Cosmetics & Surgery

Zeidan eyecare centre offers the facilities for adults’ corrective surgery

Eyelid reduction plastic surgery

With normal ageing, the skin of the eyelids may sag and become loose and baggy. Natural fatty tissue in the upper and lower eyelids may become excessive and contribute to the condition. Some people find this unsightly and attempt to hide behind shades. In certain conditions, the condition may become extreme in the upper eyelid leading to partially block vision, tilted head and some discomfort as well as embarrassment. Eyelid reduction plastic surgery medically known as 'blepharoplasty', can correct both aesthetic and visual problems. The loose fold of skin that droops over the eyelid can be removed to make the eyes appear bigger and younger looking. The bags below the eyes can also be reduced or removed. Eyelid reductions are one of the most common plastic surgery operations. They can be done alone or at the same time as other facial surgery.   For blepharoplasty 'Eyelid Surgery' private consultation with lead consultant surgeon Mr. Abdul Rauf ring 01827 54411- .

 Blepharoplasty Q’s and A’s

The periorbital region (the area around the eyes) is one of the key facial expressive areas. Together, with the eyes, they are an important indicator of our emotions. Unfortunately, there are numerous environmental and hereditary factors acting over time which cause the very thin tissues of the eyelids to become stretched and slack. As such, this is one of the first regions to show the signs of ageing and contributes to a prematurely aged or sad look. Skilled Plastic Surgeon can reverse these changes which occur with the passage of time. Rejuvenation of the eyelids (blepharoplasty) is one the most common outpatient cosmetic surgery procedures performed today.

What happens at consultation? The initial consultation takes 30 minutes during which a full ophthalmic assessment and discussion can occur within a relaxed time frame. A thorough history is taken which will give you ample opportunity to describe your reasons for wanting the surgery and any concerns you may have. Other health issues are explored to ensure your safety throughout the process. Specific enquiry will be made about diabetes and thyroid disease. Examination of the eyes and periorbital region will take several minutes as various functions of your eyes and surrounding structures are assessed. Measurements of critical landmarks and distances will be taken in addition to clinical photographs. A second consultation takes place a week or two before the planned surgery date where any further questions may be answered and the surgery discussed for a second time

 

Can anyone have this surgery?

Generally speaking, anyone who is unhappy with the appearance of their periorbital region may be a candidate for surgery. Those who will benefit from this most are those who have obvious saggy upper eyelids giving them an old or tired appearance. Occasionally the upper eyelid skin can become so droopy that the visual field can be obstructed. Those who have puffiness, bags or fine wrinkles of the lower eyelids can also benefit from blepharoplasty to rejuvenate the periorbital region. Some Private insurance companies recognise the disability that severe cases of upper lid excess causes so it is advisable to check to see if your policy covers you for such surgery.

Is the operation carried out under Local or general Anaesthetics?
Essentially, you are sedated via an intravenous drip while the operation happens under local anaesthetic (by injections). You are therefore conscious but drowsy during the procedure. You will be monitored throughout the operation. The amount of sedation used depends on your requirements and can be increased or reversed at any time. The surgery can also be done with full general anaesthetic at your request and if conditions allow it. Most people prefer the full anaesthetic for operations if all four lids at once

What happens during the operation? After satisfactory sedation has been achieved, the surgeon carefully marks out the proposed skin incisions and then infiltrates with local anaesthetic. The surgery involves excision of the skin and sometimes the underlying muscle. Following this, the fat beneath is assessed and small amounts of this may be removed. Generally speaking, this fat is preserved or repositioned. The skin is closed with a fine removable nylon suture. Is the operation different to upper from lower lid? Rejuvenation of the lower lid is a much more exacting procedure and is technically more challenging than upper lid blepharoplasty. The dissection is more extensive and as a result of this the lower lid can remain swollen for some weeks following the surgery. A recognised complication of lower lid surgery can result from over-resection of skin. This can lead to a contracted lower lid where the white of the eye (sclera) is visible beneath the cornea. A well trained surgeon assesses this pre-operatively and will undertake judicious skin resection in order to avoid this potential problem.

What can I expect after the operation?
The upper lid in particular has very thin skin and can swell and become bruised following surgery. For this reason surgeons recommend cold packs/or eye bag, for the first 48-72 hours post-operatively. Any bruising is usually mild and gradually fades to a yellowish tinge over the first week to ten days as the pigments in the bruise break down. The sutures are removed at about 5 days. You may need to wear dark glasses for the first week or two which will help protect from the sunlight and also disguise any swelling or bruising. Make up and contact lenses can be worn at ten days to two weeks. It will take a full 6-12 weeks for the eyes to settle completely following eyelid surgery.

So if you are contemplating blepharoplasty (eye lid surgery), rhinoplasty (nose jobs), chin augmentation or forehead lifts, our assessment and expert consultants will be very happy to advise and direct you to the most suitable lead consultant in the field, avoiding heavy mistakes and regrets. We also offer at our Burton Clinic a less invasive/non-invasive procedures such as Botox and Restylane.

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