"Before I used to look like I was tired all the time, or that I didn't get a good night's rest. After the eye lid surgery my eyes look wide open like I used to have them when I was younger. Now, no one asks if I had a restless night."—Cesar, age 60

"My upper eye-lids were so heavy that I was having trouble reading or looking at the computer. Having Dr. Sigler do the upper eyelid surgery improved my vision and my eyes look prettier too."—Monique, age 53

"This surgery made me feel more attractive because now I can wear makeup on my eyes wihout it getting smeared."—Breanda, age 45

Upper Lid Blepharoplasty
Removal of excess skin, with or without fat, from the upper eyelid

Lower Lid Blepharoplasty
Removallof excess skin from the lower eyelid, with measures to control fat herniation

• Transconjunctival Approach (removing fat from below the lower eyelid)
• Skin Pinch (lifting and removing excessive skin below the lower eyelid)
• Muscle and septal cinch (tightening of support to reduce puffiness)
• Canthopexy - suspension / support of a slightly lax lower eyelid
• Fat Transposition (fat transfer to above or below eyes to 'fill out' a hollowed look)

A blepharoplasty can have a dramatic difference on the face and give you a more rested, youthful appearance. It opens up your eyes and can improve the functioning of your eyelids to improve your vision if it was impeded by sagging eyelids. An eyelid lift can correct scleral show - a drooping lower lid that shows the white below the colored iris.

A blepharoplasty cannot lift your eyebrows or forehead, and cannot improve your optical eyesight. An eyelid lift can further aggrevate an existing dry-eye condition. Talk to Dr. Sigler if you are considering this procedure but have severe dry eye. A forehead lift rather than a blephoraplasty may be more appropriate for you.

You are an ideal candidate if:
• You are in good health
• You do not have a severe dry eye condition
• You do not smoke
• Your pre-op lab work is normal
• You are willing to follow post-operative instructions
• You are able to take 7-14 days off work to rest at home and heal

Pricing may vary upon each patient's specific request and condition. Contact Dr. Sigler for pricing and payment by clicking this link for a consultation or by phone:
English: +1 (619) 735-6832
Spanish: +52 (664) 634-3790

Consultation
During the consultation, your medical history will be taken in order for Dr. Sigler to evaluate your general health.  A careful examination will also be conducted.  Together with Dr. Sigler, you will discuss the procedure and communicate your desires, your concerns and the results you hope to achieve. You may bring photographs to show Dr. Sigler examples of what you are looking for. Dr. Sigler will go over details of the procedure itself and the possible risks and complications as it pertains to any medical or structural issues she sees in your case.  She will go over the type of anesthesia to be used. Once you have all your questions answered, you will both agree on a surgery plan and a proposed date. Photos are taken before and after the surgery in order to determine the amount of improvement.

Setting Your Surgery Date
A deposit is required to confirm the date and time of the procedure. See pricing and payment above for details.

If You Smoke
If you smoke, this habit should be stopped at least two months prior to surgery. This includes vaping and marijuana smoking.

Two Weeks Prior to Surgery
Review and download this list of medications and supplements to avoid. Stop taking any medication on this list two to three weeks before the surgery.  Avoid any intake of aspirin, ibuprofen, Naproxen (excedrin, Motrin, Aleve, Advil), vitamins that include vitamin E, and energy drinks as well. Arrange for family or friends to be available for assistance when you return home to recuperate. Clear your schedule. Make a list and organize your environment to be safe and conducive to bedrest. Stock your kitchen and plan ahead for a period of time spent watching TV, reading or simply relaxing.

Labwork
Pre-op labwork should be done two weeks before the surgery with your own doctor, and then sent to Dr. Sigler. If you prefer Dr. Sigler to do the labwork, you will need to make arrangements prior to your surgery date. Required labwork includes:   CBC (Complete Blood Count), CMP (Chemical Metabolic Panel), PT (Prothrombin Time) and INR, PTT (Partial Thromboplastin Time) and any other labwork specific to your particular medical condition(s), such as a Thyroid Hormonal Panel.If you are over 50, it will be necessary to have a cardiovascular assessment including an EKG and possibly a chest x-ray. Dr. Sigler will advise.

Approval for Surgery
If you are currently undergoing treatment for a medical condition or disease, a letter from your treating specialist must be sent to Dr. Sigler at least two weeks prior to the surgery stating you are cleared to go ahead with the procedure, and include any pre-op and post-op recommendations in order to avoid possible complications during or after the surgical procedure.

Night before Surgery
You are required to fast for at least 8 hours prior to surgery. Eat a lighter dinner and do not eat or drink past midnight.

Day of Surgery
Do not eat or drink anything except a little water. Allow sufficient time to get to the surgery center. Using Dr. Sigler’s car service is usually the most efficient way to ensure a timely arrival. Intake is typically scheduled two hours prior to the actual surgery. You will meet with Dr. Sigler for your pre-op consultation, pre-op photos and markings on body or face, and for a final discussion about your procedure. Paperwork is completed and final prepping by your surgical team is carefully performed.

10 days back to work.
2 weeks regular activities (keep head elevated to avoid excessive blood flow)
4 weeks regular exercise

Generally this surgery is done on an outpatient basis if no other surgeries are involved. Dr. Sigler will discuss whether an overnight stay is required for your situation.

You can expect redness and swelling around the incision areas. Bruising may occur, depending upon the type of surgery you had. It is important to keep the stitches covered in antibiotic ointment.

Keep the head elevated and use ice or cold compresses for the first week to reduce swelling and bruising. Use extra pillows to prop yourself up at an angle in bed or on the couch. Rest and sleep on your back for the first week.

After upper and lower blepharoplasty surgery, the eyelids typically feel tight; accompanying soreness may be treated with analgesics.

The eyes may tear excessively and feel dry and sore. Dryness can be relieved by natural tears and ointment—Dr. Sigler will recommend what to use. Recovery may also include temporary sensitivity to light and if you have dry eye syndrome, this may exacerbate the condition.

Dr. Sigler will remove the stitches generally 5-7 days after surgery.

For the first couple of weeks following the surgery, dark sunglasses are recommended to protect the eyes from irritation caused by the sun and wind. Patients may notice that their eyes tire easily for the first several weeks of the recovery period; frequent naps are recommended.

Until the fourth week after surgery, avoid any activities that increase blood flow to the eyes, including bending, lifting, and activities such as yoga.