insiders guide to blepharoplasty


Researching Blepharoplasty?
Good Luck.

The How-To
Blepharoplasty Book
For Patients,
Not Surgeons

green eye

" 'Google' is not a synonym for 'research.' "
-- Dan Brown,
The Lost Symbol

Let's face it: blepharoplasty on the Internet is more limited than many people imagine, especially when it comes to finding much beyond the same basic information.

What's Available

Most big-name medical school and official Board mega-sites that dominate medical search engine listings are watered-down to the point of near uselessness. Each reads like a clone of the others, one or two pages of minimal content extolling this or that procedure while glossing over serious discussion of options, alternatives, controversy, or anything that might go against the sponsoring institutions. And why not? The very purpose of their Internet existence is to promote their supporting member physicians and encourage you to use their services.

But is over-abundance necessarily better, like that found on sprawling social communities with thousands of seemingly random and frequently contradictory opinions posted by nearly anyone with an email address? Don't confuse quantity with quality or marketing with education. If you weren't confused to start, you may be once you're done.

Then what about personal practitioner websites? Most are understandably skimpy on educational content beyond what you can already find everywhere, instead focusing on practical matters -- introducing the doctor, the practice, the office, the staff, and demonstrating examples of their own blepharoplasty patients, all of which will become very useful but only after you understand more about eyelid surgery and have progressed from "merely interested" to "seriously ready."

And the television shows hosted by real doctors offering advice on the latest treatment options? In a recent University of Alberta study, its authors concluded that "the research supporting these recommendations is frequently absent, contradictory, or of poor quality." In specifically considering the Dr. Oz Show and The Doctors, they found that between one-half and two-thirds of recommendations did not have believable evidence to support them.

So what's left? The public library? It's unlikely there's much there on blepharoplasty, but you can always self-purchase a printed textbook written by surgeons, for surgeons.

medical journals

Most are excellent, although they're very expensive, quite technical, and sometimes years out of date. Authoritative reference tomes are teaching tools intended for seasoned experts already familiar with the subject; it's unlikely you'll make it through the first chapter. Besides, doing one is not the same as having one, and some of the more practical topics pertaining to the patient experience are unlikely to be addressed.

Even more esoteric are the original five page medical journal articles that can be downloaded from the publisher at $40-$60 a pop.

But Why Pay for Any Content?

While "information wants to be free" may be the utopian mantra from the last decade, that's not the way it turned out. Producing quality educational content uses up serious time and resources. Making it freely available makes little sense if you think about it, even though most unsuspecting readers have been trained to expect it.

When you shop at a store, you pay for what you select. If you work a job, you derive income from your employer. In the same way, online content is almost never free. Yes, its price may be zero dollars, but its non-monetary costs can be quite substantial. Monetization of voluntarily and involuntarily divulged user data carries very big costs to the consumer, including loss of privacy, activity tracking, obtrusive advertising, email and phone spam, being included on data or mailing lists readily bought and sold, losing sensitive personal details on poorly-secured hacked databases, and so on.

Of more concern when the subject at hand is medical care is the physical cost of hidden marketing, that is, thinking you are consuming accurate and unbiased information instead of being coaxed into a surgical transaction you might not have otherwise considered.ooooo

Standard of Care

Perhaps we should stop now and ask a more fundamental question. Does a potential patient interested in blepharoplasty even need to perform personal "research" before going under the knife? After all, hasn't the medical establishment defined a set of "standard of care" guidelines for its practitioners to follow?

Most people prefer to take part in major decision-making as long as they can amass reliable information on which to base a sound opinion. Who shops for a car without first putting forth serious effort to determine what to buy and at what price and from whom? Who walks into a showroom and purchases the first model suggested?

So, where is this "standard of care" for blepharoplasty published? Nowhere. "Standard of care" is a legal concept that means little more than 'a prudent decision made by a competent doctor in the local community'. In actual medical practice, however, there is no manual of "operating instructions" to which all must adhere.

That's because most surgical conditions have a variety of possible approaches that can each be considered "prudent" in the right setting. Even the best doctors in the field can have widely differing opinions based on their own unique training, experience, and vested interests. For conditions like lower eyelid bagginess, for instance, recommendations from top practitioners can be all over the board. While that doesn't mean there is no best answer for your specific needs, it does mean that it may take more than an hour or two of effort to find it.

