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Blepharoplasty Iowa


Your eyes are often the first feature of your appearance to make an impression on others. Unfortunately, eyelids are especially vulnerable to the signs of aging. Drooping, puffiness and a sleepy appearance can impact the look of the eyes and have a dramatic effect on your overall impression. 

With blepharoplasty (eyelid lift) in Dubuque, you can turn back the clock and refresh your youthfulness. Dr. Givens treats symptoms of age on the eyelids by rejuvenating your contours. The blepharoplasty procedure is a safe, surgical option that gives you long-term results for an alert appeal.





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Since there are many different reasons for patients to undergo eyelid surgery, the specific method used can vary.  Dr. Givens is the regional expert in the latest surgical concepts such as volume preservation and augmentation blepharoplasty, transconjunctival fat transposition lower blepharoplasty, and perioccular laser resurfacing.  Lower eyelids may require surgery if excess skin, fine wrinkles, or puffy bags appear underneath the eyes. In certain cases blepharoplasty is used on people who want a more defined upper eyelid crease. Surgery can also repair puffiness on and around the upper eyelids.

Eyelid surgeries are usually performed under local anesthesia, so Dr. Givens can assess the symmetry of your eyes during surgery. Individually, the procedures take about 30 to 45 minutes to perform. Upper and lower eyelid surgery with laser skin resurfacing takes about 90 minutes in total. Stitches will be placed for upper blepharoplasty and ptosis surgery. These are usually outpatient procedures, meaning you will go home the same day.  

Your eyes will be swollen after surgery, but most swelling is gone after one month. Stitches will dissolve on their own. If non-dissolvable stitches are placed, they will be removed after one week. Dr. Givens will see you for one or more follow-up visits to ensure you are healing in a timely fashion.

  • What do neuromodulators do?
    Neuromodulators (including Botox and Dysport) relax the muscles and reduce fine lines and wrinkles in the face and neck. These treatments combat forehead lines, glabella lines ("11's" between the brows), crows feet (around the eyes), smile lines, neck lines, and other wrinkles associated with aging. They can also be used to help sculpt and lift facial features including for a nonsurgical brow lift and a nonsurgical neck lift.
  • What is the difference between BOTOX and Dysport?
    While BOTOX and Dysport both use the same substance (botulinum toxin A) and are based on the same mechanism of action, the size of the molecules in the injections are significantly different. Dysport contains smaller molecules of botulinum toxin type A than BOTOX. - Dysport can spread through your cells more easily - Dysport may begin working slightly faster than BOTOX - Results from Dysport and Botox last for a similar amount of time
  • How many units of Botox will I need? How many units of Dysport will I need?
    The amount of units needed can differ from person to person depending upon your desired outcome, the area of concern to be treated, the strength of the muscles in the area, and whether the treatment is for prevention or to treat existing fine lines and wrinkles and their severity.
  • When will I see results from Botox and Dysport?
    Most patients can expect to notice early results of Dysport between two to five days following treatment, while results from Botox may take seven to fourteen days. The degree of muscle relation can continue to evolve for about two weeks and the results last for three to four months. The longer the BOTOX treatments have been routinely performed, the more relaxed the facial wrinkles will appear over time. Results of Dysport are similar, but often with a slightly quicker onset of action.
  • How long does Botox last? How long does Dysport last?
    Results may vary based upon the dose given, as well as on muscle strength of the area and metabolism, as our bodies metabolize (or break down) the Neuromodulators over time. Treatment to maintain your results are recommend every three to four months. Using medical grade skin care products at home as part of a daily skin care regime can help to maintain your results and improve the appearance and quality of your skin.
  • Does Botox and Dysport hurt?
    Many of us are not big fans of shots, especially needles in general. However, Neuromodulators are generally quickly injected with a minimal amount of discomfort, using the smallest needle available. Many of our patients barely notice the injections.
  • Who are good candidates for BOTOX and Dysport?
    BOTOX and Dysport have been proven safe and effective for treatment of a wide variety of patient and wrinkle types, however, the earlier the treatment is started, the more favorable the results can be. Some patients are not candidates for this type of treatment and include those diagnosed with neurological conditions or disorders affecting muscle movement, history of allergy to the botulinum toxin product, or those with unrealistic expectations from the treatment. Patients who are pregnant or nursing are discouraged from undergoing treatment.


With the use of dermal fillers, we can immediately smooth out unwanted lines; add definition to lips, cheeks, or jaw lines; and even fill in certain acne scars with little-to-no down time.

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Dr. Givens with Faces Medspa in Dubuque has helped thousands of patients enjoy natural-looking results tailored with their specific goals in mind.

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