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The initial consultation with your surgeon is very important. The surgeon will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter) or other drugs and if you smoke.

In this consultation, your surgeon or a nurse should test your vision and assess your tear production. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them with you.

You and your surgeon should carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed and whether any additional procedures are appropriate.

Your surgeon will explain the techniques and the anesthesia he or she will use, the type of facility where the surgery will be performed and the risks and costs involved. (Note: Most insurance policies don’t cover blepharoplasty, unless you can prove that drooping eyelids interfere with your vision. Check with your insurance company.)

Don’t hesitate to ask your doctor any questions you may have, especially those regarding your expectations and concerns about the results. Having realistic expectations is important in any cosmetic procedure. Patients will learn, for example, that although blepharoplasty can improve the appearance of the eyelid, other procedures, such as a chemical peel, will be necessary to reduce the appearance of wrinkles around the eye.

Your surgeon should give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.

While making preparations, be sure to arrange for someone to drive you home after your surgery, and to help you out for a few days if needed.