If this all sounds confusing, that's because it is. And if there is no obvious way to make sense of it, then why bother trying? That's why so many patients simply agree to whatever is recommended after their first twenty minute consultation.

Just For Patients

But wait. What about the Insider's Guide to Blepharoplasty? Could it help to clarify?

Thanks for asking because that's its very purpose. Intended for the serious lay reader conducting research on blepharoplasty, it moves from A to Z in a carefully organized and methodical way that is comprehensive yet efficient.

Pure Information, No Marketing

The Insider's Guide is a highly focused and educational resource that presents practical and intelligent consumer-level information rather than medical pablum or marketing. It's neither superficially frivolous nor unbearably into minutia.

Why trust it? The Guide is the cohesive work of a recognized "insider" known for helping potential patients understand and evaluate their many options. It's packed with first-hand material knowledge gained from over three decades spent caring for tens of thousands of cosmetic and revision blepharoplasty patients.

What is meant by the term "Insider"?

An "insider" is a member of a group with restricted access (in this case, experienced blepharoplasty specialists) who is privy to esoteric or obscure information that can provide useful guidance to those outside of the group.

Learn more about the author.

How It's Structured

Developed over a period of fifteen years, the Guide has been read by millions of visitors (including many oculoplastic surgeons) from around the world. Consisting of 45 main sections containing over 500 pages of articles, photos, diagrams, and videos, it covers every facet of blepharoplasty and is regularly updated to reflect state-of-the-art.

The progression of material is as follows. Of course, it's fine to jump around if you prefer, especially if you're already well-versed in certain topics:

We start off with a planning section (Chapters 1-12). In these chapters, we'll teach you what you should know to better understand and evaluate the group of procedures that make up modern "blepharoplasty" to be presented in great detail later on. We'll describe pertinent facial and eyelid anatomy and physiology (don't worry -- it's not as dry as it sounds) and explain common eyelid signs and symptoms that lead people to seek out eyelid surgery. We'll then discuss general treatment issues, such as your choice of operating room facility and the different types of available anesthesia and even the costs. We'll also offer guidance on how to get the most out of a blepharoplasty consultation and then evaluate and select an eyelid specialist.

Next, we delve into the specifics of blepharoplasty and a number of related operations and adjuncts (Chapters 13-27). We'll present their treatment variations and discuss how each is performed, the results you can reasonably expect, and a lot about each procedure's pros-and-cons. We'll tell you about which eyelid operations are established, new, antiquated, or still "developmental." We'll also review certain procedures you may wish to approach with caution.

Next up comes a detailed look at the risks you face by electing to undergo blepharoplasty surgery and then an overview of the most effective revision techniques to address any complications should they arise (Chapters 28-30).

We'll tell you about what most people need to do (and not do) to prepare for a typical blepharoplasty, after which we'll walk you through the experience from the perspective of a patient and again explain what you need to do (and not do) to recover and heal (Chapters 31-40). While none of these suggestions should take preference over your own cosmetic surgeon's instructions, you'll find a great deal of good information here and may even discover a few useful "tricks."

Plus, there's more, such as four self-contained Sections on Before and After Photos, Eyelid Hollowness, Asian Eyelid Surgery, and Reconstructive Eyelid Surgery as well as an extensive Glossary and an Atlas of Eyelid and Orbital Anatomy. Included is a sneak-peek of Blepharoplasty 2.0, eye plastic surgery of the future.

Please understand that the Insider's Guide is not intended to replace or contradict any advice from your own cosmetic surgeon, who, in the end, will examine you and then offer an appraisal of your personalized needs. Use this resource to learn more about the subject and to help formulate your questions, but act only on your own doctor's recommendations. He or she is the one treating you, not us.

Click here to review our Terms of Use and Medical/Legal Disclaimer.

A Short History of the Guide

The Insider's Guide to Blepharoplasty debuted in 1999. Learn more.

Ready, Set, Go

That's it for the introduction. Now prop open those baggy eyelids and brew yourself a pot of coffee. It's time to get started . . .

blepharoplasty book


eyelid surgery resource
© Copyright 2000-2015 Frank Meronk, Jr., M.D.
All Rights Reserved

Disclaimer: Information, observations, and opinions are presented for general reference use only and do not constitute specific medical advice, diagnosis, or treatment. Base all decisions solely upon the recommendations of your own doctors. With each use of this website, you signify your review and full acceptance of our current Terms of Use.

Eyelid Plastic Surgery - Home