The Endoscope

An endoscope is a very thin (3mm diameter), sterile telescope.  A small, digital TV camera is attached to one end, and the image is transmitted to a video monitor.  Dr. Bentkover watches the monitor's screen while moving the telescope through the surgical area to operate.

 

Technique

Our staff will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and medications. If you smoke, he will ask you to quit for at least two weeks before and after your surgery, since smoking may have an effect on how well you heal and and will cause more swelling. You must stop all anticoagulant medications and herbal preparations such as aspirin, ibuprofen, vitamin E, gingko, garlic or ginseng 10 days prior to surgery. If you are on Coumadin, you may not be a surgical candidate. You may be required to take antibiotics to prevent infection. You should shampoo your hair the night before surgery.

Dr. Bentkover usually makes 5 small incisions (about 1-1.5 inches long each)at different points behind the hairline for this procedure.  They are placed in specific locations from temple to temple.  He usually uses two incisions at a time, one for the endoscope and one for his operating instruments.  These short incisions may reduce risk numbness due to nerve damage. Also, bleeding, bruising and swelling may be significantly reduced.

Special consideration and risks

While the complication rate is low,  there are some known risks.  These include infection, fluid accumulation beneath the skin (which must be drained), blood vessel damage, nerve damage, and skin injury.

Recovery: What to Expect

Antibiotics may be prescribed for several days following surgery. Sutures are generally removed within 7-10 days. Swelling and some bruising may occur, which should subside within a few weeks. Ice is very helpful in minimizing the swelling and bruising. Women may use eye cosmetics one week after surgery. You can proceed with your normal daily activities within 2 weeks with the exception of full athletic activity.  When you may resume full athletics or exercise depends on what you do.  You should discuss this with Dr. Bentkover.

Dr. Bentkover will see you a number of times after surgery.  A final evaluation will occur at one year post-op. Final photos will be taken at that time