The preplanning stages of blepharoplasty (cosmetic or medical eyelid surgery) are important because it is only with careful examinations and disclosures of medical and social histories that a successful blepharoplasty can take place.  Be prepared to give your board certified plastic surgeon a detailed medical history, and include as much information as possible.  If you take medication, vitamins, or smoke it may affect your blepharoplasty. 

During your pre-surgery examination your doctor will give you a vision test and detect any problems that may occur with your tear ducts.  You will also go over which type of eye surgery you will have and how many eyelids you will be treating (upper or lower, or all four).  You will also discuss any additional surgeries or procedures that may be necessary.

Most people who undergo blepharoplasty are in fairly healthy condition.  Your doctor will make an evaluation of your health before any surgery is performed.  During this time any risks will be discussed with you as well.  Most people undergoing blepharoplasty are over 35.  Many people with genetic and familial eye drooping, or bagging, however, undergo the procedure before this age.

Issues that your doctor will discuss with you include the risks associated with undergoing blepharoplasty while having a medical condition such as thyroid problems, Graves' disease, tear duct problems, high blood pressure, cardiovascular problems, or diabetes.  Any eye condition will be examined closely as well.

During this preoperative session your doctor will inform you of the site your surgery will take place, what types of surgery and anesthesia will be involved, and the costs associated with your blepharoplasty.  A complete facial examination will also take place.

Once the planning stages are completed, your doctor will give you a course of action that you must follow closely in order to prepare for your surgery.  This usually takes place a couple weeks before the surgery.  Instructions regarding your diet, medicines, smoking, and other health related concerns will have to be followed for a successful outcome.

Be sure and have someone who can drive you to and from the surgery, and maybe even take care of you for a couple of days to a week after your blepharoplasty.
In all stages of your surgery, be sure and discuss all and any questions, concerns, and desired outcomes with your board certified plastic surgeon.