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Hospital Clinica Biblica

Dr. Victor Eduardo Alvarez Murillo



Dr. Ronald Alberto Salazar

Dr. Guillermo Cortes

Dr. Marcial Fallas

Dr. Javier Brenes

Dr. Gustavo Chavarría León

Dr. Alberto Jose Arguello Choiseul

Dr. Arnoldo Fournier

Dr. Oscar Oeding

Dr. Marios Saenz

Dr. Jacobo Zafrani

Dr. Roberto Velázquez

Dra. Tamara Velázquez

Dra. Olga Montoya


Eye Lid Surgery
If you wish to decrease the tired, wrinkled, and swollen appearance manifested by the excessive lines in your eyelids, you are a candidate for a Blefaroplasty or an Eyelid Surgery. These lines are the result of excessive skin, and bags of fat which result in bulging filled with retained water. Some of these pouches of fat might have suffered some kind of herniation which is noticeable within the skin of the eyelids. Some fat is removed and other is repositioned. This procedure also broadens the visual field (approximately one millimeter or a twentieth of an inch) from the top to the bottom, and it improves the contour of the superior and inferior eyelids.

The fat removed form the upper and lower eyelids never grow again. The scars are hidden in the upper crease of the eyelid or just below the eyelashes in the lower eyelid. After the surgery, your eyes will seem more alive, and vivid.

The surgery is normally done under local anesthesia and sedation. The patient may remain at the Hospital several hours, on an outpatient basis or stay over night if recommended by your doctor. This surgery can be done simultaneously with other plastic surgery procedures such as facial remodeling, liposculpture or breast surgery.

Surgery Costa Rica will schedule an appointment with your doctor for you. During this visit you can ask him any questions you might have about the surgery.


  • Have a complete medical check up, an electrocardiogram and laboratory blood and urine tests; including a complete whole blood count, partial tromboplastin time, prothrombin time, platelets, and HIV.
  • Take antibiotics such as Augmentin 500mg, (one capsule three times a day with each meal) Cipro or Ceclor 500mg (one capsule twice a day with a full breakfast and dinner); two days before surgery, the day of the surgery, and seven more days after the surgery. Inform your doctor of daily vitamin and medication intake. Notify doctor if you have developed a cold or the flu a week prior your surgery date.

  • Please avoid: aspirin, more than 500mg of Vitamin E, ginkobiloba, ginseng, or any blood thinners two weeks prior your surgery. Also avoid alcohol intake, and passive or active smoking for one month before and one month after the surgery. Remember that nicotine and alcohol delays and might even complicate your healing processes.


  • Please brush your teeth, but do not eat or drink coffee or tea.
  • Please do not wear make-up, remove your contact lenses or dentures before the surgery. Do not put any moisturizer on your eyes or face.
  • Please remove your nail polish and contact lenses.
  • The evening and the morning prior your surgery, clean the operative area with soap and water.
  • Do not bring any jewelry or valuables to the Hospital.
  • Wear a robe, or warm up suit that buttons or zips in the front and flat shoes after the surgery. No tight-fitting clothes.
  • Someone must drive you home, to your Hotel, or to the Recovery Home you choose to stay at.
  • Postoperative instructions regarding activity, medications and office visits will be given following your surgery.


  • Place ice cubes or crushed ice into a plastic bag, covered within a towel (to avoid the burning on the skin) on your eyes immediately after the surgery for at least an hour or two. This relieves the pain and helps diminish the post-operatory swelling.
  • Artificial Tears are used 2 drops every 3-4 hours during daytime for six weeks. Genteal or Vidisic lubricant will avoid the drying of the cornea caused by the opened eyes during sleeping time, please use a bit in the inner corner of your eye before going to sleep for 4 weeks.
  • Always wear dark glasses (polarized and containing UV protection) after surgery during the daytime; this helps preventing acute conjunctivitis. In case the person develops conjunctivitis the medicines some ophthalmologists prescribe are antibiotics without cortisone like: Tobramicina drops, 1 or 2 drops every 2 hours during daytime and Tobramicina ophthalmic cream at night time. They should be applied near the lachrymal area on each eyeball.
  • On the third week after surgery, apply Lacri-Lube or Duo-Lube, (In the USA you can buy it over the counter at any drugstore) and use it for six weeks or more as needed.
  • The oral antibiotics Azitromicina (Zithromax) 500mg (once a day) or Augmentin 500mg, Ceclor 500mg or Ciproxina 500mg, (twice a day) should be taken with sweet juice at breakfast and dinner time. Start taking those two days before surgery and for 8 more days after surgery.
  • In case of pain, take Tylenol or Winasorb every 4-6 hours.
  • Please open and close your eyes (squinting) 200times. Please do it stronger each day to obtain normal movements and to decrease the swelling of the eyelids. During the first two to three months you might feel your eyes do not function properly, this is a normal recovery phase. After six months to twelve months all eye movements will be back to normal.

    Thank you!

    Surgery Costa Rica
    Ave. 2 between Calle 38 and 40
    San Jose, Costa Rica
    E-Mail: Surgery Info
    You can reach our San Jose, Costa Rica office from any of the following phone numbers:
    Toll Free: 1-800-250-5119


    FAX: 011-506-2279-2479 from Costa Rica and all other countries

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