What is oculofacial plastic surgery?
Oculofacial plastic surgery is a sub-specialty of Ophthalmology, in which the surgeon has two additional years of training in plastic surgery of the eyelid, orbit and facefollowing residency. Oculoplastic surgeons have in-depth knowledge of the eyelid and extensive experience in eyelid surgery. They specialize in eyelid surgery and do not perform ENT or general plastic procedures. Dr. Phan is an oculofacial plastic surgeon.

What is ASOPRS?
ASOPRS is the acronym for the American Society of Ophthalmic Plastic and Reconstructive Surgery. The society comprises of oculofacial plastic surgeons, who have had stringent training or extensive experience in order to become members, and maintains high standards of the sub-specialty. Dr. Phan is a member of the ASOPRS.

What is an ASOPRS fellowship?
The American Society of Ophthalmic Plastic and Reconstructive Surgery offers a two-year fellowship to highly selective ophthalmologists. Each year, only about 20 positions are available among the tens of thousand of other training programs offered in the United States. Dr. Phan completed her ASOPRS fellowship at Johns Hopkins University.

Where does Dr. Phan operate?
Some eyelid procedures, such as upper lid blepharoplasty, can be performed under local anesthesia (injection with numbing medicine) and in the minor procedure room in the office. Majority of the cases will be performed at the surgery center under sedation that is given through an IV with an anesthesiologist present. Few surgeries are performed under general anesthesia. Dr. Phan typically operates at the Los Gatos Surgery Center. She also operates at two other surgery centers in Mountain View.

Are the surgeries outpatient?
Yes. Patients are typically observed in the recovery area for 30-60 minutes after surgery and then discharged home.

May I drive myself home after surgery?
No. You need a responsible adult driver to bring you in and take you home after surgery. You should not be driving the rest of the day after sedation or general anesthesia. It is also a good idea to have a driver even if you are having surgery under local anesthesia in the office. If you live alone, you need to arrange for someone to stay with you the first night after systemic anesthesia.

How often does Dr. Phan perform these procedures?
Dr. Phan operates every Friday.

What do I need to do before surgery?
Dr. Phan asks that patients discontinue blood thinners such as Aspirin and other NSAIDS (i.e., Ibuprofen, Motrim, Advil, Aleve, etc.), fish oil, vitamin E, ginseng, gingko and garlic supplement two weeks prior to surgery. Dr. Phan also asks patients to discontinue other anti-coagulants, such as Plavix, Aggrenox, Xarelto, Eliquis, Pradaxa, and Coumadin, five days before surgery. Since these medications are usually prescribed to prevent a life-threatening conditions, Dr. Phan asks that patients discuss discontinuing these medications with the prescribing physician before doing so.

If surgery is to be performed under sedative or general anesthesia, Dr. Phan requires that the patient sees the primary care physician for cardiorespiratory clearance within one month of surgery. If the patient has a cardiologist, the patient should see the cardiologist in leu of the primary care physician.

What do I need to do after surgery?
Unless specified otherwise by Dr. Phan, you should ice the surgical area 20 minutes on and 20 minutes off the first 2-3 days while you are awake. When sleeping, you should elevate your head at a 30-degree incline. These measures will help with the bruising and swelling. Most patients will bruise and swell for the first 1-2 weeks. Some patients with thicker skin will swell longer.

While many patients find taking Bromelain and Arnica 3-5 days before and 5-7 days after surgery help alleviate the bruising and swelling, research studies demonstrate equivocal results. Therefore, the census is that these herbal supplements likely do not hurt and may help the recovery.

While many patients also find topical Mederma helps with decreasing scars of some surgical sites, Dr. Phan does not feel strongly that Mederma is necessary for routine eyelid surgery. The skin of the eyelid is the thinnest of the body, and the incision is typically placed in a crease or wrinkle. Therefore, incisions on the eyelids heal very well and hide nicely as well. However, if patients have a tendency for keloid or hypertrophic or hyper-pigmented scar, these scars may also form on the eyelids, although less likely here than elsewhere.

Dr. Phan strongly recommends avoiding the sun on the incision line to prevent hyper-pigmentation. Patients should wear sunglasses, hat or sunscreen with SPF 30+ that is safe for use around the eyes.

In terms of activities, Dr. Phan asks that patients avoid heavy lifting more than ten pounds, excessive bending or straining and swimming for the first week after surgery. Patients may shower the day after surgery. Patients should gently pat dry the wounds and not rub on the incisions for one month. Dr. Phan uses super-fine sutures; so they will break if they are pulled on.) Therefore, patients may resume work 2-3 days after surgery as long as they can observe those few restrictions.

Do I need a referral to see Dr. Phan?
If you are a member of a HMO plan, then you will need to have referral from your primary care physician before seeing Dr. Phan.

How much does a cosmetic consultation cost?
Initial cosmetic consultation fee of $75 will be applicable to future treatments. Costs of surgeries, treatments, and subsequent visits will be transparently provided.

Why are there no before-and-after photos on the website?
Out of respect for the privacy of patients, Dr. Phan does not post photos of patients on the website. For applicable procedures, photographs are available for review during your visit.

What should I expect during a visit?
Please see Patient Resources.

Does Dr. Phan see patients on the weekends?
The office does not have regular office hours on Saturdays, but Dr. Phan will see patients on Saturdays and after hours by prior arrangement.