercare.
How long after surgery will I get to go home?
Expect to be in recovery for 1-2 hours after the procedure. When you are comfortable, alert and able to drink liquids without difficulty, you will be cleared for discharge home.
Will someone have to be there to take me home?
Yes, you will need to arrange to have a family member or friend pick you up from the surgery center. By law, you are required to have an escort to leave the premises, and this person may also receive important information from Dr. Fagien and the nursing staff after surgery. Due to the medications administered by the anesthesiologist, most patients DO NOT remember instructions or other information that is relayed to them in the recovery room.
Do I need medical clearance before I can leave?
Some patients might require medical clearance as per Dr. Fagien’s instructions. Even young healthy patients will need routine blood work. Medical clearance and lab work should be obtained several weeks prior to your procedure as this helps to avoid problems, delays and last minute cancellations on the day of your surgery.
What medications should I avoid before surgery?
You should not take medications that may thin the blood, making you more susceptible to bleeding and bruising. These medications include but are not limited to: Aspirin, Motrin, Advil, Aleve or other pain medications for 10 days before surgery. If you are unsure of any medications, please discuss this with Dr. Fagien or a member of his staff. You can take Tylenol for pain.
If you are taking herbal supplements, please discontinue these 10 days before your procedure.
Can I eat or drink before surgery?
You must have an empty stomach to have local anesthesia with sedation (twilight anesthesia).
You MAY NOT have anything to eat or drink after midnight the night before UNLESS:
You are instructed to take certain medication by the office on the day of surgery and this should be accomplished with a small sip of water only.
You will receive a call from the surgery center the day before surgery to confirm the time for surgery. You should plan to be there 1–1.5 hours before the scheduled operative time. If you do not hear from our office or the facility by 3 p.m. the day before, please call our office.
Do not eat meals heavy in garlic or drink alcohol for 48 hours before your surgery.
What if I get the flu or become ill before surgery?
If you get sick or have a fever the week before surgery, please call our office to discuss as this may require you to reschedule your surgery.
Will I need to return for a follow-up?
You will need to return to the office to be seen by Dr. Fagien approximately 1, 8 (and occasionally 12) days after surgery, depending upon your specific procedure.
Will I experience pain after the surgery?
Pain is not usually a significant issue, and some patients will not require any pain medication after surgery. Nonetheless, you will be given/offered a prescription for post-operative pain medication at your pre-op visit prior to surgery. If you do not wish to take prescription pain medication, you can take extra strength Tylenol (not Advil, Motrin, or aspirin). You may take the pain medication, if necessary, immediately after the surgery. Sometimes, this may help to prevent the pain cycle from beginning. If you need more pain control, take the prescribed medication. This medication can make you nauseous or constipated, so use it only as needed and do not take it on an empty stomach.
What if I do experience pain after surgery even with the pain medication?
Severe pain not alleviated by the narcotic prescription medication, or pain that seems to worsen with or without pain medication is considered unusual. Call Dr. Fagien if you have concerns about your pain. Discomfort around the eyes is often reduced with cold compresses soaked in ice water, rather than with prescription medication.
What if I experience bleeding or discharge in the affected area after surgery?
If you experience significant bleeding, call Dr. Fagien immediately. Slight “oozing” of blood onto the compresses after your procedure is common. Ice compresses usually reduce this.
How will eyelid surgery impact my vision?
You may experience mild blurring of vision for many reasons, including (but not limited to) the use of ophthalmic ointment, swelling and protective temporary stitches / sutures that are applied during surgery. Reading may be difficult after surgery and this should be expected. Any sudden loss of vision or dramatic changes in vision that may be associated with abrupt swelling should be reported to Dr. Fagien immediately.
Are there any side effects to the anesthesia?
You might experience some mild, generalized discomfort from anesthesia, including mild sore throat, dry mouth, nausea and fatigue. These side effects usually subside in 24 hours.
How do I prevent swelling and bruising?
Every patient is different and every surgery is individualized. To reduce swelling and bruising, sleep on your back with your head elevated on a minimum of two pillows. Use cold compresses soaked in ice water for the first 72 hours. Use the compresses intermittently and these are usually best applied for “20 minutes on and 20 minutes off” while awake. These cooled washcloths are preferred to other devices and methods. Swelling and bruising may be most severe 2-3 days after your surgery, so do not be alarmed. Swelling and bruising generally resolve 7-10 days after surgery, but every patient heals differently. Bruising may take up to two weeks to completely resolve. You can begin wearing makeup or concealer a few days after your stitches are removed. Dr. Fagien will advise you when this is acceptable.
Can I wear makeup around my eyes after the procedure?
Beyond the use of the cool compresses and ophthalmic ointment after the first post-surgical day, nothing else should be applied to the stitches for the first week (unless you are instructed otherwise).
Is it OK to shower after my procedure?
You may shower after your procedure, but be mindful that the spray of water is directed at the BACK of your head and not directly at your face. If tape is present, try to keep that dry.
How long before I’m allowed to exercise?
Activity should be limited for the first few days after surgery. You can walk around after a couple of days (though this should be limited to brief strolling) but do not attempt any exercise that elevates your heart rate as this may increase your risk for post-operative bleeding and swelling. You can slowly increase your level of activity during the first week after surgery. Discuss this with Dr. Fagien during your first post-surgical visit.

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Meet Dr. Fagien

Steven Fagien, MD is one of the world’s foremost experts in oculoplastic surgery, and he has devoted more than 25 years to facial aesthetics.

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