Frequently Asked Questions

Below are frequently asked questions that patients have about surgery. If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

Q: What can I expect during my initial visit?

A: Your initial visit will include a discussion about your concerns, a thorough eye and facial examination, and a conversation about treatment options with you and Dr. Erb.

Dr. Erb is well-known for honestly telling patients what all of their options are and this includes letting patients know if surgery / filler / botox will not give them the results that they are looking for.

Q: Do I need to bring anything with me for the initial consultation?

A: Old photographs, taken about 10 - 20 years prior, are a useful launching pad to discuss goals at a cosmetic consultation.

Q: How much is the procedure going to cost?

A: In order to provide you with fees for procedures, Dr. Erb needs to see and evaluate you. Each patient is different and has his or her own combination set of problems, options, concerns, anatomy, and aesthetic goals which must be customized individually and personally. We are therefore unable to give an estimate of fees before your consultation with the doctor. Dr. Erb and Michelle will review with you the cost of various procedures and options at the time of your consultation visit.

Q: Is the surgery performed in the office or a hospital operating room?

A: We perform the procedures in our office operating room with local anesthesia and a mild oral sedative. The patients are awake and can see the results immediately. We do ask you to have a driver take you home.

Q: How long does the procedure last?

A: In most cases laser cosmetic blepharoplasty will generally last for 15 to 30 years.

Q: Will it hurt?

A: We want our patients to have a good experience and excellent results. Dr. Erb will always make sure that you are comfortable. You may take 2 Extra Strength Tylenol 1 hour before your procedure is to start. Please only take Tylenol (Acetaminophin) and do NOT take Ibuprofen, Aspirin, Excedrine, or a ny other pain reliever, as they will cause worseningbruising and swelling.

Q: Should I wait until I lose weight or until my eye bags are really large?

A: The time for you to consider eyelid surgery is when you look in the mirror and you donít like what you see. You do not have to wait until your eye bags are really large. Also, losing weight will not make the bags smaller. It is important for you to have a consultation with Dr. Erb and let her discuss the options with you.

Q: Does Dr. Erb perform her own surgery or does another doctor do it?

A: Dr. Erb operates five days a week; you will be entirely in her hands from start to finish. She will call you the evening of your surgery to check in with you and see you the next morning. Our staff is here to serve you.

Q: How long will I be bruised?

A: Bruising is quite variable from patient to patient. In general, bruising lasts for about 1 day to 2 weeks. Factors such as the use of blood thinners can prolong bruising.

Q: How can I minimize bruising and swelling?

A: The frequent use of ice packs will help reduce bruising and swelling. Put crushed ice or frozen peas in a Ziploc baggie. Place the ice pack on the surgical area for 15 minutes at a time. A damp washcloth between the surgical area and the ice pack often improves comfort. Use ice pack as much as possible for 4 days. It is important to know that the more often that you use the ice pack, the less bruising and swelling there will be.

Q: When do I discontinue my Aspirin or other blood thinners such as Coumadin or Plavix.

A: Preferably, Asprin and Plavix should be stopped at least 7-10 days before the day of surgery, and Coumadin should be stopped 5-7 days before surgery. However, please do not stop Aspirin, Plavix, or Coumadin without consulting with your general doctor or cardiologist first.

Other medications that thin the blood and should be stopped 7-10 days before surgery include: Ibuprofen (such as Advil or Motrin), Arthritis medications (such as Naprosyn, Celebrex, Mobic), Multivitamins (including vitamin C & E). Please inform our office if you are taking any of these medications.

Q: When can I resume various activities after surgery?

A: Here is a partial list:

  1. The day after surgery, you are not required to rest or stay in bed. You can resume most of your normal activities.
  2. You may watch TV or work on the computer after surgery. There are no restrictions.
  3. You may drive when you feel that you are safe to drive based on the blurriness of your vision.
  4. You may wear eye makeup 2 weeks after surgery
  5. No contact lenses for 2 weeks after surgery. Wear glasses.
  6. No strenuous exercise (running) for 2 weeks after surgery. Walking is fine.
  7. No heavy lifting, over 20 pounds, for 2 weeks after surgery
  8. No bending over or head down positions for 2 weeks after surgery
  9. No swimming in pools or getting swimming pool water on stitches for 2 weeks after surgery
  10. Stop smoking, if possible, for 2 weeks before and 2 weeks after surgery

Q: How much time should I plan to take off work following surgery?

A: It depends on what kind of work you do and how comfortable you are with people seeing you bruised and/or swollen. If your job does not require bending, heavy lifting, driving, or being in the "public eye," then you may return as soon as you feel comfortable. Normally most patients feel comfortable returning to work in anywhere from 3 to 14 days, although occasionally a patient will return to work 1 day after surgery. This may vary depending on your type of procedure and how quickly you heal.

Q: How do I care for my stitches?

A: Wash your stitches gently with water and then apply the prescribed ointment to the stitches 2 - 3 times per day.

Q: My vision is slightly blurry after surgery.

A: Some people notice that their vision is slightly blurry after surgery. This slightly blurred vision after surgery is normal. The length of time is variable from patient to patient. Artificial tears can often help.

It is important to know that severely blurred vision (cannot read letters of any size at near or far distance) after surgery is NOT normal and extremely rare. In the unlikely event that this occurs, you should call our office immediately. You may feel free to call at night or on weekends, 949-727-0102, and please follow the prompts, and you will be connected with either Dr. Erb or Michelle.