Please call (949) 737-0102 for detailed instructions that we can email to you.
Your procedure will take place in one of two places:
- Our office procedure room
- An operating room at a surgery center or hospital
Together, you and Dr Erb will decide which location best suits your needs
These instructions guide you through what to expect from an Office Procedure, please click here to see the appropriate instructions for an in hospital or surgery center surgical procedure.
Before Your Office Surgical Procedure
- Pick a date based on your other commitments (time off work, see FAQs)
- Arrange your ride home from the procedure
- Stop all over-the- counter medications, such as multivitamins, fish oil, ibuprofen, aspirin, 2 weeks before the procedure
- Continue all of your prescription medications before the procedure
- Prescription blood thinners such as Coumadin, Plavix, etc. should be discussed on a case by case basis with Dr Erb and/or your primary care provider based on your health history
- Consider starting oral Arnica, bromelain, high dose vitamin C starting 2 days before your procedure
- Get ice packs ready: Crushed ice or frozen peas in Ziploc baggies
- Call us with your pharmacy phone number so that we can call in your post-procedure medications. Or we can give you a prescription to you immediately after the procedure.
- You may eat and drink like normal on the morning of the procedure.
- Wash face well
- Do not wear makeup
- Do not wear contact lenses
- Leave jewelry at home
- Wear loose fitting clothes
- Bring a pair of sunglasses with you
- Bring your post-operative prescription medications with you so that we can go over instructions.
- Arrive at our office for the procedure
- We will take good care of you!
During your Office Surgical Procedure
Dr Erb’s priorities are:
- You feel comfortable and pain-free during your procedure
- You and Dr Erb are on the same page for what you want and your procedure
What to expect on the day of your procedure at the office:
- You will be warmly greeted by our office
- You and Dr Erb will reconfirm your wants and the procedure
- You may take a relaxing pill (Xanax or Ativan) at the office, if you desire
- Dr Erb will put numbing drops on your eyes, numbing cream on the skin, and inject the skin with numbing medicine
- After the area is thoroughly numb, we will start the procedure. You should not feel any pain and many of our patients actually fall asleep.
- We will take good care of you!
After Your Office Surgical Procedure
Immediately after surgery:
- Your vision will be blurry for a few hours
- Your eyelids might not fully close for a few hours because of the numbing injection medication
- Bloody tears is normal. You may wipe away bloody tears with a gauze or tissue. If you have too much bloody tears, then place tissue on eyelid and hold pressure for 5 minutes
- Start your post-operative medications in the afternoon after your surgery, if possible. If not possible, then start the medications on the next day. Your prescription may include some or all of the medications below
- Maxitrol eyedrops to put on the eyeball
- Maxitrol ointment to put on the stitches on the eyelid
- An antibiotic pill (Bactrim or Minocycline); take 1 dose in the evening of your surgery
- A pain pill sometimes (Ultram or Norco)
If you do not have pain, you do not need to take any pain medication
If your pain is mild, you may take Tylenol (acetaminophen) instead
- An anti-inflammatory pill (Prednisone) sometimes. If prescribed, then start the Prednisone the day after your surgery.
- If you receive a prescription for 2 different eyedrop bottles, then make sure that the 2 eyedrops are used at least 15 minutes apart, so the second eyedrop does not wash away the first eyedrop
- If you take glaucoma eyedrops, then keep taking them as usual.
- If you stopped your Coumadin, Pradaxa, Elequis, Xarelto, then restart it the next day
- If you stopped your Plavix, then restart it in 1 week
- If you stopped your over-the- counter medications then restart it in 1 week
- You may shower and wash your hair the day after your surgery and you may wash the stitches with water
- Blood stuck to stitches can be gently and carefully removed with hydrogen peroxide on a Q-tip
- Use crushed ice or frozen peas in a ziplock baggie IMMEDIATELY AND AS MUCH AS POSSIBLE right after surgery and through day 3. Then continue to use ice for 7 days after surgery 3 times per day. Put a washcloth on eyelids, and place baggie on top of it. You can tape it in place or use the facemask to hold the baggies in place that may have been given to your after surgery.
- Swelling and bruising get worse on days 1 through 3, then start to improve
- You may continue Arnica 30c, bromelain, high dose vitamin C by mouth for 1 week, if you started it before surgery.
- No eye makeup 2 weeks after surgery
- No contact lenses for 2 weeks after surgery.
- No strenuous exercise (running) for 2 weeks after surgery. Walking is fine.
- No heavy lifting, over 20 pounds, for 2 weeks after surgery
- No bending over or head down positions for 2 weeks after surgery
- No swimming in pools or getting swimming pool water on stitches for 2 weeks after surgery
When to call the office after surgery
If swollen eyelids feel firm, like a tennis ball, or if vision is very blurry (cannot read print of very large size), then call office at 949-727- 0102 anytime day or night and follow the prompts for Dr. Erb’s cell phone.
Also feel free to call the office if you have any questions or concerns.
We are always here for you!